Advertisement Advertisement
Sizwe Hosmed Plans

Sizwe Hosmed Plans

Showing 8 of 8 plans

Sort by
Filters
Clear
Monthly budget
R500 R10,000
Benefits
Sizwe Hosmed
Access CORE
Sizwe Hosmed · Medical Aid

🥇 Best suited for young, healthy individuals seeking affordable hospital cover for major medical events. Focus on low monthly contributions.

Principal Member
From
R3,161
per month
Adult Dependant
From
R2,726
per month
Child Dependant
From
R636
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Essential Copper
Sizwe Hosmed · Medical Aid

🥇 Best suited for young, healthy individuals seeking affordable network hospital cover with comprehensive day-to-day benefits.

Principal Member
From
R3,625
per month
Adult Dependant
From
R3,625
per month
Child Dependant
From
R1,255
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Access SAVER
Sizwe Hosmed · Medical Aid

🥇 Best suited for young professionals, couples and families seeking affordable hospital cover with a Medical Savings Account for day-to-day healthcare.

Principal Member
From
R3,911
per month
Adult Dependant
From
R3,378
per month
Child Dependant
From
R785
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Gold Ascend EDO
Sizwe Hosmed · Medical Aid

🥇 Best suited for families and professionals seeking affordable network hospital cover with comprehensive day-to-day benefits.

Principal Member
From
R4,249
per month
Adult Dependant
From
R4,077
per month
Child Dependant
From
R1,171
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Gold Ascend
Sizwe Hosmed · Medical Aid

🥇 Best suited for families and professionals seeking comprehensive hospital and day-to-day cover with access to any private hospital.

Principal Member
From
R4,468
per month
Adult Dependant
From
R4,291
per month
Child Dependant
From
R1,234
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Value Platinum Core
Sizwe Hosmed · Medical Aid

🥇 Best suited for families and professionals seeking affordable network hospital cover with comprehensive day-to-day benefits & a Medical Savings Account.

Principal Member
From
R6,363
per month
Adult Dependant
From
R6,094
per month
Child Dependant
From
R1,624
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Value Platinum Plan
Sizwe Hosmed · Medical Aid

🥇 Best suited for families and professionals seeking premium hospital cover with comprehensive day-to-day benefits and a Medical Savings Account.

Principal Member
From
R6,696
per month
Adult Dependant
From
R6,287
per month
Child Dependant
From
R1,834
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe Hosmed
Titanium Executive
Sizwe Hosmed · Medical Aid

🥇 Best suited for professionals and families seeking the highest level of hospital and day-to-day medical cover with extensive Medical Savings Account benefits.

Principal Member
From
R11,737
per month
Adult Dependant
From
R10,385
per month
Child Dependant
From
R2,399
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Sizwe-Hosmed-Medical-Fund-medicalaid  

Sizwe Hosmed Medical Aid Scheme (🇿🇦 2026*)

  The medical plans of Sizwe Hosmed have been streamlined and reduced to 8 medical aid plans to help align with market norms.   Contributions start from R3,161 per month on the Access Core plan. Additionally, Sizwe Hosmed offers 24/7 emergency support. Gap Cover available optional extra.   Sizwe Hosmed offers 8 medical aid plans:  
  • ✅Essential Copper
  • ✅Access Core
  • ✅Access Saver
  • ✅Gold Ascend
  • ✅Gold Ascend EDO
  • ✅Value Platinum
  • ✅Value Core
  • ✅Titanium Executive
    Sizwe Hosmed Medical Aid for 2026      

Sizwe Hosmed Review - Analysis of Main Features

 
  1. ✅ Sizwe Hosmed at a Glance
  2. ✅ Sizwe Hosmed Regulation
  3. ✅ Sizwe Hosmed Plan Overview
  4. ✅ Sizwe Hosmed – Advantages over Competitors
  5. ✅ Sizwe Hosmed Medical Savings Account
  6. ✅ How to apply for Medical Aid with Sizwe Hosmed
  7. ✅ How to apply for Gap Cover with Sizwe Hosmed
  8. ✅ How to Submit a Claim with Sizwe Hosmed
  9. ✅ How to Submit a Compliment or Complaint with Sizwe Hosmed
  10. ✅ How to Switch my Medical Aid to Sizwe Hosmed
  11. ✅ Sizwe Hosmed Customer Support
  12. ✅ Sizwe Hosmed vs Platinum Health vs Fedhealth – A Comparison
  13. ✅ Sizwe Hosmed Member Reviews
  14. ✅ Sizwe Hosmed – Our Verdict
  15. ✅ Sizwe Hosmed Pros and Cons
  16. ✅ Sizwe Hosmed Frequently Asked Questions
  Sizwe Hosmed Medical Scheme    

