Sizwe Hosmed Medical Scheme (commonly referred to as Sizwe Medical Aid) is one of South Africa’s established medical schemes, offering affordable healthcare cover tailored to various life stages and income levels. Whether you need to submit a claim, register for chronic medication, request hospital pre-authorisation, or locate a customer care office, you can reach the scheme through the official contact channels detailed below.
General Customer Care & Enquiries
For general membership support, plan enquiries, benefit checks, and general assistance:
- Customer Care Call Centre: 0860 100 871
- General Enquiries Email: [email protected]
- Official Website: www.sizwehosmed.co.za
Emergency Medical Assistance
In the event of a life-threatening medical emergency or when requiring emergency ambulance transportation:
- Medical Emergencies & Ambulance (Netcare 911): 082 911
Claims Department
When submitting new medical claims or following up on processed refunds:
- New Claims Email: [email protected]
- Claims Follow-up Email: [email protected]
Important Claim Submission Checklist
When submitting a claim for processing, ensure the document clearly displays:
- Principal member’s full name, initials, and medical scheme membership number.
- Patient’s name and dependant code as shown on the membership card.
- Healthcare provider’s name, contact details, and practice number.
- Specific date of service and relevant ICD-10 diagnostic codes.
- Itemised tariff codes with charged amounts and proof of payment (if claiming a reimbursement).
Pre-Authorisations & Referrals
Certain treatments, diagnostic scans, and hospital admissions require formal approval from the scheme prior to treatment.
- Pre-Authorisation Call Line: 086 010 1176
- Pre-Authorisation Email: [email protected]
- GP to Specialist Referrals: [email protected]
- Planned Procedures: Apply at least 72 hours prior to hospital admission.
- Emergency Admissions: The scheme or hospital must be notified within 48 hours following emergency admission.
Specialized Care & Managed Healthcare Programmes
Sizwe Hosmed offers dedicated support programmes for managed health conditions and specialized care needs:
| Programme / Department | Direct Telephone | Direct Email Address |
| Chronic Disease & Medication | 086 010 3455 | [email protected] |
| Oncology (Cancer) Programme | 086 010 3454 | [email protected] |
| Maternity Care (Bambino) | 0860 100 871 | [email protected] |
| HIV/AIDS Management (WellCare) | 086 000 0048 | [email protected] |
| Wellness & Preventative Care | 0860 100 871 | [email protected] |
Scheme Administration & Ethics
- Membership Administration: [email protected]
- Ethics & Anti-Fraud Toll-Free Hotline: 0800 212 150
- Fraud Reporting Email: [email protected]
Regional Customer Walk-In Service Centres
Members and service providers requiring face-to-face assistance can visit any of the following regional walk-in customer centers:
- Johannesburg (Head Office): 23 West Street, Houghton Estate, Johannesburg, Gauteng, 2198
- eMalahleni (Witbank): Corner Plumer Street & Mandela Street, eMalahleni, Mpumalanga, 1034
- Welkom: Corner Buiten Street & Graaf Street, Welkom, Free State, 9459
- Durban: 19 Hurst Grove, Musgrave, Berea, Durban, KwaZulu-Natal, 4001