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Ruth R

1 reviews | Active since Jul 2021

19 Jul 2022, 12:05

WARNING RE ********** CUSTOMER SERVICE FORM SISWE-HOSMED!

WARNING RE ********** CUSTOMER SERVICE FORM SISWE-HOSMED! So a waring for anyone wanting to get a medical aid through this company, please note that their tactic is exhaust their customers to the point that they give up on claims. I won't give up I am a bull terror once my jaw locks I don't let so sorry just a heads up for management. I am an ex customer of Siswe-Hosmed who still owes me R3800.00 for claims submitted on the 01/05/2022. No matter what I do they wont help me.

Readers PLEASE make sure to follow this STORY as I strongly suggest not joining Siswe-Hosmed.

They have ********** customer care. Only one person knows anything so don't bother pressing any number but 3 when you call in. Have loads of airtime on hand too. O and don't both asking to speak to a manager I don't believe they have any or they refuse to call customers back but they also never there when you wasting your airtime calling them. I am getting desperate, and I don't know where to turn anymore. I submitted 8 claims to the value of R3800.00 to my then medical aid - Siswe-Hosmed on the 1st of May 2022. I submitted the claims to the T of how they need them to be submitted. Scripts attached, slips and credit card slips or proof of eft. On my end there was not one mistake. I called on the 16th of May after 11 working days to follow up on the delay. Siswe assured me the pay out was imminent and that there was just a slight delay and that they were only started processing my claim on the 15th. They asked for the claims to be sent again along with the WF number they sent me as record of the correspondence from there side. I did this immediately. I called again before the end of the month after receiving an email from them saying they had paid out all the providers. Three different Clicks branched, 6 different branched of Dischem and Worester Medi Clinic. So I had paid all the providers and now Siswe-Hosmed had paid them too. I have since moved back to Discovery Medical aid which is a pleasure to deal with however due to not being paid out the R3800.00 I have not been able to pay Discovery the June premium meaning I have to pay two premiums this month. This also puts me in q waiting period till they pay any of my bills meaning I am still since April 2022 till today paying all my doctors visits, chronic medication and any specialists cash. I have been medically boarded till 2051 as I have had an incredible hard year being close to suicide. I app**** for 3 months temporary disability and Momentum gave me permanent disability till I start working again. Ihave followed up with Siswe several times and every time I am asked to send the invoices again and the WF numbers and they will escalate the matter. This matter had been escalated too many times. I then desperate for this money posted this story on HelloPeter. I got an urgent call from them replying to the hellopeter email and again they wanted the slips and WF numbers. I have also on several occasions asked for a manager to call me back and nothing no communication. I am not sure if their tactic is make the customer so tired that they give up on getting their money. Sorry Siswe-Hosmed I won't give up so WAKE UP! I WILL KEEP GOING ON AND ON SMUDGING YOUR NAME AS MUCH AS I CAN. I am medically boarded meaning I can't work becasue I am psychologically fragile yet this is the service I receive form a large medical aid. I was also expected to cover 3 psychiatric bills last year when Hosmed and Siswe merged. The list goes on and on. I expect better service when I an paying R3645.00 a month as a premium. I expect a manager to call or I will go to every paper and Facebook, Instagram, Twitter, linked in and any other social media platform I have forgotten. I will also keep updating my HelloPeter post. I sincerely hope this makes you Siswe-Hosmed wake up and treat your customers with more respect and gets you to drop the tactic of exhaust the client till they drop the issue. Sadly for you I am not working so I have plenty time this year in between my online degree to keep up with smudging your name!

I will go to my lawyers next week if nothing is done. I give you 1 week to pay me out or I will do everything to ruin your name!!

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply19 Jul 2022, 12:14
Official
Dear Ruth, on behalf of Sizwe Hosmed Medical Scheme, we sincerely apologise for the inconvenience caused. We will be in contact with you to resolve your complaint. Thanks, Sizwe Hosmed team.