Medical Aid Sizwe Hosmed at a Glance

 
📌 Date Established2021
📍 HeadquarteredGauteng, South Africa
✒️ Registration NumberFSP 4481
👥 The average number of members63 577 members 152 421 beneficiaries
✳️ Number of MarketsSouth Africa
📊 GCR RatingA+
🚩 Listed on the JSENo
📈 JSE Stock SymbolNone
📉 The most recent Market Cap reportedNone
💙 Average Customer Rating3.5
🔍 Average Number of Reviews600+
📌 Market Share<5%
🔟 The number of plans8
🏥 Number of Hospitals in Network300+
🏠 Home care providedNone
🤝 SponsorshipsNone
📱 Mobile App✅ Yes
📖 Sizwe Hosmed Magazine for clientsNo
⚙️ Medical Claims Portal✅ Yes
😷 Information Hub for COVID-19✅ Yes
⚕️ Chronic Illness Benefits✅ Yes
📌 Number of PMB Diagnoses271
📍 Number of PMB Chronic Conditions27 Titanium & Platinum offer additional chronic condition cover
💻 Screening and Prevention offered✅ Yes
👶 Maternity Benefit✅ Yes
💵 Medical Aid Contribution Range (ZAR)3,161 – 11,737 ZAR
⛔ Average Waiting Period3-12 months. Determined upon application.
✔️ Late-joiner penalties charged✅ Yes. Determined upon application of applicable.
🌎 Is International Medical Cover offered✅ Yes
💵 International Travel Benefit (ZAR)100% Scheme rates
    Sizwe Hosmed at a Glance      

Sizwe Hosmed Regulation

  The Council for Medical Schemes regulates Sizwe Hosmed Medical Scheme.  The Council governs South Africa's medical plan business for Medical Schemes (CMS), a regulating body set up under the Medical Schemes Act, No. 131 of 1998 (the Act). The CMS is responsible for a range of tasks related to the oversight of medical insurance plans, such as:  
  • ➡️ Responsible for registering medical insurance plans and ensuring they comply with the law and other laws.
  • ➡️ Making sure healthcare plans have the money to pay claims.
  • ➡️ Examining and authorizing proposed price hikes for medical plans.
  • ➡️ Accepting and examining member complaints and initiating disciplinary action against medical plans that violate the Act or other applicable rules.
  • ➡️ Helping medical insurance plans follow the law and other laws.
  Furthermore, if a medical scheme is found to violate the law, the CMS has the authority to issue administrative fines and penalties.   Discover more about ICD-10 Codes - A Beginner’s Guide to ICD 10 codes   Sizwe Hosmed Regulation  

Sizwe Hosmed Plan Overview

  Sizwe Hosmed Contributions 2026    
🔎 Plan💴 Contributions Range (Main)💵 Contributions Range(+ Adult)💶 Contributions Range (+ Child)💷 Medical Savings (Up to) / Out-of-Hospital
➡️ Essential CopperR3,625R3,625R 1,255Out-of-Hospital Benefit: Refer to "Essential Copper Guide"
➡️ Access CoreR3,161R2,726R636n/a
➡️ Access SaverR3,911R3,378R785MSA: Member: R11 733 Adult: R10 134 Child: R2 355
➡️ Gold AscendR4,468R4,291R1,234n/a
➡️Gold Ascend EDOR4,249R4,077R1,171n/a
➡️ Value PlatinumR6,696R6,287R1,834MSA: Member: R15 266.88 Adult: R14 334.36 Child: R4 181.52
➡️ Value Platinum CoreR6,363R6,094R1,624MSA: Member: R14 507.64 Adult: R13 894.32 Child: R3 702.72
➡️ Titanium ExecutiveR11,737R10,385R2,399MSA: Member: R29 295.55 Adult: R25 920.96 Child: R5 987.90
  👉🏿 Discover: what is the difference between medical aid and medical insurance   Sizwe Hosmed Benefits    

