Dear Valued Member,
We’re still here, still caring for you!
At Sizwe Hosmed, our commitment to you remains unwavering. Even in the face of recent challenges, we want to assure you that your health, your care, and your peace of mind remain our highest priority.
We wish to reassure you that all our operations — including authorisations, claims processing, and member services remain fully functional. As always, we remain dedicated to serving you with care, compassion, and professionalism.
- Claims Payments
We sincerely apologise for the delays you may have experienced with your claims payments recently. We understand the inconvenience and frustration this may have caused, and we sincerely thank you for your patience and trust during this time. Please be assured that these delays were not due to a lack of funds, but rather to issues beyond the Curator and the Scheme’s control.
We are pleased to inform you that these challenges have now been resolved. Claims processing has resumed, and we are committed to settling future claims promptly and efficiently. Sizwe Hosmed continues to hold sufficient reserves to pay claims, and you can remain confident in our ability to honour this commitment.
- Access to Care
To further ensure continuity of care, we are actively engaging with various healthcare providers to prevent upfront payments and ensure that our members continue to receive the necessary healthcare services with dignity and without disruption.
They include NHN, Netcare, Clinix and Mediclinic hospital groups.
Unfortunately, Life Healthcare and Lenmed hospitals are not taking Sizwe Hosmed members. Despite this, we commit to continuing to engage with them and provide an update. However, there are alternative hospitals that members can use. Click here for the list of alternative hospitals.
For medication, we have negotiated with our partner pharmacies – Clicks, Dischem and Medirite to ensure that you continue to receive medication without being asked to pay upfront.
Should you encounter challenges, please get in touch with the Scheme on 0860 100 871, and we will do our best to assist.
- Emergency Care
You will continue to receive emergency care from our emergency service provider, Netcare 911. Members can call 082 911 in an emergency. Please remember to get authorisation within 48 hours of being admitted.
We are committed to making sure that help is always within your reach. Our teams are visiting members at their workplaces to provide visibility, reassurance, and faster service. This is in addition to the ongoing support available through our Call Centre.
We undertake to keep you updated on developments as we work through this period together.
Sizwe Hosmed – Still here, still caring for you.
Yours sincerely,
Ms Lebogang Grace Mpakati
Provisional Curator
