Sizwe Medical Aid
Although it was established as far back as 1978,
Sizwe medical aid is one of the lesser known medical aid schemesi n South Africa, amongst other schemes like Pro
Sano medical aid and Discovery medical aid.
The scheme’s founding object was to be a leading
provider of affordable medical aid covering the whole country and specifically catering for South
What is medical aid?
This question cannot be simply answered by a
cocktail of academic definitions. Basically, this is a facility that enables a member or subscriber to a scheme to
benefit from healthcare service at costs they would otherwise not afford as illnesses or accidents are
Sizwe medical aid answers this question by
providing one of the simplest and clearest of plans by understanding the needs of its membership. The result is the
scheme’s plans designed to accord the members quality but affordable medical aid. These
This is more of a “universal” plan as it is
designed to suit any member regardless of their position on the socio-economic strata. From corporate executives
down to their low-paid employees, this plan delivers the flexibility for members to choose their suitable option.
It also includes wellness programmes to add value in helping members with various conditions, such as management
and treatment of chronic conditions and illness.
- Hospital Management
This plan covers members' hospital needs although
members must first seek authorisation for hospitalisation, after which they are assigned a case manager from the
scheme to look into ensuring that the member gets best treatment in accordance with their respective subscribed
- Chronic Medicine
This programme covers certain chronic medicines
which are paid for by a benefits fund separated from the day-to-day expenses. The programme requires that a member
undergoes an examination and assessment before they can apply for membership to the
- HIV/AIDS Management
With the HIV and AIDS statistics ever rising,
medical aid in South Africa has been adjusted to include members who are affected by this
A team of experts that includes pharmacists,
doctors and nurses as well as clinical specialists are tasked to properly and professionally manage this programme.
Emphasis is placed on early diagnosis complemented with education and treatment adherence. The programme also has a
provision for on-going counselling
The scheme runs a wellness programme for members
who are able to prevent or manage chronic conditions without the need to be hospitalised. The programme is focussed
on client education and fitness. Managed conditions include mental health, asthma, diabetes, cholesterol and blood
pressure, among other.
The scheme appreciates that oral health is
paramount for the good welfare of its members, or anyone for that matter. They put up this programme, and
amazingly, with no cost ceiling on this benefit! This programme does not cover non-essential dental treatment, such
as gold inlays, but it benefits the member access to dental emergencies as well as good oral health
The primary objective for Sizwe Medical Aid is to offers
a variety of affordable plans to suit the respective lifestyle needs and budget requirements. © Medical Aid Plan