Sizwe Hosmed Medical Scheme
Verified Business
Sizwe Hosmed Medical Scheme
Verified Business
284 Reviews (last 12 months)
Responds in 15 hours 50 min
AI Review Summary
Based on recent customer reviews, Sizwe Hosmed Medical Scheme is experiencing a systemic service crisis across every measurable dimension. Customers consistently describe an organisation unable to pay claims, respond to communications, process cancellations, or provide access to healthcare providers. The scheme's curatorship and reported financial instability dominate the narrative, with members describing being turned away by hospitals, doctors, and pharmacies.
Top Strengths:
- •Customer Service & Staff Quality: One named staff member, Veronica Mayer, received heartfelt praise for going above and beyond to resolve a chronic query. A small number of long-standing members recall historically good service before the merger and curatorship period.
Service Quality Ratings
MetricScoreIndustry AvgBest in Class
Performance(last 12 months):
2.6Trustindex Rating
#10Ranked In Medical Aid
15 hours 50 minutesAverage Time To Reply
-93 NPSRecommended: Unlikely
Replied to 94% of negative reviews
Typically takes less than 16 hours 12 min to reply
TrustIndex
2.6
Score
Ranking
#10
in Medical Aid
Avg Reply
15 hours 50 minutes
NPS Score
-93
Recommended: Unlikely
Replied to 94% of negative reviews
Typically takes less than 16 hours 12 min to reply
Review Distribution
1.2|284 Reviews
May '25 - Apr '26
5(3%)
4(0%)
3(2.6%)
2(2.6%)
1(91.8%)
5(3%)
4(0%)
3(2.6%)
2(2.6%)
1(91.8%)
Recent reviews (284)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceMK
Merle K
1 reviews | Active since Jan 2020
16 Mar 2026, 14:37
Refund of Accumulated Savings
I am writing to formally express my dissatisfaction with the level of service I have received regarding my outstanding savings refund. Despite having submitted all required documentation in a timely manner and following up on multiple occasions, I have received no acknowledgement or substantive feedback from your team. This prolonged lack of communication has been most unsatisfactory and has ultimately compelled me to escalate my complaint via HelloPeter in order to receive any response at all. The HelloPeter response I received, previously, confirms that my query was noted and escalated for urgent attention. However, to date I have still not been provided with a confirmed payment date for my refund, which constitutes the final resolution I require. To confirm the details of my matter: my membership end date was 31 October 2025, and the prescribed four-month waiting period has since elapsed. Based on my records, my accumulated savings balance at the time of cancellation exceeded R9,000.00, and I expect this amount to be refunded in full. I respectfully request that you provide me, in writing, with the confirmed date on which this refund will be processed and paid into my account. I trust that this matter will now receive the urgent attention it warrants.
Helpful (0)
|Replies (0)MK
Merle K
1 reviews | Active since Jan 2020
16 Mar 2026, 14:37
Refund of Accumulated Savings
I am writing to formally express my dissatisfaction with the level of service I have received regarding my outstanding savings refund. Despite having submitted all required documentation in a timely manner and following up on multiple occasions, I have received no acknowledgement or substantive feedback from your team. This prolonged lack of communication has been most unsatisfactory and has ultimately compelled me to escalate my complaint via HelloPeter in order to receive any response at all. The HelloPeter response I received, previously, confirms that my query was noted and escalated for urgent attention. However, to date I have still not been provided with a confirmed payment date for my refund, which constitutes the final resolution I require. To confirm the details of my matter: my membership end date was 31 October 2025, and the prescribed four-month waiting period has since elapsed. Based on my records, my accumulated savings balance at the time of cancellation exceeded R9,000.00, and I expect this amount to be refunded in full. I respectfully request that you provide me, in writing, with the confirmed date on which this refund will be processed and paid into my account. I trust that this matter will now receive the urgent attention it warrants.
0
Replies (0)SN
Sane N
1 reviews | Active since Jan 2020
16 Mar 2026, 12:48
How can you not pay for Astomy products?
My brother is physically disabled from shoulder to toe due to an accident.He was put on CHRONIC for Stoma products ,now we cant order products WITH MEDICAL AID from the Supplier which is COLOPLAST ,they say we must pay cash and its not just him ,but they are not servicing all SizweHosmed clients with medical aid they are requesting cash . These products cost thousands of rands how is that suppose to happen when he is already paying close to R5000 on medical aid . There is not even a choice of using nappies when a person has done this surgery. This is such a disgrace on such a delicate situation ,what are we suppose to do .
Helpful (0)
|Replies (0)SN
Sane N
1 reviews | Active since Jan 2020
16 Mar 2026, 12:48
How can you not pay for Astomy products?
