Insurance & Medical Aid · Support
Sizwe Medical Aid Provider Contact Details
All Insurance & Medical Aid contactsComplaints & escalation
The Sizwe Medical Aid provider contact number is 0860 100 871, and general enquiries go to queries@sizwehosmed.co.za. Sizwe Hosmed Medical Scheme, the successor to Sizwe Medical Fund, routes provider and member queries through separate mailboxes and numbers by function rather than through a single desk. For medical emergencies and ambulance, call 082 911. The details below were read from the scheme’s contact page on 2 September 2026.
Sizwe Medical Aid provider contact details at a glance
| Route | Contact |
|---|---|
| Customer service | 0860 100 871 |
| General enquiries | queries@sizwehosmed.co.za |
| Medical emergencies and ambulance | 082 911 |
| New claims | claims@sizwehosmed.co.za |
| Follow-up on a claim | queries@sizwehosmed.co.za |
| Pre-authorisation | authorisations@sizwehosmed.co.za, confirm on 086 010 1176 |
| GP to specialist referral | primary.referrals@sizwehosmed.co.za |
| Chronic disease and medication application | chronic@sizwehosmed.co.za, 086 010 3455 |
| CDL conditions | wellnessqueries@sizwehosmed.co.za, 0860 10 3455 |
| Oncology | oncology@sizwehosmed.co.za, 086 010 3454 |
| Maternity programme | bambino@sizwehosmed.co.za, 086 000 0048 |
| HIV programme | wellcare1@sizwehosmed.co.za |
| Membership and cards | membership@sizwehosmed.co.za |
| Complaints | PO@sizwe-hosmed.co.za |
| Fraud whistleblower line | sizwehosmed@whistleblowing.co.za or toll-free 0800 212 150 |
These routes cover dealing with Sizwe Hosmed about treatment, such as claims, authorisations, referrals and the disease management programmes, rather than joining or changing a plan.
Which Sizwe Hosmed mailbox or number to use
Email the correct programme mailbox for your query, telephone to confirm receipt where a number is given, and keep the reference. New claims go to claims@sizwehosmed.co.za and claim follow-ups to queries@sizwehosmed.co.za. GP-to-specialist referrals go to primary.referrals@sizwehosmed.co.za. Membership and card queries go to membership@sizwehosmed.co.za.
Getting pre-authorisation from Sizwe Hosmed
Pre-authorisation must be obtained before a planned admission or procedure, not after. Sizwe asks that you email the request to authorisations@sizwehosmed.co.za and then telephone 086 010 1176 to confirm it was received; the confirmation call is part of the process, not an optional extra.
What providers need when contacting Sizwe Hosmed
Have the membership number, dependant code and the provider’s practice number. A claim is matched on the practice number, so a query without it usually cannot be traced.
Chronic and oncology benefits require registration on the relevant programme before the scheme pays. Registering late is a common reason medicine is rejected at the pharmacy, so apply through chronic@sizwehosmed.co.za or oncology@sizwehosmed.co.za to register before the scheme pays.
Sizwe Hosmed walk-in centres
Sizwe also runs walk-in centres, including Johannesburg (23 West Street), eMalahleni (Plumer and Mandela Streets), Welkom (Buiten and Graaf Streets) and Durban, with a locator on its site.
The referral number and complaints mailbox quirks on Sizwe’s page
Two things on the scheme’s page to be aware of. The referral telephone number is published as 0860 100 87, nine digits, one short of a working number; the well-formed line on the same page is 0860 100 871. And the complaints mailbox sits on a hyphenated domain, sizwe-hosmed.co.za, while every other address uses sizwehosmed.co.za. That looks like a phishing pattern but is what the scheme itself publishes.
Complaining to Sizwe Hosmed and reporting fraud
Complaints go to PO@sizwe-hosmed.co.za. Fraud is reported to an independently run whistleblower line, sizwehosmed@whistleblowing.co.za or toll-free 0800 212 150.
Sizwe Medical Fund is now Sizwe Hosmed
Sizwe Medical Fund is now part of Sizwe Hosmed Medical Scheme, which Sizwe Hosmed describes as the product of a merger between two healthcare schemes, Sizwe and Hosmed. Sizwe Medical Fund was officially registered in 1978 after raising R3 million to meet claims, and was founded by Black doctors of the South African Medical Discussion Group. Hosmed Medical Scheme, established in 1988, later merged with it. Sizwe Hosmed describes itself as the country’s 8th largest open medical scheme.
Former Sizwe Medical Fund members and providers now use the Sizwe Hosmed contact routes: customer service on 0860 100 871 and queries@sizwehosmed.co.za, plus the walk-in centre locator and the Sizwe Hosmed app. For the member side, see Sizwe Hosmed contact details.
Frequently asked questions
What is the Sizwe Medical Aid provider contact number?
Call Sizwe Hosmed customer service on 0860 100 871, or email queries@sizwehosmed.co.za. For emergencies, call 082 911.
Where do providers send new claims?
New claims go to claims@sizwehosmed.co.za, and follow-ups on a claim to queries@sizwehosmed.co.za. Have the practice number ready, because a claim is matched on it.
How do I get pre-authorisation from Sizwe Hosmed?
Email authorisations@sizwehosmed.co.za before the planned admission or procedure, then phone 086 010 1176 to confirm it was received.
Is Sizwe Medical Fund the same as Sizwe Hosmed?
Yes. Sizwe Medical Fund merged with Hosmed Medical Scheme to form Sizwe Hosmed Medical Scheme, so use the Sizwe Hosmed contact details.
Why is the Sizwe complaints email on a hyphenated domain?
The scheme’s own contact page publishes the complaints mailbox on sizwe-hosmed.co.za while every other address uses sizwehosmed.co.za. It looks like a phishing pattern but is what the scheme itself publishes.
Sources
- sizwehosmed.co.za contact page, read 2 September 2026
- Sizwe Hosmed Contact and About pages, sizwehosmed.co.za/contact/ and sizwehosmed.co.za/about/, read 26 September 2026