
SISONKE HEALTH
About Us
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.
Documents
Member Guides
Contact Us

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
Active Disease Risk Management
Tel: 0860 106 155

Membership and Contribution Enquiries
Member Refund Claims
Email: Claims@sisonkehealth.co.za
Client Services
Email: Info@sisonkehealth.co.za
First Time Claim Submissions

Hospital Claims Queries
Provider Paper Claims
First Time Provider Paper Claims
Pathology Managed Care Queries (Including results)
In-Hospital Provider Claims Queries
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
Hospital Authorisations
Email: Hospauth@sisonkehealth.co.za
In-Hospital Clinical Updates
HIV (Aid For Aids)
Email: Afa@sisonkehealth.co.za
Oncology Authorisations
Email: Oncology@sisonkehealth.co.za
Disclaimer
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.