Traditional Plans

  💙 A traditional plan offers daily benefits with a fixed monetary amount for each condition or treatment, which may vary depending on the size of your family.   💙 These benefits have a set amount; once used, they cannot be accessed again until the next year. These plans typically allow free choice of service providers and provide peace of mind that even if one benefit is fully used, other benefits may still be available for the family.   💙 In addition, unused benefits do not accumulate or carry over to the next year. However, they are renewed at the start of each year.    

Sizwe Hosmed Medical - Gold Ascend

  Gold Ascend Plan for 2026   Gold Ascend introduction:   The Sizwe Hosmed Gold Ascend Medical Aid Plan starts from R4,468 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance, mental health benefits and many more benefits to its members.   👉🏾 READ more about the Gold Ascend Medical Aid Plan    

Sizwe Hosmed Medical - Gold Ascend EDO

  Sizwe-Hosmed-Medical-Fund-Gold-Ascend-EDO   Gold Ascend  EDO introduction:   The Sizwe Hosmed Gold Ascend EDO Medical Aid Plan starts from R4,249 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and cover for in-hospital procedures for its members.   👉🏾 READ more about the Gold Ascend EDO Medical Aid Plan    

Sizwe Hosmed Medical - Value Platinum

  Value Platinum Plan for 2026     Value Platinum introduction:   The Sizwe Hosmed Value Platinum Medical Aid Plan starts from R6,696 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and unlimited hospital cover to its members.     👉🏾 READ more about the Value Platinum Medical Aid Plan    

Sizwe Hosmed Medical - Value Platinum Core

  Sizwe-Hosmed-Medical-Value-Platinum   Value Platinum Core introduction:   The Sizwe Hosmed Value Core Medical Aid Plan starts from R6,363 ZAR. It is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance amongst many more benefits to its members   👉🏾 READ more about the Value Platinum Core Medical Aid Plan    

Sizwe Hosmed Medical - Titanium Executive

  Titanium Executive Plan for 2026     Titanium Executive introduction:   The Sizwe Hosmed Titanium Executive Medical Aid Plan starts from R11,737 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance, mental health benefits to its members and so much more.   👉🏾 READ more about the Titanium Executive Medical Aid Plan    

Access Saver - New Age Network Hybrid Plan

  💙 A Savings plan offers a set monetary amount, based on a percentage of your total contribution, allocated to a Members' Savings Account (MSA) annually. For example, Sizwe Hosmed members can set aside 15% or 25% of their monthly contribution towards their MSA.   💙 The MSA is intended for the family's out-of-hospital (day-to-day) healthcare needs. At the same time, the Scheme also offers additional specific, out-of-hospital benefits to help preserve the MSA.  The MSA belongs to the member, and unused funds accumulate yearly.   💙 Furthermore, it can be transferred to another savings type plan. If a member resigns from a savings-type plan, any unused funds will be refunded to the member after four months.   💙 In the case of the Sizwe Hosmed Access Saver Plan, the Scheme will cover the following out-of-hospital benefits, meaning they will not be drawn from the member's MSA account. This is an excellent offering for the member and their family.    

