Sizwe Hosmed

Sizwe Hosmed Medical Scheme is an accredited South African medical aid provider for individuals, families, and employer groups who need access to medical scheme cover, provider networks, and self-service claim tools.

Key capabilities include:

• Tiered medical aid plans (2026) across multiple options including Essential Copper, Access Saver, Access Core, Gold Ascend, Value Platinum, and Titanium Executive, with a plan calculator to estimate monthly contributions (example starting contributions shown online from R3,161 p/m for Access Core principal member to R11,737 p/m for Titanium Executive principal member; dependant rates vary)
• Provider network access via 3Sixty Health, including GP, specialist, and hospital network lookups to help members find in-network care
• Managed healthcare programmes for specific needs, including Bambino Maternity, Oncology Management, Disease Risk Management (DRM), Mental Health, HIV (WellCare), Living with Diabetes, and Back and Neck care
• Digital service portals for members, brokers, providers, and employees, plus tools such as formulary look-up, member documents, authorisations guidance, claim submission information, and a published complaints and escalation process

Available on Web portals, plus Android and iOS mobile apps.

Target users include South African individuals and families choosing medical aid cover, as well as employers running group schemes, brokers supporting member onboarding, and healthcare providers interacting with scheme processes.

Notable in the South African context for combining an accredited scheme offering with condition-specific programmes, wellness screenings, and a member rewards programme (Just Rewards), supported by partner network access through 3Sixty Health and related healthcare partners.