Access your remittances online via eSizwe
Providers currently registered with the eSizwe facility can log in by clicking here.
Providers who wish to register with eSizwe can do so by calling  0860 100 871.
 
 
We have introduced this new section in the website in an effort to improve our service to providers, by making this information more easily available for your convenience.
 

1

A full list of EOB codes for Provider Remittance Advices Click here

2

Medicine formularies per option for 2013
All options

3

Prescribed Minimum Benefits (PMBs)

  Sizwe chronic disease list 2013 Click here
  Council for medical schemes DTP list 2013 Click here

4

Designated Service Providers:

Sizwe Medical Fundís 2013 Designated Service
Providers (DSPs)
Click here

5 Preferred Providers

 

Courier Pharmacies:


  Direct Medicines - countrywide (Website)
  First Care Website
  Medipost Pharmacy - countrywide (Website)
Script Wise
0059501
Private Bag x 2057
Carltonville 2500
Tel: 018 788 2075
Fax: 086 754 2847
Contact: Nadine Janneke
Email: nolivier@sbuys.co.za

  Optipharm Healthcare (Website)


Pharmacy Group:

  Clicks Pharmacies - countrywide  (Website)
  Dis-Chem Pharmacies - countrywide (Website)
  Springbok Pharmacy - countrywide (Website)
  Medirite Pharmacy - countrywide (Website)
  Sparkport (Website)
  Script Savers - countrywide (Excel)

S Buys www.sbuys.co.za
Leading Pharmacy www.leadingpharmacy.co.za

Independent pharmacies:

Korsten Pharmacy
6063675
Bayview Medical Centre
Cottrell Street
Korsten
Port Elizabeth
Tel: 041 451 1738
Contact: Anil Kooverjee
Email: spiceman@icon.co.za
  Klinicare (PDF)
  Tothills (PDF)
  Val-U-Health
0372072
Shop 7
Norlaine Centre
7 – 15 Josiah Gumede Road
Pinetown
3610
Contact: Immendree Moonsamy
Tel: 031 701 7240
Cell: 082 307 7510
Email: jonsarawan@gmail.com
 
 

6

Medicine Exclusion List Click here

7

Medical Procedure Exclusion List Click here
8 To change to EFT for quicker and safer payments, click here to fill in the form

9

All dental claims to be sent to Denis:

Paper claims can be posted to:
Denis Claim Dep
Private Bag x 1
Century City
7446


All dental queries, pre-authorisations and hospitalisation queries can be directed to Denis on 0860 10 95 56 or sizweenq@denis.co.za.

10

Sizwe Medical Fund updates scheme rules

Sizwe Medical Fund has updated its scheme rules following;consultations with brokers, unions, members and other stakeholders. The rules have been accepted by the Council of Medical Schemes and are effective as of 27 May 2013. Sizwe constantly strives to improve the benefits it provide and are happy to announce new benefits to members. Click on the links below to view the latest scheme rules.

2013 Sizwe Rules
2014 Annexure A - Contributions
2014 Annexure B - Primary Care
2014 Annexure B - Affordable Care
2014 Annexure B - Full Benefit
2014 Annexure C - Limitations & Exclusions