Sizwe Hosmed Medical - Access Saver

  Access Saver Plan for 2026     The Sizwe Hosmed Access Saver Plan includes a Savings Account (MSA) which is advance upfront quarterly.   💙 The MSA is set aside to cover non-hospital medical expenses incurred by the family, and the Scheme provides additional non-hospital benefits.   💙  If a member decides to leave the MSA before the end of the year, they will retain ownership of the MSA and any accumulated funds from the previous year, which can be rolled over into another savings plan or repaid to them after four months.    💙 Sizwe Hosmed Access Saver Plan is a good option for families because the Scheme provides coverage for a wide range of additional non-hospital benefits separate from the member's MSA.   👉🏿 READ more about the Access Saver Plan    

Sizwe Hosmed Medical - Access Core

  Access Core Plan for 2026     Access Core Introduction:   The Sizwe Hosmed Access Core Medical Aid Plan starts from R3,161 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance.   👉🏿 READ more about the Access Core Plan    

Sizwe Hosmed Medical - Essential Copper

  Essential Copper Plan for 2026     Essential Copper Introduction:   The Sizwe Hosmed Essential Copper Medical Aid Plan starts from R3,625 ZAR. The plan is a trustworthy and comprehensive medical aid plan that offers international and 100% specialist coverage to its members.   👉🏿 Read more about Essential Copper Plan     Custom Plan and Hospital Plan    

Sizwe Hosmed – Advantages over Competitors

 
  •  ➡️ Employers - Sizwe Hosmed provides the chance for you, as an employer, to assist your employees in obtaining medical coverage.
  •  ➡️ Network choices - Sizwe Hosmed has a vast network of medical professionals who will provide you with the highest quality care at the most affordable rates.
  •  ➡️ Hospitalization and all-inclusive coverage - You can rest assured that you will be covered for routine and emergency medical care and procedures.
  •  ➡️ Sizwe Hosmed is prepared to explain their programs and assist you in determining which plan meets your income and healthcare requirements.
  •  ➡️ Sizwe Hosmed is committed to serving its members with patience, understanding, and skill, expanding the scheme, and ensuring that its members benefit from the plan's rising financial stability and various advantages.
  •  ➡️ Sizwe Hosmed offers a dedicated back and neck program to assist people with chronic back and neck pain in managing their condition and enhancing their quality of life.
  •  ➡️ There is a special maternity benefit offered. The Sizwe Hosmed Bambino Program is intended to aid pregnant mothers and their partners in navigating this joyful period. The program is chock-full of helpful information, support, and perks to aid parents during their pregnancy.
  •  ➡️ The Sizwe Hosmed Disease Risk Management Program aims to improve your general health, well-being, and quality of life using an interdisciplinary approach. By enrolling in the program, you are taught about your disease so that you may manage it more effectively.
  Poll 1: 5 Best Student Medical Aids for Foreigners Poll 2: 5 Best Medical Aids for Students   Sizwe Hosmed – Advantages over Competitors    

Sizwe Wellness and Health screening

  Sizwe Hosmed has a very rich Wellness, Screening Benefit AND this benefit is available to the entire family on ALL plans.     Wellness and Screening Sizwe    

Bambino Maternity programme

This programme provides additional benefits specifically for mom-to-be on all plans. Register as soon as possible to receive additional benefits on the programme.     Bambino pregnancy     💙 Receive a fully stocked maternity bag and educational materials provided at 24 weeks of pregnancy.     Bambino Maternity programme  

How to apply for Medical Aid with Sizwe Hosmed

Medical Aid Quote Sizwe Hosmed Medical Scheme process explained

  The process for applying for medical aid with Sizwe Hosmed in South Africa can vary depending on the specific plan and options you choose. However, generally, the following steps can be expected:  
  •  ➡️ Gather the necessary documentation: This may include proof of identity (such as a copy of your ID or passport), proof of income (such as your payslip or a letter from your employer), and any other relevant information (such as a letter from a doctor if you have a pre-existing medical condition).
  •  ➡️ Choose a plan: Sizwe Hosmed offers a variety of medical aid plans, so it's important to research and compare the different options to find the one that best suits your needs.
  •  ➡️ Complete the application form: The application form can be found on the Sizwe Hosmed website or obtained from one of the company's branches. The form must be completed and submitted along with the necessary documentation.
  •  ➡️ Wait for approval: Once the application is received, it will be reviewed by Sizwe Hosmed. If the application is approved, you will receive confirmation of acceptance and instructions on how to make your first payment.
  •  ➡️ Make your first payment: Once your application is approved, you will need to make your first payment to activate your medical aid.
  •  ➡️ Wait for your membership card: After receiving your first payment, Sizwe Hosmed will send you a membership card, which you will need to present when visiting a medical provider.
  •  ➡️ Sizwe Hosmed if you have any questions or concerns: Sizwe Hosmed has a call center available to answer any questions about your medical aid or concerns about your application or coverage.
  •  ➡️ New Members 35 years or older may be subject to late-joiner penalties on Sizwe Hosmed Medical Aid Plans.
  👉🏿 Get a Sizwe Hosmed Medical Aid quote from our Dedicated Medical Aid Specialists Broker     How to join Sizwe Hosmed    

