Sizwe Hosmed

Sizwe Medical Fund merged with Mosmed Medical Scheme and formed what is today known as Sizwe Hosmed Medical Scheme – a medical aid fund that is now the 8^th largest in South Africa.

The merger brought together Sizwe’s 47,000 members and Hosmed’s 21,000 members to create a more stable, financially viable, and thriving scheme. Some of their large corporate clients include Ford, Johannesburg Water, PikiTup, City Power, The City of Johannesburg, and Salga.

The story behind Sizwe

Sizwe was born out of a need to make healthcare accessible to the underserved population of the country. Led by the South African Medical Discussions Group, and led by Dr. Motlana, Kwacha Group was registered with 38 shareholders. After R3 million was raised the medical scheme was registered and later the name was changed to Sizwe Medical Fund.

The scheme’s first members were from the Barlow Rand Group, Iscor, PUTCO, and a handful of steel, mining, and motor industry workers.

The story behind Hosmed

Hosmed’s journey began in 1988 in an effort to provide civil employees with the access to healthcare that they desperately need. While they serve both the public and private sectors today. In 1998 Hosmed was registered as an open medical aid scheme and from there on served their members for more than 20 years with dedication and service excellence.

The incredible results of the merger

In addition to the financial benefits of the merger (such as the lowering of membership expenses and less volatility), it has also ensured a greater range of cover options for members to choose from, increased benefits, and an increase in distribution channels.

New plans for all members

As part of the merger strategy, Sizwe Hosmed has merged their products and all existing, as well as new members, must select their desired plan. All their new plans are listed on their website as well as in their complete product brochure and all benefits, as well as costs, have been listed.

Sizwe Hosmed now offers 11 plans that range from the cost comprehensive which is their Titanium Executive Plan to their Essential Copper Plans which offer the most affordable basic cover.

All plans cover the Statutory Prescribed Minimum Benefits and all benefits are payable in South African Rands, subject to approval from Sizwe Hosmed.

The Titanium Executive and Plus plans

Both these plans offer no overall annual limit for in-hospital benefits with a host of out-of-hospital benefits (limited on the Plus plan) such as radiology, pathology, and medication. The Titanium Plus plan includes GP, Specialist, and Physiotherapy out-of-hospital benefits.

The Platinum Enhanced and Platinum Enhanced 

These two plans were designed to offer members comprehensive life cover for families and with the EDO option access to discounted care from their provider network. With the EDO option, there is also a co-payment required for all use of non-DSP providers.

The Value and Value Core options

These two options are ideal for families looking for a comprehensive cover that also offers discounts for using the available provider networks. Primary members will pay R10,300 per year and R21,750 for the main member and one dependent.

Gold Ascend and Gold Ascend EDO

These plans will cost only R6,556 per year for the main member and R9,709 for the main member plus a dependent. On the EDO plan, there is a co-payment for use of non-DSP providers.

The Access saver

25% or 15% (as selected) of contributions for Access Saver members will go to their personal medical savings account. This option ranges from R4,056 to R7,668 per month for the main member.

Silver hospital

This is the only hospital plan available from Sizwe Hosmed and therefore has no out-of-hospital benefits but covers in-hospital care up to the specified limits.