Active since Mar 2024
This medical scheme has single handedly damaged alot of our clean records.Every month we have to reverse debit orders,unpaid Doctors claim despite sending us invoices claiming that they have paid.Upto this day i still get their "Dear Valued Member"nonsense of sms's despite me cancelling their medical aid in February showing that the scheme is on autopilot.I need to contact CMS because no one pays for 2 medical aids
I regret ever joining this medical aid.It is run on autopilot.Even after terminating it,they are still debitting premiums and ontop of that i am settling GP consultations that were not paid in 2025 while i was using their med aid.I am tired of going to the bank to reverse these unauthorised debit orders,nx.
In this economy i still pay for a medical aid that i cancelled in february.BEE destroyed even a well functioning scheme!No wonder municipal workers were moved to LA Health!I want my money.Imagine paying R4469 to cover 1person,only for them to not pay a GP consultation of R459.The **** is wrong with you?
How do I get hold of you to cancel the medical aid.Phonecalls take 25 to 30 minutes to be answered.Emails are on generic "we will respond in 3-5 working days".This is unfair business practice paying R4600 to a company that seems to exist on paper only.One thing for sure,if i do not get a response i will block this month's debit order from the bank.Your scheme is run by ****mers
If you are an employee of Momentum Tyb(Ltd) and Sisonke Health Medical Scheme,you got paid salaries+ bonuses in December 2025 and a salary in January 2026,have a moment of silence for Healthcare Providers and their families because they have not had claims paid. The members have confirmed that Sisonke Medical Scheme still exists because they debited their monthly premiums in January 2026 and Momentum Tyb is still administrating for Sisonke Health Medical Scheme because when I phoned their PE offices i was given all sorts of excuses as to why claims were not paid.From blaming EDI etc.When this did not make sense i requested to speak to the team leader(Karen) who was the one advising the front desk lady,i was told that all of the sudden she was not available.So much for Accountability!Momentum Pty (Ltd) why are you playing mind games with our businesses?What is really going on between your business and Sisonke Health Medical Scheme? Credible administrators i.e Medscheme sent out notifications to explain why claims were not paid from the 1-19 January 2026 and true to their communication claims were settled on the 20January 2026.Your company does the duck and diving instead of being accountable. Some specialists report 0claims being paid for 2026,1GP despite submitting more than 15 claims in January got paid for 1X claim of December 2025 in January 2026 and my business has more than 50 claims for January 2026 not paid and EDI have submitted them a long time ago. Has the amalgamation between Sisonke Health Medical Scheme and Lonmin Medical Scheme affected the services provided by Momentum Tyb like payments of claims.Even so the communication with their claims dept did not suggest so.
I have been a member of this scheme when it was still called Hosmed and i can safely say BEE has destroyed it.In the recent 2years i have contributed R107 232, with only 3GP consultations in 2025 and am deeply dissapointed with the dishonesty and ********* practices.I was sent claims statements showing that my GP was paid and they even provide dates,which turned out to be lies!!The poor doctor even showed me his banking app and on those days there are no payments from the ******.From 107 232 this scheme could not pay the doctor around R900.I had sciatica pain in December and not even one medication prescribed was covered.In this economy do you know how much that R107 232 could have made my life easy?How do you allocate R800 for spectacle frames+lenses?Today this abusive relationship is ending.I am joining Bestmed.
© Copyright 2026 hellopeter.com and its affiliates. All rights reserved.