Worst medical aid service!

You never get answers to any emails. You only get a resoponse that you will receive an answer within 3-5 days. If you do get a reply it is of no substance not answering your question or resolving your problem. Claims are paid very late. I now have a claim from Feb 2024 which we had authorisation for, that they still have not paid. They paid it in April 2024 and reversed it on the same day! The hospital kept on harrassing me for payment and upon my requests to To Sizwe, they send me confirmation letters that it has been paid in April. Now Sizwe has a problem with the claim as it is a stale claim...??!! Who's fault is it that it is a stale claim??? I did what I had to do - I got authorisation. The hospital did what they had to do - they sent the claim to Sizwe. Sizwe is the party in the equation that did not fulfill their end of the bairgain! Neither me or the Hospital get answers from Sizwe. In their last reply today, they are asking for the "Paper claim".... what on earth is a paper claim??? I got authorisation, the hospital sent the claim through, they paid and reversed it the same day...?? I want it paid!!! I am definitely getting a new medical aid! I am tired of their non responsiveness and excuses. To me it looks like they are also on the path to liquidation. I'm also referring this matter to the Ombudsman.