We are a dedicated medical aid provider serving the mining community, committed to delivering accessible, reliable, and high-quality healthcare support. With a deep understanding of the unique challenges faced by mining employees and their families, we design solutions that prioritise wellbeing, safety, and long-term health.

Our approach combines industry expertise with a member-first mindset, ensuring that every individual has access to the care, resources, and support they need, when they need it most. 



Operating Hours

Monday – Friday
08:30 – 17:00

Customer Service

Tel: 0860 104 012

“Please Call Me” – SMS

Sms: 41855

Report Fraud , Waste and Abuse Whistle Blowers Hotline

Tel: 0800 112 811
Email: information@wistleblowing.co.za
Email: fraud@medscheme.co.za

Fraud Online Reporting

Web: www.whistleblowing.co.za

Active Disease Risk Management

Tel: 0860 106 155

Membership and Contribution Enquiries

Email: Membership@sisonkehealth.co.za

Member Refund Claims

Email: Claims@sisonkehealth.co.za

Client Services

Email: Info@sisonkehealth.co.za

First Time Claim Submissions

Email: Firsttimeclaims@medscheme.co.za

Hospital Claims Queries

Email: Claimsmanagement@medscheme.co.za

Provider Paper Claims

Email: Providerclaims@sisonkehealth.co.za

First Time Provider Paper Claims

Email: VRGcurrentclaims@medscheme.co.za

Pathology Managed Care Queries (Including results)

Email: Pathologyprog@medscheme.co.za

In-Hospital Provider Claims Queries

Email: HCPPMBqueries@medscheme.co.za

Chronic Medicine Authorisation

Email: Chronic@sisonkehealth.co.za

Specialist Referral Authorisations

Email: Specauth@Sisonkehealth.co.za

Ambulatory Prescribed Minimum Benefits

Email: Apmb@sisonkehealth.co.za

Active Disease Risk Management

Email: Membercare@sisonkehealth.co.za

Hospital Authorisations

Email: Hospauth@sisonkehealth.co.za

In-Hospital Clinical Updates

Email: Casemanagers@sisonkehealth.co.za

HIV (Aid For Aids)

Email: Afa@sisonkehealth.co.za

Oncology Authorisations

Email: Oncology@sisonkehealth.co.za

Although every effort has been made to ensure that this website gives and accurate explanation of the benefits offered by Sisonke Medical Scheme, please note that this site does not replace the Rules of the Scheme, which take precedence over any wording on the website. A copy of the Scheme Rules is available in your Member Guide. 

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