Sizwe Hosmed Medical Scheme is one of South Africa’s leading medical schemes, formed through the merger of Sizwe Medical Fund and Hosmed Medical Scheme. Whether you need to submit a claim, request pre-authorisation for a hospital stay, apply for chronic medication, or contact customer support, all the official contact details for Sizwe Hosmed are compiled below.
Customer Service & General Enquiries
For membership enquiries, benefit confirmations, and general customer support:
- Call Centre Phone: 0860 100 871
- Head Office Telephone: 011 298 1500
- General Enquiries Email: [email protected]
- Official Website: www.sizwehosmed.co.za
Claims & Pre-Authorisations
Submit claims or obtain pre-authorisation prior to hospital admissions or specialised medical procedures:
- New Claims Submissions: [email protected]
- Claims Follow-up Enquiries: [email protected]
- Pre-Authorisation Telephone: 086 010 1176
- Pre-Authorisation Email: [email protected]
- GP to Specialist Referrals: [email protected]
Note on Pre-Authorisation: Pre-authorisation is required at least 72 hours prior to planned hospital procedures and within 48 hours following emergency admissions.
Medical Emergencies
- Emergency & Ambulance Services: 082 911 (Netcare 911)
Managed Care & Health Programmes
For registration and support regarding specialised health and disease management programmes:
- Chronic Medication Applications: [email protected]
- Chronic Disease List (CDL) Enquiries: [email protected]
- Oncology (Cancer) Programme: [email protected]
- Maternity Programme (Bambino): [email protected]
- HIV / AIDS Programme:
- Phone: 086 010 3455 / 0860 10 3454
- Email: [email protected]
Membership & Portal Enquiries
- Membership Cards & Updates: [email protected]
- Principal Officer Email: [email protected]
- Complaints Email: [email protected]
- Whistleblower Hotline (Anonymous Reporting):
- Toll-Free Phone: 0800 212 150
- Email: [email protected]
Regional Walk-in Service Centres
Sizwe Hosmed provides face-to-face assistance at walk-in centres across major provinces:
- Johannesburg (Gauteng):23 West Street, Johannesburg, 2198
- Durban (KwaZulu-Natal):19 Hurst Grove, Musgrave, Berea, Durban, 4001
- eMalahleni / Witbank (Mpumalanga):Corner Plumer Street & Mandela Street, eMalahleni, 1034
- Phone: 013 690 3342
- Welkom (Free State):Corner Buiten Street & Graaf Street, Welkom, 9459
- Polokwane (Limpopo):Polokwane Regional Branch, Polokwane
Escalation & Dispute Resolution Process
If you have a formal complaint or unresolved dispute with Sizwe Hosmed, follow these escalation stages:
- Internal Complaint: Email your complaint to
[email protected]. The Principal Officer aims to respond in writing within 30 days. - Disputes Committee: If the outcome is unsatisfactory, the matter is referred to the Scheme’s internal Disputes Committee.
- Council for Medical Schemes (CMS): If unresolved, members can lodge an appeal directly with the medical scheme regulator:
- Council for Medical Schemes
- Address: Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157
- Email: [email protected]