Insurance & Medical Aid · Contact details
Sizwe Hosmed Contact Details
The Sizwe Hosmed medical aid contact number is 0860 100 871 (Customer Service) and the general enquiries email is queries@sizwehosmed.co.za. For medical emergencies and ambulance, call 082 911. New claims go to claims@sizwehosmed.co.za and pre-authorisations to authorisations@sizwehosmed.co.za. Sizwe Hosmed also runs six walk-in centres, in Johannesburg, Durban, Cape Town, Gqeberha, eMalahleni and Welkom. Every detail below was read from sizwehosmed.co.za (Contact Us, Authorisations Procedure, Claiming from the Scheme and Complaints Process pages, walk-in centre finder and scheme news) on 19 September 2026.
Sizwe Hosmed contact numbers and emails
| What you need | Contact |
|---|---|
| Customer Service | 0860 100 871, queries@sizwehosmed.co.za |
| Medical emergencies and ambulance | 082 911 |
| New claims | claims@sizwehosmed.co.za |
| Follow-up on claims | queries@sizwehosmed.co.za |
| Pre-authorisation | authorisations@sizwehosmed.co.za; confirm on 086 010 1176 |
| GP to specialist referral | primary.referrals@sizwehosmed.co.za |
| Membership and membership cards | membership@sizwehosmed.co.za |
| Chronic disease and chronic medication applications | chronic@sizwehosmed.co.za, 086 010 3455 |
| CDL conditions | wellnessqueries@sizwehosmed.co.za, 0860 10 3455 |
| Oncology (cancer) | oncology@sizwehosmed.co.za, 086 010 3454 |
| Bambino maternity programme | bambino@sizwehosmed.co.za, 086 000 0048 |
| HIV (WellCare) | wellcare1@sizwehosmed.co.za |
| Complaints | PO@sizwe-hosmed.co.za |
| Whistleblower line | 0800 212 150, sizwehosmed@whistleblowing.co.za |
The Contact Us page lists the GP-to-specialist referral phone number as “0860 100 87”, which is one digit short. Use Customer Service on 0860 100 871 or the referral email instead. The complaints address uses a hyphenated domain (sizwe-hosmed.co.za), unlike the other mailboxes, and is printed that way on the page.
Sizwe Hosmed walk-in centres
| Centre | Address | Phone |
|---|---|---|
| Johannesburg | 23 West Street, Johannesburg, 2198 | 011 725 0040 |
| Durban | 19 Hurst Grove, Musgrave, Berea, Durban, 4001 | 031 304 4829 |
| Cape Town | 7th Floor, Norton Rose House, 8 Riebeek Street, Cape Town, 8001 | 021 402 9600 |
| Gqeberha | 70 Second Avenue, Port Elizabeth, 6045 | 041 503 1000 |
| eMalahleni (Witbank) | Corner Plumer and Mandela Streets, 1034 | 013 690 3342 |
| Welkom | Corner Buiten and Graaf Streets, 9459 | 057 353 1475/8 |
The centre finder on the Contact Us page lists queries@sizwehosmed.co.za as the email for every walk-in centre. The site does not publish walk-in centre opening hours, so phone the centre before you go.
Pre-authorisation and claims
Sizwe Hosmed asks for hospital pre-authorisation 72 hours before a planned procedure, or within 48 hours of an emergency. Email authorisations@sizwehosmed.co.za or call 086 010 1176 with the membership number, the patient’s dependant code, name, ID number and date of birth, and the doctor’s, anaesthetist’s and hospital’s practice numbers. You will also need the admission date and duration, and the procedure and ICD-10 codes. Without pre-authorisation, you may face a co-payment or a rejected claim. Claims can be paid in full, paid in part (for example, above a benefit limit or beyond what was authorised) or rejected. Rejections happen for incomplete documents, late submission, a non-network provider or unauthorised specialist costs.
Sizwe Hosmed complaints process
- Email PO@sizwe-hosmed.co.za; the Principal Officer replies in writing within 30 days.
- Unresolved complaints about benefits or contributions go to the Disputes Committee, which decides within 10 days of meeting.
Sizwe Hosmed moves to self-administration
Sizwe Hosmed announced that it moved to self-administration on 1 September 2026, taking over the day-to-day administration of the Scheme itself. Its member notice says members can still get help with benefits and membership through the same channels, and that the change aims to make service more responsive and communication clearer. The scheme’s news also includes a series of curator updates since 2025, including the appointment of a new curator announced in February 2026. Check the News section of sizwehosmed.co.za for the latest notices before escalating a query.
Plans and member tools
Sizwe Hosmed’s plans are Essential Copper, Access Saver, Access Core, Gold Ascend, Value Platinum and Titanium Executive. Its healthcare programmes cover back and neck care, oncology management, Bambino maternity, disease risk management, mental health, HIV (WellCare), living with diabetes, wellness screenings and My Online Doctor. Members can use the Sizwe Hosmed app (Google Play and App Store), the member portal, the formulary look-up and the Just Rewards programme. The Member Hub publishes the benefit guide, scheme rules, provider networks, forms, the authorisations procedure, claiming steps, the complaints process and an escalation matrix.
Sources
- Sizwe Hosmed Contact Us, Authorisations Procedure, Claiming from the Scheme and Complaints Process pages, walk-in centre finder, self-administration notices (1 and 4 September 2026) and news index, sizwehosmed.co.za, read 19 September 2026