Sisonke Health Medical Scheme
Claimed Business
|1|4 Reviews (last 12 months)|This business does not respond to reviews
Sisonke Health Medical Scheme
Claimed Business
|1
4 Reviews (last 12 months)
Does not respond to reviews
Performance(last 12 months):
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Review Distribution
1|4 Reviews
Jul '25 - Jun '26
Recent reviews (4)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
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Anonymous
1 reviews | Active since Jan 2020
28 Apr 2026, 08:22
Sisonke Health Medical Scheme is just a ****
Sisonke Health Medical Scheme is not paying our hospital bills. Hospitals and Doctors send us SMS to pay hospital bills while we have medical aid that won't pay. It's been 60 days my hospital bill has been outstanding and due for payment and the medical aid is not communicating or anything whatsoever. This is very unprofessional and frustrating clients.
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Anonymous
1 reviews | Active since Jan 2020
28 Apr 2026, 08:22
Sisonke Health Medical Scheme is just a ****
Sisonke Health Medical Scheme is not paying our hospital bills. Hospitals and Doctors send us SMS to pay hospital bills while we have medical aid that won't pay. It's been 60 days my hospital bill has been outstanding and due for payment and the medical aid is not communicating or anything whatsoever. This is very unprofessional and frustrating clients.
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Anonymous
1 reviews | Active since Jan 2020
27 Jan 2026, 05:49
Momentum Tyb and Sisonke Health Medical Scheme's failure to honor their debts and pay Healthcare Providers' claims for 2026
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.
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Anonymous
1 reviews | Active since Jan 2020
27 Jan 2026, 05:49
Momentum Tyb and Sisonke Health Medical Scheme's failure to honor their debts and pay Healthcare Providers' claims for 2026
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.
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Anonymous
1 reviews | Active since Jan 2020
25 Sept 2025, 09:44
Resubmission of corrected claim
On 28 August 2025 a claim for Dr R van Wyk was rejected because it was submitted in duplicate. On 18 September the corrected claim was emailed to [email protected]. On 22 September a followup email was sent to [email protected] to find out if the resubmitted claim was received in order. No response has been received. Followups were done on 23 and 25 September without any response to date. Followup on Sisonkehealth Whatsapp was responded on 18 September to send claim to [email protected]. The corrected claim was sent to [email protected] on 18 September. On 23 September Sisonkehealth Whatsapp responded to foward the account to [email protected]. This was done on 23 September. On 25 September Sisonkehealth Whatsapp responded to say "we require the paper claim to [email protected]". The paper claim was sent to [email protected] on 25 September The doctors practice also notified me that the corrected claim keeps rejecting duplicate when they try to submit from their side. Sisonke Health, please advise if the corrected claim for 28 August from Dr R van Wyk has been received in order or not.
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Anonymous
1 reviews | Active since Jan 2020
25 Sept 2025, 09:44
Resubmission of corrected claim
On 28 August 2025 a claim for Dr R van Wyk was rejected because it was submitted in duplicate. On 18 September the corrected claim was emailed to [email protected]. On 22 September a followup email was sent to [email protected] to find out if the resubmitted claim was received in order. No response has been received. Followups were done on 23 and 25 September without any response to date. Followup on Sisonkehealth Whatsapp was responded on 18 September to send claim to [email protected]. The corrected claim was sent to [email protected] on 18 September. On 23 September Sisonkehealth Whatsapp responded to foward the account to [email protected]. This was done on 23 September. On 25 September Sisonkehealth Whatsapp responded to say "we require the paper claim to [email protected]". The paper claim was sent to [email protected] on 25 September The doctors practice also notified me that the corrected claim keeps rejecting duplicate when they try to submit from their side. Sisonke Health, please advise if the corrected claim for 28 August from Dr R van Wyk has been received in order or not.
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Anonymous
1 reviews | Active since Jan 2020
15 Sept 2025, 15:05
3 Years of Pain, No Resolution for a Broken Arm
Understood — thanks for clarifying 🙏. Since this is going to HelloPeter, the letter must be sharp, emotional, and crystal clear I am writing this because I can no longer stay silent about the way Sisonke Medical Aid Scheme has handled a deeply serious matter. My wife ,with a broken arm had to undergo an operation more than 3 years ago. The procedure was not done correctly, leaving parts of her arm still broken. Since then, she has been forced to live in constant pain, with her arm still not working properly. Instead of receiving proper help, she has been made to book appointment after appointment — only to be told repeatedly that “the medical aid does not want to sign.” when we at the hospital This raises a critical question: what kind of image does Sisonke Medical Aid want to present to the public if it cannot fulfill its most basic duty of giving members access to the funds they pay for? I the husband has been faithfully paying for medical aid, and yet, when my wife needed it most, she has been abandoned to suffer. Three years of waiting, three years of pain, three years without justice. This is unacceptable. Medical aid schemes exist to protect and support people during times of illness and injury. Sisonke’s handling of this case has shown the complete opposite — neglect, delay, and disregard for human Please Take urgent responsibility for this matter. If this is not resolved, the matter will be escalated to the Council for Medical Schemes . Sisonke Medical Aid must decide what kind of reputation it wants: one of integrity and care, or one of failure and neglect. Right now, it is failing its members. Chizane the husband😔😔 I wish the medical to contact me directly
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Anonymous
1 reviews | Active since Jan 2020
15 Sept 2025, 15:05
3 Years of Pain, No Resolution for a Broken Arm
