Category: Member Info

1. EXECUTIVE: GOVERNANCE, COMPLIANCE & LEGAL SERVICES

Purpose of the role

To provide leadership and strategic direction to the Governance, Compliance & Legal Services Department with regard to duties, functions and responsibilities associated with legal, governance and organisational compliance to legislative, regulatory and policy requirements, as well as any other instructions, duties and responsibilities as may be allocated to the Executive by the Executive’s superior or the Board of Trustees (Board).

Requirements

• LLB/BA Law and Admission as an Attorney/Practising Advocate.
• A postgraduate compliance and/or governance qualification will be an advantage.
• Minimum 10 years in Legal, Risk and Compliance with at least 5 years in a senior management role.
• At least 5 years’ experience in the Medical Aid industry

Applicants who meet the requirements are welcome. Applications can be forwarded to recruitment@sizwe-hosmed.co.za.

Closing date: 29 April 2025 at 16:30, late applications will not be considered.

Enquiries: Silindile Zulu or Siyabulela Ndlumbini on 011 298 1500.

 

2. EXECUTIVE: CLINICAL AND OPERATIONS

Purpose of the role

To provide leadership and strategic direction to the Clinical Operations Business Unit to ensure access to evidence-based, clinically appropriate, and cost-effective quality healthcare for Scheme members in a consistent and fair manner.

Requirements

• Medical degree plus the Health Professionals Council of South Africa (HPCSA) registration.
• Additional qualifications in general management will be an added advantage.
• Minimum of 10 years’ experience in healthcare with at least 5 years in Managed Care/ Insurance/Healthcare Administration OR related environment.

Applicants who meet the requirements are welcome. Applications can be forwarded to recruitment@sizwe-hosmed.co.za.

Closing date: 29 April 2025 at 16:30, late applications will not be considered.

Enquiries: Silindile Zulu or Siyabulela Ndlumbini on 011 298 1500.

 

The scheme seeks to contribute towards the country’s economy by supporting qualifying start-up brokers in the medical aid industry to achieve their growth objectives.

Start-up Medical Aid Brokers who have never conducted business with the scheme must submit proposals describing their business needs and required support to function effectively.

The three selected brokers will be part of an incubation programme for a period to be determined and agreed upon, where the scheme will provide the following support:

• Office space
• Business tools
• Reliable transport for business purposes
• Access to leads
• Funding

Interested prospective brokers must submit the following documents for evaluation, which the scheme will evaluate by no later than 15 May 2025.

• Business proposal
• Company registration document
• Company Profile
• FAIS certification
• CMS: BR & ORG certificate
• SARS Tax Certificate
• Proof of banking details not older than 3 months
• Valid BBBEE Certificate or an affidavit in a correct template

The scheme will consider submissions where efforts have been made to secure the CMS documents. All submissions must be sent to: brokersupport@sizwe-hosmed.co.za by Tuesday, 13 May 2025.

Late applications will not be considered.

Applicants who meet the minimum requirements will be contacted to present their proposals before the management committee decides. Should you not hear from us within 30 days after the closing date, please consider your submission unsuccessful.

Enquiries must be directed to: silindile.zulu@sizwe-hosmed.co.za

Following the partnership announcement with Netcare and Mediclinic Hospital Groups, we would like to remind our members of the benefits of using our trusted hospital networks. By choosing hospitals within our network, you ensure access to high-quality care at more affordable rates, making the most of your medical aid benefits.

Using Hospital Networks

Members on network options are required to use the designated hospital groups exclusively, with the following exceptions:

• In the event of an emergency, members on a network option may receive care at any hospital group for stabilisation. Once stabilised, they may be transferred or referred to a network hospital without incurring any penalties.
• Members who must travel more than 30 kilometres to find a network hospital are allowed to seek care at a non-network hospital.

Benefits of Using Hospital Networks

Using Sizwe Hosmed hospital networks has advantages for our members, and they include:

• Reduced Out-of-Pocket Costs: Members enjoy discounted rates and avoid unexpected expenses. Our network hospitals have agreed to pre-negotiated fees, ensuring you save on healthcare services.
• Quality Care: Our network hospitals are carefully selected for their high standards of medical expertise, service, and state-of-the-art facilities. Rest assured that you’re in good hands.
• Streamlined Claims: When you use our network hospitals, your claims are processed faster and more efficiently, reducing paperwork and ensuring a hassle-free experience.
• Comprehensive Care: Members maximise their medical aid plans by receiving the full range of benefits available within our network, from general consultations to specialised treatments.
• Access to Specialists: Members get a wide variety of comprehensive medical specialists and services within the network.