How to apply for Gap Cover with Sizwe Hosmed

  💙 Sizwe Hosmed does not currently offer its own gap cover. However, the typical guideline to apply for gap cover from a third party in 2026 can involve the following steps, subject to the provider:  
  •  ➡️ Research different gap covers providers and compares their  policies and benefits to determine which best suits your needs.
  •  ➡️ Contact your chosen provider by visiting their website or calling their customer service number.
  •  ➡️ Provide the provider with your personal and financial information, including your ID number, income, and current medical aid scheme details.
  •  ➡️ Review and sign the gap cover contract, ensuring you understand the terms and conditions before submitting it.
  •  ➡️ Make the initial payment or arrange for automatic monthly payments.
  •  ➡️ Keep all documentation safe and ensure you know the terms and conditions of the gap cover.
  •  ➡️ Contact the provider if you have any questions or concerns.
 

👉🏿 Read more:

5 Best Gap Cover Options for Under R2000

10 Best Gap Covers in South Africa

   

How to Submit a Claim with Sizwe Hosmed

  Your account should indicate if a consultation or treatment with a healthcare professional was filed directly to the Scheme following the consultation or treatment. Please consult with your healthcare provider if uncertain. Please follow the below steps if the account has not been submitted.  
  •  ➡️ Send only the account's original receipt.
  •  ➡️ Do not send duplicate statements or bills.
  •  ➡️ If you have already paid the bill, including your receipt, identify the account as a "refund member," as some physicians give a discount if you pay the bill immediately.
  •  ➡️ All accounts must contain complete membership information.
    Sizwe Hosmed - How to submit a complain    

How to Submit a Compliment or Complaint with Sizwe Hosmed

  💙 Sizwe Hosmed Medical Fund provides its members with a high standard of service and communication.  Despite this commitment, there may be instances where errors occur, or dissatisfaction arises.   💙 In such cases, members are encouraged to submit queries or complaints, which the scheme will promptly and efficiently address.  Sizwe Hosmed Medical Fund has implemented an enhanced query and escalation process to improve communication with its valued members.  
  •  ➡️ Phase 1 – If a member is unhappy with the service they received from the Help Desk, each member is assigned a unique reference number that must be included in future correspondence. Furthermore, it can take up to 72 hours to get a response to a member's inquiry.
  •  ➡️ Phase 2 – either the Member's question has been answered, or the Member has followed up with the Call Center using the reference number provided.
  •  ➡️ Phase 3 – If the member's question is not answered, they can contact the Chief Executive Officer.
  •  ➡️ Phase 4 – The Chief Executive Officer will respond to the inquiry within a day.
  •  ➡️ Phase 5 – If the Chief Operating Officer cannot address the concern, the member may contact the Complaints and Disputes Resolution Committee (CDRC).
   

How to Switch my Medical Aid to Sizwe Hosmed

  Switching your medical aid to Sizwe Hosmed is a simple process that can be completed in a few steps.  
  •  ➡️ Research and compare different medical aid options available from Sizwe Hosmed. Consider factors such as coverage, costs, and benefits that are important to you and your family.
  •  ➡️ Contact Sizwe Hosmed to request an application form. This can be done by visiting their website, calling their customer service line, or visiting one of their branches.
  •  ➡️ Complete the application form and provide any supporting documentation that may be required. This could include proof of income, ID documents, and medical records.
  •  ➡️ Submit your application to Sizwe Hosmed. The scheme will review your application and provide you with confirmation of acceptance or rejection.
  •  ➡️ If your application is accepted, you will receive a new member number and other necessary information.
  •  ➡️ Notify your current medical aid scheme that you wish to cancel your membership and provide them with your new Sizwe Hosmed member number.
  •  ➡️ Once your switch is complete, familiarize yourself with the benefits and cover provided by your new plan to ensure that you are aware of the benefits to which you are entitled.
  👉🏿 Things to consider before cancelling your medical aid   How to Switch my Medical Aid to Sizwe Hosmed    