My brother is physically disabled from shoulder to toe due to an accident.He was put on CHRONIC for Stoma products ,now we cant order products WITH MEDICAL AID from the Supplier which is COLOPLAST ,they say we must pay cash and its not just him ,but they are not servicing all SizweHosmed clients with medical aid they are requesting cash . These products cost thousands of rands how is that suppose to happen when he is already paying close to R5000 on medical aid . There is not even a choice of using nappies when a person has done this surgery. This is such a disgrace on such a delicate situation ,what are we suppose to do .
0
Replies (0)JS
Jayson S
1 reviews | Active since Jan 2020
16 Mar 2026, 08:48
No Refunds
I am extremely dissippointed with the service from Sizwe regarding my refund that iss still outstanding. Despite multiple follow ups and promises that payment will be done i have yet to recieve my money. Its unexceptable for a medical aid provider to hold on to people's refunds. I needed an x-ray in August the x ray dept refuse to accept Sizwe and insisted I pay cash I called sizwe they confirmed I have funds and they will refund my money in the coming days. Since then I have been running after them and the lies keep going. The curator sends falls information that payments will resume. If you on this medical and I suggest leave immediately or you will end up with huge medical bills and no refunds. Remember you sign as a guarantor for treatment and will be held accountable for the bill. Horrible medical scheme very ***********.
Helpful (0)
|Replies (0)JS
Jayson S
1 reviews | Active since Jan 2020
16 Mar 2026, 08:48
No Refunds
I am extremely dissippointed with the service from Sizwe regarding my refund that iss still outstanding. Despite multiple follow ups and promises that payment will be done i have yet to recieve my money. Its unexceptable for a medical aid provider to hold on to people's refunds. I needed an x-ray in August the x ray dept refuse to accept Sizwe and insisted I pay cash I called sizwe they confirmed I have funds and they will refund my money in the coming days. Since then I have been running after them and the lies keep going. The curator sends falls information that payments will resume. If you on this medical and I suggest leave immediately or you will end up with huge medical bills and no refunds. Remember you sign as a guarantor for treatment and will be held accountable for the bill. Horrible medical scheme very ***********.
0
Replies (0)JV
Johan V
1 reviews | Active since Jan 2020
15 Mar 2026, 19:13
There no doctors that want to help me with this medical aid anymore. But they keep on taking my money every month I had to pay so much out of my own pocket. I've email you multiple times now and yoh Don not respond to any of them. PLEASE MAKE SIR YOH CANC
They take my contributions but not service or reply on any of my mails
Helpful (0)
|Replies (0)JV
Johan V
1 reviews | Active since Jan 2020
15 Mar 2026, 19:13
There no doctors that want to help me with this medical aid anymore. But they keep on taking my money every month I had to pay so much out of my own pocket. I've email you multiple times now and yoh Don not respond to any of them. PLEASE MAKE SIR YOH CANC
They take my contributions but not service or reply on any of my mails
0
Replies (0)TG
Tammy G
1 reviews | Active since Jan 2020
13 Mar 2026, 18:10
re: claim statements monthly
Have not received a claim statement since November last year (2025) Cannot even download it on the website and claims that should be fully paid, is only half paid and no one is able to advise on the reason. Have phoned for the statements and sent multiple emails, but either only getting through to self help option or getting read receipts and no response. If someone can please advise Thank you
Helpful (0)
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Tammy G
1 reviews | Active since Jan 2020
13 Mar 2026, 18:10
re: claim statements monthly
Have not received a claim statement since November last year (2025) Cannot even download it on the website and claims that should be fully paid, is only half paid and no one is able to advise on the reason. Have phoned for the statements and sent multiple emails, but either only getting through to self help option or getting read receipts and no response. If someone can please advise Thank you
0
Replies (0)ID
GW
Gary W
1 reviews | Active since Jan 2020
11 Mar 2026, 07:52
Terrible service. Totally in the dark regarding claims
Below claims not paid since December and one is even from November. You wait for minimum of 30 minutes to get through to claims and then often cut off. They do not reply to members or Doctors E Mails. Dr WP De Beer practice number 0082295 R1000.00 paid by myself on 3rd November 2025 and submitted on that date to claims department,then submitted again on 14th January 2026 and again to Queeneth on 2nd February 2026. New system reference number RFS67646. Please let me know when I will be paid back for this. This has not been answered and has not been paid. DR Tayob Practice number 0271268. R5249.96 Sent to Sizwe claims department on 29th December 2025. They have not been paid. Dr WP De Beer practice number 0082295 R6130.63. Submitted on 15th December 2025 to claims department on 16th December 2025 then again on 14th January 2026 to Victoria Ref RFS67685.Sizwe original authorization number NEO 020251113014A. As discussed with Queeneth, when I managed to get on to your portal it showed a short payment of R2761.75 and stated that codes 40,42,44 and 46 were duplicated so I spoke to Jacques at the doctor's rooms and he said these will be duplicated as it was a bilateral Hernia operation( Bilateral means both sides) so some codes will be duplicated. I contacted Jacques at Dr De Beer's offices today 9th March 2026 and he told me he received a remittance that said amount exceeded code 10 and nothing has been paid.. Netcare Linksfield Practice number 5808502 for services on 15th to 16th of December 2025. sent on 16th December by Netcare electronically then sent by me on the same date to claims, also update requested by the hospital case management on 22nd December 2025 but no reply received. Sizwe original authorization number NEO 020251113014A. . Also sent to Victoria on 14th January 2026 with clear instructions regarding the password to open this document then sent to you again on 2nd February 2026. Amount R40701.90. PASSWORD FOR THIS DOCUMENT 5810285091184. This was received according to Queenith during our conversation on the 2nd February. Apparently this has been short paid by R8113.51. I have no explanation for this short payment and have not received any statement. Documents submitted are attached.