We encourage you to take full advantage of these benefits for all your healthcare needs. If you have any questions about which hospitals are part of our network, call our Contact Centre at 0860 100 871 and we will be happy to assist you.

Thank you for being a loyal member of Sizwe Hosmed.

We’re here. Our doors are open. We’re operating and We’re paying claims.

Download The Official Notice Here 

Enhancing Healthcare Benefits

At Sizwe Hosmed, we are dedicated to delivering secure and reliable healthcare services to our valued members. As the year progresses, we continue to prioritize the needs of our members, ensuring uninterrupted access to the highest quality care. We are thrilled to announce key updates and enhancements for 2025 that reflect our commitment to supporting employers and employees alike.

A Glimpse of What’s Ahead in 2025

Our members can look forward to significant enhancements in their healthcare benefits, including:

• A 5% Across-the-Board Benefit Increase: This ensures better coverage and value for essential health services.
• An 8% Increase in Optical Benefits: Greater support for eye care, ensuring members can access quality vision services.

These updates underline our mission to provide robust and comprehensive healthcare support tailored to the evolving needs of our members.

Always Open to Support Employers and Members

As a valued stakeholder, we deeply appreciate your partnership. To maintain seamless communication, we operate an open-door policy, inviting you to reach out at any time for inquiries or updates. Our dedicated team is here to ensure your concerns are addressed promptly.

Stay Informed with Sizwe Hosmed

We are committed to keeping you updated through multiple communication platforms, including our official website, www.sizwehosmed.co.za. Here, you can access the latest news, benefit updates, and resources to make the most of your healthcare plan.

If you have any questions, don’t hesitate to contact our support team at 0860 100 871. We’re always ready to assist you and ensure your experience with Sizwe Hosmed remains seamless and satisfactory.

Strengthening Our Commitment to You

As we approach 2025, we are excited about the positive changes ahead. These enhancements reflect our unwavering commitment to your well-being and the trust you place in us as your healthcare provider. Together, we will continue to deliver unparalleled healthcare solutions.

Download the Official Notice

For further information please download the official notice.

About the 2025 Member Benefit Guide

Welcome to the Sizwe Hosmed 2025 Member Benefit Guide – your ultimate resource for understanding the extensive healthcare plans and services we offer. As one of the top ten largest open market schemes in South Africa, Sizwe Hosmed is committed to delivering exceptional healthcare support tailored to your needs.

This guide is designed to provide you with a comprehensive overview of your healthcare options for 2025, including detailed plan descriptions, wellness initiatives, and the tools you need to make informed health decisions. Whether you’re seeking coverage for hospital care, maternity benefits, or day-to-day medical needs, this guide is your key to unlocking the benefits that matter most.

Why Choose Sizwe Hosmed?

At Sizwe Hosmed, we place our members at the heart of everything we do. Our commitment to delivering quality healthcare is evident in our broad range of plans, competitive pricing, and rich wellness benefits. Here’s why thousands of South Africans trust Sizwe Hosmed:

• Member-centric approach: Tailored healthcare plans that evolve with your needs.
• National presence: Access to a vast network of healthcare providers across the country.
• Family-friendly policies: Affordable child rates charged up to 26 years of age, with additional dependents covered for free.
• Competitive value: High claims ratio and low pensioner ratios ensure great value for your contributions.

Key Highlights of the 2025 Member Benefit Guide

Our 2025 Member Benefit Guide is packed with essential information to help you navigate your healthcare journey with ease. Here are some of the highlights:

• Comprehensive plan options, including Essential Copper, Access Saver, Value Platinum, and Titanium Executive plans.
• Rich preventative care programs designed for all age groups.
• Advanced in-hospital and out-of-hospital benefits tailored to your needs.
• Dedicated maternity care and child healthcare benefits through the Bambino Program.
• Additional perks, including mental health support, wellness screenings, and chronic disease management.

With these features and more, the Sizwe Hosmed 2025 Member Benefit Guide is your trusted partner in health.

