KM
Khanyi M

1 reviews | Active since May 2024

10 May 2024, 12:57

Worst experience with Sizwe hosmed

I was readmitted on the 17th of April 2024 at the hospital and discharged on the 24th of April 2024. I realized when I went online that my day to day funds are finished and my admission is still pending. I called Sizwe and I was advised that the treatment plan is outstanding hence the admission is pending. I personally went to the Dr who did my hospital admission request to send the treatment plan and I also got a copy of which I did email on the 30th of April 2024. I called to check if it was received and I was told yes.

Ive been calling Sizwe every week regarding this and on Monday I was told the query has been sent to the team leader to date my admission is pending & some providers claimed under day to day because the hospital admission is pending.

I am so drained and dissapointed about Sizwe and I will never ever recommend it to anyone. I'm on sick leave yet I'm the one who must follow up I have Ref numbers even if I email you don't respond.

Worst medical aid ever things were better before it merged with Hosmed.

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Replies (5)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply10 May 2024, 13:22
Official
Dear Khanyi, 

Thank you for reaching out again and for the provided information. 
Kindly note that we will investigate and escalate the query to the claims department for urgent attention. 
Feedback will be provided urgently. 

We appreciate your patience. 

Sizwe Hosmed team. 
KM
Khanyi M's update10 May 2024, 13:35
Reviewer Update
How are you going to investigate without my member number or ID number because you are not requesting any of that?
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply10 May 2024, 14:02
Official
Thank you for your reply, Khanyi. 

Kindly share your membership number so that we assist accordingly. 

Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply10 May 2024, 16:41
Official
Received with thank you, Khanyi. 
We will provide feedback as soon as it is available. 
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply17 May 2024, 13:00
Official
Dear Khanyi, 

Just an update on the query. 
The benefit auth has been finalised and the claims have been escalated to the claims department. 
Feedback will be provided as soon as it is available. 

Sizwe Hosmed team.