SH
Sizwe Hosmed Medical Scheme
Verified Business
SH
AI Review Summary
Based on recent customer reviews, Sizwe Hosmed Medical Scheme is facing significant member dissatisfaction centred on unpaid claims, delayed refunds, and breakdowns in communication. Customers consistently mention authorised hospital and specialist accounts going unsettled for many months, savings payouts and refunds being withheld, and being handed over to debt collectors despite valid authorisations. A recurring theme is frustration with the call centre, dropped calls, untraceable reference numbers, and unanswered emails. Several members also raise concerns about the scheme being under curatorship and the lack of transparent updates from leadership.
Performance(last 12 months):
TrustIndex
2.4
Ranking
#22
in Medical Aid
NPS Score
-98
Recommended: Unlikely
Review Distribution
1.1|293 Reviews
Jul '25 - Jun '26
Recent reviews (293)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceA
Anonymous
1 reviews | Active since Jan 2020
28 May 2026, 08:50
Savings refund
Am struggling to get a proper response from sizwe hosmed regarding my refund, every time I call their consultants I always give me a different story, when I ask when is my refund due am being told that it’s being processed but don’t know when I will receive it, their waiting period is 4 months which has past and now am being taken from piller to post. They don’t even respond to emails.
Helpful (0)
|Replies (3)A
Anonymous
1 reviews | Active since Jan 2020
28 May 2026, 08:50
Savings refund
Am struggling to get a proper response from sizwe hosmed regarding my refund, every time I call their consultants I always give me a different story, when I ask when is my refund due am being told that it’s being processed but don’t know when I will receive it, their waiting period is 4 months which has past and now am being taken from piller to post. They don’t even respond to emails.
0
Replies (3)A
Anonymous
1 reviews | Active since Jan 2020
28 May 2026, 06:25
Shameless sizwe hosmed, savings refund not paid
I've submitted my ID and bank confirmation to sizwe over 3 weeks ago for my savings refund and their around time is 3 - 5 working days which have passed by with no results of refund
Helpful (0)
|Replies (1)A
Anonymous
1 reviews | Active since Jan 2020
28 May 2026, 06:25
Shameless sizwe hosmed, savings refund not paid
I've submitted my ID and bank confirmation to sizwe over 3 weeks ago for my savings refund and their around time is 3 - 5 working days which have passed by with no results of refund
0
Replies (1)A
Anonymous
1 reviews | Active since Jan 2020
27 May 2026, 08:16
Disgusted Services
I am getting so tired of Sizwe, firstly denying me my rights for as follows: 1. no refund to date on the dentistry I paid, +/- R8,000. I have done several mails to D.S. and all parties and nothing to date; this query has been since November 2025. 2. I have now submitted further claims for refunds which I forked out reference number 319748; I have submitted via portal as well as mail and all I get is " We will revert in 3 - 5 business days; to date nothing. It is quite concerning that wherever I go; I have experiences that xray dept.'s and hospital are not accepting our medical aid and it explains why. If they cant even refund their member s how will they pay our bills to the likes of hospital, doctors, xrays etc. This is total chaos and absurd!!!!!!! And as per usual I will get a response shortly, "we do apologise and will revert you" I then wait and until the next time. This has been ongoing an issue and no-one of the heads seem to care and as long as we pay our whopping monthly premium, they dont care. What is happening!!!!!!!!!!! Disgusting services!!!!!!!!!!!!!!
Helpful (0)
|Replies (2)A
Anonymous
1 reviews | Active since Jan 2020
27 May 2026, 08:16
Disgusted Services
I am getting so tired of Sizwe, firstly denying me my rights for as follows: 1. no refund to date on the dentistry I paid, +/- R8,000. I have done several mails to D.S. and all parties and nothing to date; this query has been since November 2025. 2. I have now submitted further claims for refunds which I forked out reference number 319748; I have submitted via portal as well as mail and all I get is " We will revert in 3 - 5 business days; to date nothing. It is quite concerning that wherever I go; I have experiences that xray dept.'s and hospital are not accepting our medical aid and it explains why. If they cant even refund their member s how will they pay our bills to the likes of hospital, doctors, xrays etc. This is total chaos and absurd!!!!!!! And as per usual I will get a response shortly, "we do apologise and will revert you" I then wait and until the next time. This has been ongoing an issue and no-one of the heads seem to care and as long as we pay our whopping monthly premium, they dont care. What is happening!!!!!!!!!!! Disgusting services!!!!!!!!!!!!!!
0
Replies (2)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 11:42
Worst! Terrible! Disappointing!
This is so disappointing, submitted claim in October 2025 and is still being processed. I have called back numerous times, and all consultants say it's still being processed. Like after 6months, patient is still waiting. What sort of care is this?
Helpful (0)
|Replies (1)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 11:42
Worst! Terrible! Disappointing!
This is so disappointing, submitted claim in October 2025 and is still being processed. I have called back numerous times, and all consultants say it's still being processed. Like after 6months, patient is still waiting. What sort of care is this?
0
Replies (1)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 08:03
NON RESPONSIVE TL'S AND MANAGERS
I cannot believe that I have copied in all TL's and Managers on numerous email follow-up emails regarding the lack of service consultants regarding accounts for my service provider that I handle accounts for. Even claim statements are still not available!!!!!! It is not acceptable and we are no moving to lodge a formal complaint @ CMS.
Helpful (0)
|Replies (4)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 08:03
NON RESPONSIVE TL'S AND MANAGERS
I cannot believe that I have copied in all TL's and Managers on numerous email follow-up emails regarding the lack of service consultants regarding accounts for my service provider that I handle accounts for. Even claim statements are still not available!!!!!! It is not acceptable and we are no moving to lodge a formal complaint @ CMS.