Sizwe Hosmed Customer Support

  To contact Sizwe Hosmed customer support, there are a few options available:  
  •  ➡️ Phone: You can call their customer support line and speak with a representative during business hours. The phone number should be available on their website or by searching online.
  •  ➡️ Email: You can email their customer support team, and they will respond to your inquiry as soon as possible. The email address should be available on their website or by searching online.
  •  ➡️ Online Contact Form: Some websites have a contact form you can fill out and submit to contact the customer support team.
  •  ➡️ Social Media: Many companies now have customer support on their social media pages; you can reach out to them through their official social media page like Twitter, Facebook, Instagram, etc.
  •  ➡️ Visit their physical office: you can visit your nearest office or check on their website for the nearest office location.
  Sizwe Hosmed Customer Support    

Sizwe Hosmed vs Platinum Health vs Fedhealth - A Comparison

 
🔎 Medical Aid🥇 Sizwe Hosmed (2026)🥈 BestMed (2026)🥉 Fedhealth (2026)
📍 Years in OperationSince 1978Since 1964Since 1936
📌 Average # Members172,000+250,000+Principal Members: 56,018 Beneficiaries: 100,357
📈 GCR RatingBBB-AAAA-
📉 Number of Employees200+470+500+
📊 Market Share<5%<5%<5%
✔️ Market CoverageSouth AfricaSouth AfricaSouth Africa
💙 Customer Rating3.2 Trust Index3/53.5
📍 Number of reviews<1,0001,000+1,300+
📱 Mobile App✅ YesNo✅ Yes
💵 Contribution Range (ZAR)R3,161 – R11,737R1,736 – 12,572 R1,604 – R19,393
☑️ International Travel Benefit (ZAR)100% of the Scheme RateYESYES
    💙 You might like to compare the following medical schemes with Sizwe Hosmed:     Sizwe Hosmed vs Platinum Health vs Fedhealth - A Comparison    

Sizwe Hosmed Reviews by Members

  Highest Praise. I have never grown tired of praising them. To date, I have never had any unused funds from my medical aid at the end of the year. They have been consistent, even during a year when I underwent two surgeries, and my son underwent one.   We were both hospitalized a total of ten times. I am grateful that Sizwe Hosmed made the financial aspect of our medical crises the least stressful. - Amber Yates   5 Star Rating   Excellent Medical Scheme. Sizwe Hosmed is an excellent medical scheme, of which I became a member on February 22. Our benefits start date was March 1st, 22. Later, we registered for their Bambino care program.   Finally, my partner received a call from Sizwe Hosmed informing her that our application had been approved and that she could consult with a gynecologist. - Steve Sharpe   4 Star Rating   Happy Member. Every time my son was hospitalized while enrolled with Sizwe Hosmed, they provided coverage that exceeded my expectations. I am grateful, as private medical care can be quite expensive. - Bethany Welch   3 Star Rating    

Sizwe Hosmed - Our Verdict

  Verdict on Sizwe Hosmed   💙 Sizwe Hosmed is a South African medical aid scheme that offers its members a range of healthcare services and plans. Some of the services offered by Sizwe Hosmed include in and Out-of-Hospital cover, maternity care, and a members savings account (MSA) option.   💙 One of the benefits of Sizwe Hosmed is that it offers comprehensive coverage, including additional coverage for certian out-of-hospital expenses, which can help preserve a member's MSA.  Additionally, Sizwe Hosmed offers a range of plans, which allows members to choose a plan that best fits their needs and budget.   💙 However, like any medical aid scheme, Sizwe Hosmed has some cons.  One potential downside is that members must pay out of pocket for certain benefits, such as gap cover. Additionally, Sizwe Hosmed may not have as many providers in certain areas, which can limit a member's choice of healthcare providers.     👉🏿 Some more interesting articles:    

Sizwe Hosmed Pros and Cons

 
✅ Pros❎ Cons
Sizwe Hosmed offers flexible options to suit all budgetsSizwe Hosmed has expensive Out-of-Hospital expenses
There is a dedicated hospital plan offeredThere is no native gap cover
 

👉🏿  You might like to know more about the Top 100 Medical Aid Questions

   

Sizwe Hosmed Frequently Asked Questions

 

Is Hosmed part of Sizwe?

