Escalation Points & Contacts

We want to ensure you get fast, reliable support when you need it most. Use this escalation guide to connect directly with the right team and resolve your queries without delay.

Sizwe Hosmed Important Points of Customer Contact

Customer Service Contact Centre: 0860 100 871
Email: queries@sizwehosmed.co.za

Medical Emergencies and Ambulance
Call: 082 911

Chronic Disease, Application, and script updates
Email: chronic@sizwehosmed.co.za

Claims
Email: claims@sizwehosmed.co.za

CDL Conditions
Email: wellnessqueries@sizwehosmed.co.za

Membership
Email: membership@sizwehosmed.co.za

HIV & Wellness
Email: wellcare1@sizwehosmed.co.za

GP to Specialist Referral
Email: primary.referrals@sizwehosmed.co.za

Pre-Authorisation
Email: authorisations@sizwehosmed.co.za

Maternity Programme
Email: bambino@sizwehosmed.co.za

Oncology (Cancer)
Email: oncology@sizwehosmed.co.za

Dental Risk Company
Call: 087 943 9611
Email: enquiries@dentalrisk.com

Optometry (Isoleso)
Call: 011 340 9200
Email: Sizwehosmed@isoleso.co.za

Report Fraud or Suspected Fraud
Call: 0800 212 150
Email: fraud@sizwehosmed.co.za

Sizwe Hosmed provides valued stakeholders with this escalation path to ensure transparency, prevent delays, and make sure you always get the
responsiveness you deserve. To help us serve you best, please follow the escalation steps in order and avoid copying multiple points of entry, as this
helps us track and respond quickly.

Membership

Submit or enquire upon documents related to applications, change of dependants, update contact or bank details, member card requests, membership certificates.

Email: membership@sizwehosmed.co.za

  • Allow 3 to 5 workflow processing days

Email: Julie.Reddy@sizwehosmed.co.za

  • Escalation point if not completed within workflow timeline.
  • Allow 3 to 5 investigative days

Contribution Reconciliation and Billing

Submit or enquire upon documents related to group or direct paying member contributions. Employer monthly billing statements or Member Savings Account Refund status.

Email: reconqueries@sizwehosmed.co.za

  • Allow 3 to 5 workflow processing days

Email: Julie.Reddy@sizwehosmed.co.za

  • Escalation point if not completed within workflow timeline.
  • Allow 3 to 5 investigative days

Claim Submission or enquiry

Submit or enquire upon documents related to member claim refunds or enquiries.

Email: claims@sizwehosmed.co.za

  • Allow 3 to 5 workflow processing days

Email: Cecilia.Higgins@sizwehosmed.co.za

  • Escalation point if not completed within workflow timeline.
  • Allow 3 to 5 investigative days

Pre-Authorisation Submission or enquiry

Submit or enquire upon documents related to a request for authorisation.

Email: authorisations@sizwehosmed.co.za
Call: 0860 010 1176

  • Allow 3 to 5 workflow processing days
  • Call to speak to preauthorisations department for clinical expertise on authorisations

Email: casemanescalations@sizwehosmed.co.za

  • Escalation point if not completed within workflow timeline.
  • Allow 3 to 5 investigative days

Commission enquiry

Request or enquire about broker commission statements, member appointments and broker accreditation.

Email: brokers@sizwehosmed.co.za
Call: 0860 010 1176

  • Allow 3 to 5 workflow processing days

Email: Sicelo.Mbambo@sizwehosmed.co.za

  • Escalation point if not completed within workflow timeline.
  • Allow 3 to 5 investigative days

Office of Management and Executive

Should the departmental points of submission and subsequent escalation contact fail to respond, the complete record of submission and reference numbers may be submitted to the office of Management and Executive responsible for the specific area of concern.

Operations Executive
Email: maphelo.magodla@sizwe-hosmed.co.za

MHC Executive
Email: Zaheen.Omar@sizwe-hosmed.co.za

Broker and Business Development
Email: Dudu.Modah@sizwehosmed.co.za

Allow 3 to 5 investigative days

General

Please include your name, membership number, and a brief description of your request in the email subject line. For claims and refund requests, attach the original claim, treatment date, provider details, and proof of payment or reference numbers. If you also need to update your bank details, send those directly to the membership department to avoid processing delays.

Member Hub
Brokers