0
Replies (4)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 06:38
NON SERVICE FROM SIZWE HOSMED MED AID
Trying to submit claims to sizwe via claims e-mail seems to be impossible since they went into administration. Claims does not get logged on MEMBER PORTAL . Does not get acknowledged by means of a return REFERENCE number and when doing a telephonic enquiery customer support says they cannot look for claim without REF NUMBER??? I think it is all a **** to avoid processing /paying claims. Customer service always suggest a different e-mail OR re submission with exactly the same result.
Helpful (0)
|Replies (4)A
Anonymous
1 reviews | Active since Jan 2020
26 May 2026, 06:38
NON SERVICE FROM SIZWE HOSMED MED AID
Trying to submit claims to sizwe via claims e-mail seems to be impossible since they went into administration. Claims does not get logged on MEMBER PORTAL . Does not get acknowledged by means of a return REFERENCE number and when doing a telephonic enquiery customer support says they cannot look for claim without REF NUMBER??? I think it is all a **** to avoid processing /paying claims. Customer service always suggest a different e-mail OR re submission with exactly the same result.
0
Replies (4)A
Anonymous
1 reviews | Active since Jan 2020
21 May 2026, 12:38
Bad service
Good day, I would like to lodge a formal complaint regarding the poor level of customer service I received from your call centre while trying to enquire about my medical scheme benefits. During my first call, I spoke to an agent whose name I unfortunately did not obtain, and the call was disconnected after the interaction. I then called a second time and spoke to Stembile, who sounded unwilling to assist and appeared frustrated or tired during the call. The call was again disconnected before my enquiry could be resolved. On my third attempt, I spoke to Thandeka and requested to speak to a supervisor. She advised that she would place me on hold while she contacted a supervisor, however shortly thereafter the call was disconnected once again. I then called a fourth time and spoke to Tumelo, where I again requested to speak to a supervisor. I was eventually transferred to Queeneth Nkosi, who introduced herself as an acting team leader. Approximately 15 minutes into the discussion, the call was disconnected once more. I am extremely dissatisfied with the manner in which I was treated as a customer. Not only were multiple calls disconnected, but the agents also appeared uncertain about the information they were providing regarding my benefits, which added to my frustration and concern. I kindly request that the relevant calls be reviewed and listened to, as I believe the level of service and professionalism displayed was unacceptable. I contacted your customer service department seeking assistance and clarification regarding my benefits, but instead experienced repeated disconnections, poor communication, and an overall lack of support
Helpful (0)
|Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
21 May 2026, 12:38
Bad service
Good day, I would like to lodge a formal complaint regarding the poor level of customer service I received from your call centre while trying to enquire about my medical scheme benefits. During my first call, I spoke to an agent whose name I unfortunately did not obtain, and the call was disconnected after the interaction. I then called a second time and spoke to Stembile, who sounded unwilling to assist and appeared frustrated or tired during the call. The call was again disconnected before my enquiry could be resolved. On my third attempt, I spoke to Thandeka and requested to speak to a supervisor. She advised that she would place me on hold while she contacted a supervisor, however shortly thereafter the call was disconnected once again. I then called a fourth time and spoke to Tumelo, where I again requested to speak to a supervisor. I was eventually transferred to Queeneth Nkosi, who introduced herself as an acting team leader. Approximately 15 minutes into the discussion, the call was disconnected once more. I am extremely dissatisfied with the manner in which I was treated as a customer. Not only were multiple calls disconnected, but the agents also appeared uncertain about the information they were providing regarding my benefits, which added to my frustration and concern. I kindly request that the relevant calls be reviewed and listened to, as I believe the level of service and professionalism displayed was unacceptable. I contacted your customer service department seeking assistance and clarification regarding my benefits, but instead experienced repeated disconnections, poor communication, and an overall lack of support
0
Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
20 May 2026, 14:24
Over the last 30 years, the last 3 days of my life, have been the most appalling customer service from Sizwe / 3 Sixty Health, I have ever interacted with in my life
Over the last 30 years, the last 3 days of my life, have been the most appalling customer service from Sizwe / 3 Sixty Health, I have ever interacted with in my life. AND STILL, my problem (which was created by them, themselves) is still not sorted out. We requested that ONE dependent be cancelled, they never did that. Countless calls, emails and being cut off. I have spent the last 3 days emailing the said PROOF that they want, confirming the notice period which is April and not June and I am ignored. Totally. Yet, the PROOF of cancellation was sent to their membership department by their own staff member. Now they send confirmation of cancelling of the whole thing dating it as June being the notice period instead of April which means ANOTHER debit order will run on the 1st June. Please, DO NOT JOIN SIZWE / 3 SIXTY HEALTH EVER !
Helpful (0)
|Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
20 May 2026, 14:24
Over the last 30 years, the last 3 days of my life, have been the most appalling customer service from Sizwe / 3 Sixty Health, I have ever interacted with in my life
Over the last 30 years, the last 3 days of my life, have been the most appalling customer service from Sizwe / 3 Sixty Health, I have ever interacted with in my life. AND STILL, my problem (which was created by them, themselves) is still not sorted out. We requested that ONE dependent be cancelled, they never did that. Countless calls, emails and being cut off. I have spent the last 3 days emailing the said PROOF that they want, confirming the notice period which is April and not June and I am ignored. Totally. Yet, the PROOF of cancellation was sent to their membership department by their own staff member. Now they send confirmation of cancelling of the whole thing dating it as June being the notice period instead of April which means ANOTHER debit order will run on the 1st June. Please, DO NOT JOIN SIZWE / 3 SIXTY HEALTH EVER !
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Replies (0)