Helpful (0)
|Replies (0)GW
Gary W
1 reviews | Active since Jan 2020
11 Mar 2026, 07:52
Terrible service. Totally in the dark regarding claims
Below claims not paid since December and one is even from November. You wait for minimum of 30 minutes to get through to claims and then often cut off. They do not reply to members or Doctors E Mails. Dr WP De Beer practice number 0082295 R1000.00 paid by myself on 3rd November 2025 and submitted on that date to claims department,then submitted again on 14th January 2026 and again to Queeneth on 2nd February 2026. New system reference number RFS67646. Please let me know when I will be paid back for this. This has not been answered and has not been paid. DR Tayob Practice number 0271268. R5249.96 Sent to Sizwe claims department on 29th December 2025. They have not been paid. Dr WP De Beer practice number 0082295 R6130.63. Submitted on 15th December 2025 to claims department on 16th December 2025 then again on 14th January 2026 to Victoria Ref RFS67685.Sizwe original authorization number NEO 020251113014A. As discussed with Queeneth, when I managed to get on to your portal it showed a short payment of R2761.75 and stated that codes 40,42,44 and 46 were duplicated so I spoke to Jacques at the doctor's rooms and he said these will be duplicated as it was a bilateral Hernia operation( Bilateral means both sides) so some codes will be duplicated. I contacted Jacques at Dr De Beer's offices today 9th March 2026 and he told me he received a remittance that said amount exceeded code 10 and nothing has been paid.. Netcare Linksfield Practice number 5808502 for services on 15th to 16th of December 2025. sent on 16th December by Netcare electronically then sent by me on the same date to claims, also update requested by the hospital case management on 22nd December 2025 but no reply received. Sizwe original authorization number NEO 020251113014A. . Also sent to Victoria on 14th January 2026 with clear instructions regarding the password to open this document then sent to you again on 2nd February 2026. Amount R40701.90. PASSWORD FOR THIS DOCUMENT 5810285091184. This was received according to Queenith during our conversation on the 2nd February. Apparently this has been short paid by R8113.51. I have no explanation for this short payment and have not received any statement. Documents submitted are attached.
0
Replies (0)MK
Merle K
1 reviews | Active since Jan 2020
11 Mar 2026, 05:21
Refund of Accumulated Savings Balance
I was a member of Sizwe Hosmed and had the most dismal experience with the scheme the last few months of 2025 with them. I resigned and my end date was 31 October 2025. I have accumulated savings that the scheme now has to pay to me as the four month waiting period after the end date has passed, but have been battling for the last two weeks to get feedback from them. All information as well as proof of my banking details had been sent to them. I would just appreciate it if they could communicate the date that the refund would be paid as I waited the prescribed time before requesting the refund. This is really frustrating.
Helpful (0)
|Replies (0)MK
Merle K
1 reviews | Active since Jan 2020
11 Mar 2026, 05:21
Refund of Accumulated Savings Balance
I was a member of Sizwe Hosmed and had the most dismal experience with the scheme the last few months of 2025 with them. I resigned and my end date was 31 October 2025. I have accumulated savings that the scheme now has to pay to me as the four month waiting period after the end date has passed, but have been battling for the last two weeks to get feedback from them. All information as well as proof of my banking details had been sent to them. I would just appreciate it if they could communicate the date that the refund would be paid as I waited the prescribed time before requesting the refund. This is really frustrating.
0
Replies (0)