Understood — thanks for clarifying 🙏. Since this is going to HelloPeter, the letter must be sharp, emotional, and crystal clear I am writing this because I can no longer stay silent about the way Sisonke Medical Aid Scheme has handled a deeply serious matter. My wife ,with a broken arm had to undergo an operation more than 3 years ago. The procedure was not done correctly, leaving parts of her arm still broken. Since then, she has been forced to live in constant pain, with her arm still not working properly. Instead of receiving proper help, she has been made to book appointment after appointment — only to be told repeatedly that “the medical aid does not want to sign.” when we at the hospital This raises a critical question: what kind of image does Sisonke Medical Aid want to present to the public if it cannot fulfill its most basic duty of giving members access to the funds they pay for? I the husband has been faithfully paying for medical aid, and yet, when my wife needed it most, she has been abandoned to suffer. Three years of waiting, three years of pain, three years without justice. This is unacceptable. Medical aid schemes exist to protect and support people during times of illness and injury. Sisonke’s handling of this case has shown the complete opposite — neglect, delay, and disregard for human Please Take urgent responsibility for this matter. If this is not resolved, the matter will be escalated to the Council for Medical Schemes . Sisonke Medical Aid must decide what kind of reputation it wants: one of integrity and care, or one of failure and neglect. Right now, it is failing its members. Chizane the husband😔😔 I wish the medical to contact me directly
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Anonymous
1 reviews | Active since Jan 2020
25 Mar 2025, 05:57
Refusal to pay for life saving procedure
Dr MK Mogwera needs to do a life saving heart valve replacement for Mr D Visagie. Sisonka is refusing payment of this procedure. How can you refuse to pay for a PMB procedure? You are referred to paragraph 8(2), (3), (4) of the Regulations to the Medical Schemes Act 131 of 1998. How will the CMS view your accreditation with your business practice of refusing to pay for essential healthcare services?
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Anonymous
1 reviews | Active since Jan 2020
25 Mar 2025, 05:57
Refusal to pay for life saving procedure
Dr MK Mogwera needs to do a life saving heart valve replacement for Mr D Visagie. Sisonka is refusing payment of this procedure. How can you refuse to pay for a PMB procedure? You are referred to paragraph 8(2), (3), (4) of the Regulations to the Medical Schemes Act 131 of 1998. How will the CMS view your accreditation with your business practice of refusing to pay for essential healthcare services?
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Anonymous
1 reviews | Active since Jan 2020
28 Feb 2025, 13:05
Poor service
Been on the phone for more than a hour getting trancferd from one department to the other with no compitant person willing to help or assist us just passing us along the department and then hang up the phone i dont know why i have to pay for a medical aid that cant even take a call how do thwy cover then
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Anonymous
1 reviews | Active since Jan 2020
28 Feb 2025, 13:05
Poor service
Been on the phone for more than a hour getting trancferd from one department to the other with no compitant person willing to help or assist us just passing us along the department and then hang up the phone i dont know why i have to pay for a medical aid that cant even take a call how do thwy cover then
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Anonymous
1 reviews | Active since Jan 2020
22 Nov 2024, 10:15
Take your clients seriously!!!
Most useless medical aid ever, I requested my medical aid certificate for tax returns and waited 3 days with no assistance, this morning at 9am I called and spoke to a consultant and I’m still waiting even now. I can’t submit at SARS without that statement 😔😢
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Anonymous
1 reviews | Active since Jan 2020
22 Nov 2024, 10:15
Take your clients seriously!!!
Most useless medical aid ever, I requested my medical aid certificate for tax returns and waited 3 days with no assistance, this morning at 9am I called and spoke to a consultant and I’m still waiting even now. I can’t submit at SARS without that statement 😔😢
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Anonymous
1 reviews | Active since Jan 2020
29 Sept 2024, 15:26
Sisonke Rustenburg Medical centre, *******
All their doctors & nurses at the Rustenburg medical centre have zero professionalism. Dr's won't pay attention unless begged to do so otherwise they'll be busy on their cellphones. Your blood work is printed out & given to the receptionist to hand to the patient the doctors will broadcast at the reception what the nurses should assist you with while everyone is listening. By the time you leave that place even the cleaning lady will know exactly what you came there for. They don't respect patient confidentiality, it's like going to the government hospital. Especially that tall arrogant Dr who is always so condescending towards patients & disappears occasionally just to sit on his phone even during a consultation. Hire professionals for God's sake! I'm definitely changing my medical aid end of 2024 the fact that I'm paying 3800 for this ******* treatment is appalling
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Anonymous
1 reviews | Active since Jan 2020
29 Sept 2024, 15:26
Sisonke Rustenburg Medical centre, *******
All their doctors & nurses at the Rustenburg medical centre have zero professionalism. Dr's won't pay attention unless begged to do so otherwise they'll be busy on their cellphones. Your blood work is printed out & given to the receptionist to hand to the patient the doctors will broadcast at the reception what the nurses should assist you with while everyone is listening. By the time you leave that place even the cleaning lady will know exactly what you came there for. They don't respect patient confidentiality, it's like going to the government hospital. Especially that tall arrogant Dr who is always so condescending towards patients & disappears occasionally just to sit on his phone even during a consultation. Hire professionals for God's sake! I'm definitely changing my medical aid end of 2024 the fact that I'm paying 3800 for this ******* treatment is appalling
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