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Sizwe Hosmed Access Core Plan

Looking for affordable medical aid that doesn't compromise on essential cover? The Sizwe Hosmed Access Core Plan provides comprehensive hospital care, emergency services, and maternity benefits designed for young, healthy South Africans building their financial futures.

30 September 2025

 

Sizwe Hosmed Access Core Plan (Previosuly Sizwe Affordable Care Plan: R 0 - R 15 052)

Quick Summary

Monthly contributions from R2,636 • 24/7 Emergency assistance • Comprehensive hospital cover • Maternity benefits included

Can you afford medical aid? Use our free budget calculator to see how medical aid fits into your monthly expenses and take control of your financial life.

What is the Sizwe Hosmed Access Core Plan?

The Access Core Plan is an entry-level medical cover designed specifically for young, healthy individuals who want comprehensive hospital care, emergency services, maternity benefits, and essential wellness support without breaking the bank. 

Whether you're starting your career, focusing on preventative health, or simply want reliable hospital cover that fits your budget, the Access Core Plan offers the protection you need while you pursue your goals. It's part of Sizwe Hosmed's range of medical aid options, tailored for different healthcare needs and budgets.

What are the benefits of the Sizwe Hosmed Access Core Plan?

The Access Core Plan offers comprehensive hospital cover with unlimited benefits for Prescribed Minimum Benefits (PMBs), emergency medical assistance available 24/7, and maternity support through the Bambino Programme. Pregnant members enrolled in the Bambino Programme receive valuable information throughout their pregnancy and are eligible for a complimentary maternity bag filled with baby essentials at 24 weeks.

Key advantages include:

  • Comprehensive hospital coverage: Unlimited cover for all medically necessary hospital admissions, giving you peace of mind during health emergencies.

  • Emergency medical support: Access to 24/7 emergency assistance ensures you're never alone when urgent care is needed.

  • Maternity care: Full support throughout your pregnancy journey with the Bambino Programme, including prenatal education and a complimentary maternity gift.

  • Chronic condition management: Coverage for all Chronic Disease List (CDL) conditions, helping you manage long-term health conditions effectively.

  • Annual savings account: 15% of your contributions allocated to day-to-day medical expenses, available upfront each year.

  • Preventative care: Wellness screenings and preventative benefits to keep you healthy and catch potential issues early.

  • Nationwide network access: Treatment at top private hospitals across South Africa through the Designated Service Provider network.

The plan is specifically tailored for young professionals who prioritise hospital cover and preventative care while managing their healthcare budget effectively. Learn more about how to choose the right medical aid for your lifestyle.

Monthly Contributions and Key Information

The table below sets out the Sizwe Hosmed Access Core plan contributions and comprehensive benefit details:

Category

Details

Monthly Contribution – Principal Member

R2,636 - R3,023

Monthly Contribution – Adult Dependant

R2,273 - R3,023

Monthly Contribution – Child Dependant

R530 - R1,046

Savings Account Allocation

15% of monthly contribution (available annually)

Hospital Cover

Unlimited PMB cover; comprehensive hospital benefits

Emergency Services

24/7 emergency medical assistance included

Maternity Benefits

Up to 100% of medical aid rate

Chronic Medication

Cover for CDL chronic conditions

Pre-authorisation Required

Yes – minimum 72 hours for elective procedures

Emergency Admission Notification

Within 48 hours of admission

Late Pre-authorisation Penalty

30% penalty for non-emergency late authorisations

Waiting Periods

3-month general waiting period; 12-month condition-specific waiting period for pre-existing conditions (PMBs excluded)

Designated Service Provider (DSP) Network

Available for optimal benefits and cost savings

Gap Cover

Not available on this plan

Out-of-Hospital Benefits

Limited to savings account and specified benefits

Note: Contribution rates shown reflect 2025 pricing and are subject to annual adjustments. Always verify current rates before joining.

Smart Tip: Before committing to any medical aid, use the JustMoney Budget Calculator to ensure the monthly contributions fit comfortably within your budget alongside your other financial commitments.

Frequently Asked Questions

Can I upgrade my plan later? Yes, you can upgrade to a higher Sizwe Hosmed plan during the annual open enrollment period or following a qualifying life event. Contact the scheme for specific upgrade rules.

What happens if I can't afford my contributions? 

ontact Sizwe Hosmed immediately if you're struggling financially. Downgrading your medical aid option might be possible, but understand the implications first.

Are preventative screenings covered? 

Yes, the plan includes preventative care benefits. Check our guide on which preventative screenings are covered by medical schemes.

Does the plan cover mental health? 

Mental health services are covered as PMBs when meeting certain criteria. Read more about mental health conditions and medical schemes.

What about dental care? 

Basic dental cover is included, but comprehensive dentistry may have limits. Learn about whether your medical aid will pay your dental fees.

 

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