Sizwe Medical Fund and Hosmed Medical Aid Scheme merged in 2021 to form South Africa's eighth-largest medical scheme, now known as Sizwe Hosmed Medical Scheme.  

What is the waiting period for Sizwe Hosmed Medical Aid?

There could be a three-month waiting period before a new member of Sizwe Hosmed can receive benefits after joining the scheme. Apart from where Prescribed Minimum Benefits apply, a new member with a pre-existing ailment may be subject to a condition-specific waiting period of up to a year.  

When did Sizwe and Hosmed Merge?

Effective November 1, 2021, the CMS formally approved the merger of the Sizwe Medical Fund with the Hosmed Medical Scheme.  

Who administers Sizwe Hosmed?

3Sixty Health administers the Sizwe Hosmed Medical Scheme. 3Sixty Health is a black-owned and black-managed company that offers administration and managed-care services. Their core competencies include: membership management, billing, claim adjudication, and customer services.  

How can I access Sizwe Hosmed Authorizations?

You can request authorization from your member’s area on the official website or the mobile app. Furthermore, Pre-authorization and case management procedures apply to all inpatient hospital stays (including PMBs). Emergency admissions must be reported to the Scheme within 48 hours. Claims will not be paid if admission is not pre-authorized or reported to the plan.  

How many Sizwe Hosmed Options are available for 2026?

Sizwe Hosmed offers 8 plans for 2026.  

Where can I find my Sizwe Hosmed member login?

You can find the login on the official Sizwe Hosmed website homepage.  

What is the Sizwe Hosmed Medical Aid contact number?

Sizwe Hosmed can be contacted on the toll-free number 0860 100 871.  

How do I Downgrade my Plan with Sizwe Hosmed?

To downgrade your plan with Sizwe Hosmed, you can Contact Sizwe Hosmed customer service.  

How do I add a Beneficiary to Sizwe Hosmed?

If you want to add a child or adult dependent, you can log into your Sizwe Hosmed profile and Contact Sizwe Hosmed.  You can reach out to Sizwe Hosmed through their customer service number or email or visit their website for more information on adding a beneficiary.  

What hospital plans does Sizwe Hosmed offer?

Sizwe Hosmed offers the Access Core Hospital plan that offers unlimited coverage for in-hospital treatment and procedures but does not cover out-of-hospital and day-to-day medical treatment.  

Does Sizwe Hosmed cover chronic medication?

Yes, Sizwe Hosmed covers chronic medication for members diagnosed with a chronic medical condition.  

What is the provider network for Sizwe Hosmed?

Sizwe Hosmed has a provider network of healthcare providers, including hospitals, clinics, and doctors, where members can access medical treatment.  

What are the waiting periods for Sizwe Hosmed?

Sizwe Hosmed has waiting periods for certain benefits, such as maternity and pre-existing medical conditions. These waiting periods range from 3 to 12 months.  

What exclusions does Sizwe Hosmed have?

Sizwe Hosmed has exclusions for specific medical treatments and procedures, such as cosmetic surgery and non-medical treatments.  

What is Sizwe Hosmed Medical Fund?

Sizwe Hosmed Medical Fund is a registered medical scheme in South Africa that offers a range of medical aid plans to individuals and families. Furthermore, Sizwe Hosmed is one of the country’s most popular medical schemes.  

What are the benefits of Sizwe Hosmed Medical Aid?

Sizwe Medical Aid offers a range of benefits to its members, including comprehensive cover for essential medical services, access to a network of healthcare providers, wellness programs, preventative care, and emergency medical assistance services.  

What are the chronic benefits offered by Sizwe Hosmed Medical Fund?

