Very unprofessional medical aid

Sizwe Hosmed Using My Day-to-Day Benefits for Hospital Stay – Completely Unacceptable!

Complaint: I am extremely frustrated with the way Sizwe Hosmed Medical Scheme has handled my recent hospital admission.

Instead of processing my hospital claim under the hospital benefit, they deducted the full amount from my Day-to-Day benefits, which are now depleted (R24,792.00 used, R0.00 remaining). This means I have no cover left for the rest of the year — simply because Sizwe Hosmed processed my claim incorrectly.

This is completely unacceptable and feels like I am being ****** of my benefits. Day-to-Day cover is meant for GP visits, medication, and specialists — NOT hospital admissions.

I have requested a detailed breakdown and urgent correction of my claim, but this issue is already causing financial and emotional stress. If this is not resolved immediately, I will escalate this matter to the Council for Medical Schemes and share my experience further so other members can be warned.

Sizwe Hosmed, please fix this and restore my benefits — this is your responsibility to your paying members!