Download the 2025 Member Benefit Guide

Ready to explore the full details of your 2025 benefits? Click below to download the complete member benefit guide and take the next step in your health journey.

July marks Mental Health Awareness Month, a vital opportunity to reflect on the importance of mental well-being. According to the World Health Organization (WHO), mental health is “a state of well-being in which an individual realises their own abilities, can cope with the normal stresses of life, can work productively, and is able to make a contribution to their community.” This definition underscores the interconnection between mental and physical health, both essential components of overall wellness.

What is Mental Illness?

Mental illness, also referred to as mental health disorders, encompasses a broad range of conditions that affect a person’s thinking, behavior, and mood. While the exact causes are not always clear, research highlights the role of genetic, social, and environmental factors in the development of these conditions.

The Scale of Mental Health Challenges

The statistics paint a stark picture. The National Alliance on Mental Illness estimates that 1 in 5 people experience some form of mental health disorder annually. In South Africa, 9% of teen deaths are attributed to suicide, often linked to undiagnosed or untreated depression. Early warning signs typically emerge around the age of 14, yet many individuals delay seeking help until adulthood. This delay can exacerbate the severity of these conditions.

Identifying Mental Illness

It is often challenging to distinguish between everyday emotions such as worry or sadness and a more serious mental illness. Key indicators of mental illness include persistent and severe symptoms that disrupt a person’s ability to cope with daily life. If you or a loved one notices a prolonged impact on mood, behavior, or thinking, it may be time to seek professional guidance.

Prevention Strategies for Mental Health

Primary Prevention

This involves proactive measures to promote mental wellness. Community-focused initiatives like Mental Health Awareness Week and emotional education in schools play a pivotal role in fostering positive mental health attitudes.

Secondary Prevention

Targeted at high-risk groups, secondary prevention focuses on individuals with higher vulnerability to mental health issues, such as trauma survivors, victims of hate crimes, or those with chronic physical illnesses.

Tertiary Prevention

Designed to support individuals already living with mental health conditions, tertiary prevention seeks to enhance their quality of life. This includes symptom management, reducing relapse risks, and empowering individuals to maintain their well-being.

Steps to Protect Your Mental Health

• Prioritise Sleep: A well-rested mind is better equipped to handle stress.
• Practice Self-Care: Boost your self-esteem by engaging in activities you enjoy.
• Foster Social Connections: Build and maintain meaningful personal and social relationships.
• Exercise and Eat Healthy: A nutritious diet and regular physical activity are vital for overall wellness.

Treatment Options for Mental Illness

Seeking timely and appropriate treatment is crucial for mental health recovery. Start by consulting a private doctor or a local clinic. Based on the evaluation, you may be referred to a psychiatrist or psychologist for specialised care.

If you are a member of Sizwe Hosmed, you can access comprehensive mental health benefits, including chronic medication support. For more information, your doctor can send prescriptions to the chronic medication department at chronic@sizwehosmed.co.za.

Role of Sizwe Hosmed in Mental Health Care

Sizwe Hosmed provides mental health support through all its plans. Members are encouraged to register on the Disease Risk Programme via wellnessqueries@sizwehosmed.co.za or by calling 0860 103 455. This program ensures streamlined access to treatment options and chronic care support for mental illnesses.

Addressing Suicide Prevention

One of the most pressing issues in mental health is suicide. Recognizing the warning signs, such as withdrawal, hopelessness, or unusual behavioral changes, can save lives. Immediate help is available via the National Suicide Prevention Lifeline at 1-800-273-8255.

Building Resilient Communities

Communities play a vital role in combating stigma around mental health. Anti-stigma campaigns, open conversations, and educational initiatives can collectively foster a culture of understanding and support. When individuals feel accepted and valued, they are more likely to seek help.

Conclusion

Mental health is a cornerstone of overall well-being. By raising awareness, supporting prevention strategies, and making treatment accessible, we can work towards a society where mental health is prioritized. Every step towards understanding mental health counts, whether it’s educating yourself, offering support to a loved one, or advocating for better resources.

Mental Health Awareness Guide

Mental health matters, and help is within reach. Download our detailed guide to mental health awareness for more insights and resources:

Download the Mental Health Awareness Guide

For further information, contact Sizwe Hosmed at 0860 103 455 or visit Member Information and Education. Let’s take a step towards a healthier, more aware community.