Scores reflect the Overall AI Score for each category
Based on recent customer reviews, Sizwe Hosmed Medical Scheme is described by members as a scheme in crisis. Recurring themes include medical savings refunds outstanding for many months, tax certificates never issued, authorised hospital and oncology claims left unpaid, and providers refusing the scheme outright. Members consistently report unanswered emails, dropped calls and template escalation replies, with several escalating to the Council for Medical Schemes and the Ombudsman.
Top Strengths:
- •Coverage, Benefits & Plan Transparency: A small number of long standing members describe major procedures approved, including a TAVI heart valve implant and multifocal lenses, alongside chronic medication and hospital stays covered before curatorship. This remains the highest scoring theme, though most members now report benefits eroded by provider refusals.
TrustIndex
2.1
NPS Score
-99
Recommended: Unlikely
Oct '25 - Sep '26
Frequently Asked Questions About Sizwe Hosmed Medical Scheme
What do customers say about Sizwe Hosmed Medical Scheme?
Based on recent customer reviews, Sizwe Hosmed Medical Scheme is described by members as a scheme in crisis. Recurring themes include medical savings refunds outstanding for many months, tax certificates never issued, authorised hospital and oncology claims left unpaid, and providers refusing the scheme outright. Members consistently report unanswered emails, dropped calls and template escalation replies, with several escalating to the Council for Medical Schemes and the Ombudsman.
What is Sizwe Hosmed Medical Scheme's biggest strength?
Sizwe Hosmed Medical Scheme's biggest strength, according to Hellopeter's AI analysis, is Coverage, Benefits & Plan Transparency. A small number of long standing members describe major procedures approved, including a TAVI heart valve implant and multifocal lenses, alongside chronic medication and hospital stays covered before curatorship. This remains the highest scoring theme, though most members now report benefits eroded by provider refusals.
What are the most common complaints about Sizwe Hosmed Medical Scheme?
The most common complaint about Sizwe Hosmed Medical Scheme, based on Hellopeter's AI analysis of recent customer reviews, is Claims Processing & Authorisation. Authorised hospital, oncology and pathology claims are paid then reversed or left under review for months, leaving members handed over to debt collectors. Rejections are issued without reasons, including emergency caesareans and PMB admissions, and elderly pensioners report being blacklisted for scheme liabilities.
Is Sizwe Hosmed Medical Scheme trustworthy?
Sizwe Hosmed Medical Scheme has a TrustIndex of 2.1 out of 10 on Hellopeter, based on 319 reviews in the last 12 months. They reply to 91% of negative reviews, typically within 22 hours 12 min. Hellopeter has tracked Sizwe Hosmed Medical Scheme across 1,591 total reviews. How is the TrustIndex calculated? →
Recent reviews (319)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your Experience1 reviews | Active since Sept 2026
Logged in a refund with them and its been over a month with no response or any feedback from them...
Logged in a refund with them and its been over a month with no response or any feedback from them am constantly making follow up with them
1 reviews | Active since Sept 2026
Logged in a refund with them and its been over a month with no response or any feedback from them...
Logged in a refund with them and its been over a month with no response or any feedback from them am constantly making follow up with them
1 reviews | Active since Jul 2011
Fighting for recognition of PMB admission
Patient was seen in hospital having been admitted to hospital Via the ER unit. I am struggling to get the admission to be flagged as PMB and thereafter the account to be correctly reprocessed. Numerous calls -no joy Call ref RFS415799, RFS 420825, RFS431426
1 reviews | Active since Jul 2011
Fighting for recognition of PMB admission
Patient was seen in hospital having been admitted to hospital Via the ER unit. I am struggling to get the admission to be flagged as PMB and thereafter the account to be correctly reprocessed. Numerous calls -no joy Call ref RFS415799, RFS 420825, RFS431426
1 reviews | Active since Jul 2026
Sizwe Stinks (2)
My first complaint that I submitted to Hellopeter concerning my complaint against Sizwe was made on 9 July 2026 and Sizwe rep**** on 10July 2026 which is all on record here at hellopeter The reply from Sizwe was the normal apology with the promise to "ESCALATE" my query for URGENT attention More than two months later I still have not heard a single word from them. The only communication that i have received was TWO messages giving me authorization numbers for myself and my wife and when I phoned Sizwe concerning these numbers I was told to ignore them because it was an error on their side!!! Do Sizwe have a Principal Officer? I doubt it very much because I sent emails on two occasions to his office and not ONE has been rep**** to. Depending on the reply from Sizwe concerning this complaint I will be forced to take the matter further to the Council for Medical Schemes and that is no threat but a promise Sizwe have been getting away with bad service delivery for far too long now and the lack of communication just carries on unabated. SOMETHING MUST BE DONE!! My membership number is ***