Sizwe Hosmed Medical Fund offers coverage for a range of chronic conditions, including HIV/AIDS, diabetes, hypertension, and asthma. In addition, members can access chronic medication and treatments as part of their medical aid plan.  

What is the hospital network for Sizwe Hosmed Medical Fund?

Sizwe Hosmed  Medical Fund has a network of hospitals and healthcare providers that members can access for medical treatment. The network includes private and public hospitals, specialist clinics, and medical practitioners.  

What are Siswe Hosmed auxiliary benefits?

Auxiliary benefits refer to medical services and appliances such as optometry, dentistry, hearing aids, and other medical devices.  

What is a moratorium at Sizwe Hosmed?

At Sizwe Hosmed, a moratorium is a waiting period during which patients with pre-existing conditions are not covered but could be eligible for coverage after completing the waiting period.  

What is a special enrollment period at Sizwe Hosmed?

An individual can enroll in Sizwe Hosmed outside of the open enrollment period if they meet the requirements for a special enrollment period, such as having a child or getting married.  

What are Sizwe Hosmed’s underwriting criteria?

The underwriting criteria of Sizwe Hosmed are the rules by which the medical scheme evaluates an individual’s risk and establishes their premiums and waiting periods.  

What maternity benefits does Sizwe Hosmed offer?

Sizwe Hosmed offers maternity benefits that cover prenatal and postnatal care, hospitalization for childbirth, and specific tests and procedures.  

What are the waiting periods for maternity benefits with Sizwe Hosmed?

Waiting periods for maternity benefits with Sizwe Hosmed vary depending on the member’s plan. In general, waiting periods could range from 3 to 12 months.  

👉🏿 Women can make use of our free Ovulation Calculator

   

Does Sizwe Hosmed offer a hospital cash benefit?

Sizwe Hosmed does not offer a hospital cash benefit, but some of its medical aid plans do offer other hospital-related benefits.  

Can I join Sizwe Hosmed online?

Yes, you can apply to join Sizwe Hosmed online via their website.  

How do I claim from Sizwe Hosmed?

To claim from Sizwe Hosmed, you can submit your claim online, by email, or by fax.  

Does Sizwe Hosmed offer dental benefits?

Yes, Sizwe Hosmed offers dental benefits on some of their plans.  

Does Sizwe Hosmed cover HIV/AIDS treatment?

Yes, Sizwe Hosmed covers HIV/AIDS treatment, including antiretroviral therapy and other related medications.  

Does Sizwe Hosmed offer wellness benefits?

Yes, Sizwe Hosmed offers wellness benefits, which may include things like health screenings and lifestyle coaching.  

Can I choose my own healthcare provider with Sizwe Hosmed?

Yes, Sizwe Hosmed allows members to choose their healthcare providers, but using network providers may lower out-of-pocket expenses.  

What is Sizwe Hosmed’s gap cover?

Sizwe Hosmed does not have their own gap cover. It is available as an optional extra to cover the difference between what medical practitioners charge and what your medical aid pays out - mainly IN hospital.  

Can I change my payment option with Sizwe Hosmed?

Yes, you can change your payment option with Sizwe Hosmed by contacting their customer service department and making the necessary arrangements.  

What are pre-existing conditions with Sizwe Hosmed?

Pre-existing conditions are medical conditions that existed before a member joined the medical aid scheme.  

Does Sizwe Hosmed cover pre-existing conditions?

Yes, Sizwe Hosmed covers pre-existing conditions, but there may be waiting periods before you can claim for specific conditions.  

What are the payment options for Sizwe Hosmed?

Sizwe Hosmed offers a range of payment options, including debit orders, EFT, and cash payments at certain branches.  

How do I submit a claim with Sizwe Hosmed?

You can submit a claim with Sizwe Hosmed by completing a claim form and submitting it with the relevant documentation, such as invoices or receipts.  

What is the turnaround time for claims with Sizwe Hosmed?

The turnaround time for claims with Sizwe Hosmed varies depending on the type of claim and the case’s complexity. In general, claims are processed within 14 days of receipt of all relevant information.

7 Actionable Ways to save 32% on your MEDICAL AID in 14 days.