Sizwe Hosmed Medical Scheme is one of South Africa’s prominent medical schemes, providing comprehensive health cover and medical aid benefits to individuals, families, and employer groups across the country. Whether you need to submit a claim, inquire about membership benefits, apply for pre-authorisations, or contact a regional branch, below is the complete contact information for Sizwe Hosmed Medical Scheme.
General Customer Care & Emergency Numbers
For immediate member assistance, general query resolution, or emergency medical services, use the contact numbers below:
- Customer Care Line: 0860 100 871
- General Enquiries Email: [email protected]
- Medical Emergencies & Ambulance (Netcare 911): 082 911
- Official Website:www.sizwehosmed.co.za
Claims & Authorisations Contact Details
For processing new medical claims, tracking existing claim statuses, or obtaining pre-authorisation prior to hospital admissions or specialist visits:
| Department / Request | Phone / Contact | Email Address |
| New Claims Submission | 0860 100 871 | [email protected] |
| Claim Follow-ups & Queries | 0860 100 871 | [email protected] |
| Pre-Authorisation | 0860 100 871 | [email protected] |
| GP to Specialist Referrals | 0860 100 871 | [email protected] |
Specialized Health & Benefit Programmes
Sizwe Hosmed provides dedicated managed care and disease management programmes. Members can contact specific departments directly for enrollment and queries:
Chronic Disease & Medication Programme
- Telephone: 086 010 3455
- Email: [email protected]
- Wellness & CDL Enquiries Email: [email protected]
Oncology (Cancer Treatment) Programme
- Telephone: 0860 10 3455
- Email: [email protected]
Maternity Programme (Bambino)
- Telephone: 086 010 3454
- Email: [email protected]
HIV & Wellcare Management
- Telephone: 086 000 0048
- Email: [email protected]
Membership & Administration Enquiries
For joining Sizwe Hosmed, requesting membership cards, or updating personal details:
- Membership Enquiries: [email protected]
- Membership Card Requests: [email protected]
- Membership Confirmation Line: 086 010 1176
Head Office Physical Address
The corporate headquarters serves as the administrative centre for Sizwe Hosmed Medical Scheme.
- Address: Treur Close (Old Pragma Building), Bekker Road, Waterfall Office Park, Midrand, Gauteng, South Africa
- Switchboard: 011 298 1500
- Note: The corporate office handles administration and executive management. For face-to-face assistance, please visit a designated walk-in centre.
Regional Walk-in Customer Service Centres
Members needing face-to-face assistance with claims, membership profiles, or benefit queries can visit any of the following regional walk-in branches across South Africa:
Johannesburg (Gauteng)
- Address: 23 West Street, Johannesburg, Gauteng, 2198
Cape Town (Western Cape)
- Address: 7th Floor, Norton Rose House, 8 Riebeek Street, Cape Town, Western Cape, 8001
Durban (KwaZulu-Natal)
- Address: 19 Hurst Grove, Musgrave, Berea, Durban, KwaZulu-Natal, 4001
Gqeberha / Port Elizabeth (Eastern Cape)
- Address: 70 Second Avenue, Humewood, Gqeberha, Eastern Cape, 6045
eMalahleni / Witbank (Mpumalanga)
- Address: Corner Plumer Street & Mandela Street, eMalahleni, Mpumalanga, 1034
Welkom (Free State)
- Address: Corner Buiten Street & Graaf Street, Welkom, Free State, 9459
Complaints, Escalations & Whistleblower Details
If a benefit dispute or query is not resolved through regular customer care channels, members can follow the official escalation procedures:
Stage 1: Principal Officer & Formal Internal Disputes
- Email: [email protected]
- CMS Queries Email: [email protected]
Whistleblower Hotline (Anonymous Fraud & Ethics Reporting)
- Toll-Free Phone: 0800 212 150
- Email: [email protected]
External Regulator: Council for Medical Schemes (CMS)
If disputes remain unresolved after internal scheme processes, complaints can be escalated directly to the statutory regulator:
- Physical Address: Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157
- Telephone: 086 112 3267
- Appeals Email: [email protected] / [email protected]