1 reviews | Active since Jul 2026
Sizwe Stinks (2)
My first complaint that I submitted to Hellopeter concerning my complaint against Sizwe was made on 9 July 2026 and Sizwe rep**** on 10July 2026 which is all on record here at hellopeter The reply from Sizwe was the normal apology with the promise to "ESCALATE" my query for URGENT attention More than two months later I still have not heard a single word from them. The only communication that i have received was TWO messages giving me authorization numbers for myself and my wife and when I phoned Sizwe concerning these numbers I was told to ignore them because it was an error on their side!!! Do Sizwe have a Principal Officer? I doubt it very much because I sent emails on two occasions to his office and not ONE has been rep**** to. Depending on the reply from Sizwe concerning this complaint I will be forced to take the matter further to the Council for Medical Schemes and that is no threat but a promise Sizwe have been getting away with bad service delivery for far too long now and the lack of communication just carries on unabated. SOMETHING MUST BE DONE!! My membership number is ***
1 reviews | Active since Sept 2026
MSA refund
MSA refund delayed and their call centre is not helpful. I have been calling and everytime I call every agent it giving me different story until I spoke to Dumisani on the 8th and he logged a call but still when I call some are telling me that they can't tell me when money will be paid into my account. This is very frustrating because first I was told that money was deposited into my account on the 4th of September and it will be available in my account on Monday the 7th.
1 reviews | Active since Sept 2026
MSA refund
MSA refund delayed and their call centre is not helpful. I have been calling and everytime I call every agent it giving me different story until I spoke to Dumisani on the 8th and he logged a call but still when I call some are telling me that they can't tell me when money will be paid into my account. This is very frustrating because first I was told that money was deposited into my account on the 4th of September and it will be available in my account on Monday the 7th.
1 reviews | Active since Dec 2019
MADE MY LIFE HELL
Sizwe Hosmed really disrupted my life January, February and March. Well the government stopped subsidies but then Sizwe Hosmed thought it’s a great idea to go straight into my account and deduct all that money from my salary which left me with less than R1000 for 3months. When I tried cancelling they gave me the run around. When they eventually cancelled they still deducted money from my salary the following month. I lost all life insurance’s, policies and anything you can think of, my kid’s school fees couldn’t be paid and they couldn’t be bothered. Now I was told to wait 4 months for MSA funds and I have been waiting…..now am being told that I have to wait for people who cancelled last year to be paid…..what does that have to do with me after you made my life a living hell. I WANT MY REFUND AND I AM NOT GOING TO WAIT.
1 reviews | Active since Dec 2019
MADE MY LIFE HELL
Sizwe Hosmed really disrupted my life January, February and March. Well the government stopped subsidies but then Sizwe Hosmed thought it’s a great idea to go straight into my account and deduct all that money from my salary which left me with less than R1000 for 3months. When I tried cancelling they gave me the run around. When they eventually cancelled they still deducted money from my salary the following month. I lost all life insurance’s, policies and anything you can think of, my kid’s school fees couldn’t be paid and they couldn’t be bothered. Now I was told to wait 4 months for MSA funds and I have been waiting…..now am being told that I have to wait for people who cancelled last year to be paid…..what does that have to do with me after you made my life a living hell. I WANT MY REFUND AND I AM NOT GOING TO WAIT.
1 reviews | Active since Jan 2026
SOMETHING IS FISHY AT SIZWE HOSMED MEDICAL SCHEME
No reply / assistance from Sizwe Hosmed after several enquiries regarding only one unpaid claim. Although I had been battling to get answers on my claim, the Medical Scheme indicated that my claim is now "stale". With this kept in mind the Medical Fund reversed an amount that was paid by them, almost a year later from a Laboratory statement and also added a new amount to this statement, increasing the amount due, with a few hundred rands. Does it sound Fishy ?
1 reviews | Active since Jan 2026
SOMETHING IS FISHY AT SIZWE HOSMED MEDICAL SCHEME
No reply / assistance from Sizwe Hosmed after several enquiries regarding only one unpaid claim. Although I had been battling to get answers on my claim, the Medical Scheme indicated that my claim is now "stale". With this kept in mind the Medical Fund reversed an amount that was paid by them, almost a year later from a Laboratory statement and also added a new amount to this statement, increasing the amount due, with a few hundred rands. Does it sound Fishy ?