Sizwe Hosmed Medical Scheme is one of South Africa’s prominent medical aid providers, offering comprehensive healthcare benefits across multiple plan options. Whether you need assistance with claims, pre-authorisations, membership queries, chronic medication, or walk-in service centres, below is a complete list of official contact details for Sizwe Hosmed Medical Scheme.
General Customer Support & Emergency Contacts
- Customer Care Line: 0860 100 871
- General Queries Email: [email protected]
- Medical Emergencies & Ambulance (Netcare 911): 082 911
- Official Website:sizwehosmed.co.za
Claims & Membership Enquiries
For submitting new claims, tracking claim status, or requesting membership cards and documentation:
- New Claims Submissions: [email protected]
- Claims Follow-ups & Enquiries: [email protected]
- Membership Enquiries & Cards: [email protected]
- Employer Portal Enquiries: [email protected]
Pre-Authorisation & GP Referrals
Before hospital admissions or specialized medical procedures, members must obtain pre-authorisation:
- Pre-Authorisation Telephone: 086 010 1176
- Pre-Authorisation Email: [email protected]
- GP to Specialist Referral Email: [email protected]
Specialized Healthcare Programmes
Sizwe Hosmed provides dedicated management programmes for chronic conditions, maternity, mental health, and specialized care:
Chronic Disease & Medication
- Chronic Disease Applications & Medication: [email protected]
- Wellness & CDL Queries: [email protected]
Oncology (Cancer Management)
- Telephone: 086 010 3454
- Email: [email protected]
Bambino Maternity Programme
- Telephone: 086 000 0048
- Email: [email protected]
Mental Health Programme
- Telephone: 086 010 3454
- Email: [email protected]
HIV / WellCare Programme
- Telephone: 086 010 3455
- Email: [email protected]
Fraud & Whistleblower Hotline
To report suspect fraudulent activity, corruption, or ethics violations confidentially:
- Toll-Free Whistleblower Line: 0800 212 150
- Whistleblower Email: [email protected]
Complaints & Dispute Resolution
If you have an unresolved issue or formal complaint regarding your medical scheme benefits:
- Principal Officer Email: [email protected]
- Complaints Email: [email protected]
Council for Medical Schemes (CMS) External Appeal
If disputes cannot be resolved internally, members may contact the regulator:
- Physical Address: Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157
- Email: [email protected]
Corporate Head Office
- Physical Address: Treur Close (Old Pragma Building), Bekker Road, Waterfall Office Park, Midrand, Gauteng
- Telephone: 011 298 1500
- Note: The Head Office operates as an administrative headquarters and does not accept walk-in consultations.
Regional Walk-in Service Centres
Members needing face-to-face service can visit any of the following regional walk-in branches:
- Johannesburg: 23 West Street, Johannesburg, Gauteng, 2198
- Cape Town: 7th Floor, Norton Rose House, 8 Riebeek Street, Cape Town, Western Cape, 8001
- Durban: 19 Hurst Grove, Musgrave, Berea, Durban, KwaZulu-Natal, 4001
- Gqeberha (Port Elizabeth): 70 Second Avenue, Humewood, Port Elizabeth, Eastern Cape, 6045
- Polokwane: 8/60 Landdros Mare Street, Polokwane Central, Polokwane, Limpopo, 0700 | Tel: 013 690 3342
- eMalahleni (Witbank): Corner Plumer Street & Mandela Street, eMalahleni, Mpumalanga, 1034
- Welkom: Corner Buiten Street & Graaf Street, Welkom, Free State, 9459