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Medscheme

Verified Business
|1.2
19 Reviews (last 12 months)
Responds in 5h 38m
AI Review Summary

Based on recent customer reviews, Medscheme is drawing sustained criticism from medical aid members and healthcare practices, particularly around the Bonitas administration wind-down and transition to Momentum. Members describe cancelled benefits, unpaid claims, missing tax report breakdowns and unanswered emails to the wind-down query address, with reference numbers generated but never resolved. Oncology, PMB and chronic medication cases attract the strongest anger, alongside slow pre-authorisations and providers waiting months for banking details to load. Call centre agents are described as rude, contradictory or unreachable. One former employee praised Medscheme as an employer.

Performance(last 12 months):
Trustindex Rating
2.1
Reply Time
5h 38m
NPS Score
-100Unlikely

Replied to 17% of negative reviews

Reply time on negative reviews: 5h 38m

Review Distribution
1.2|19 Reviews

Nov '25 - Oct '26

Frequently Asked Questions About Medscheme

What do customers say about Medscheme?

Based on recent customer reviews, Medscheme is drawing sustained criticism from medical aid members and healthcare practices, particularly around the Bonitas administration wind-down and transition to Momentum. Members describe cancelled benefits, unpaid claims, missing tax report breakdowns and unanswered emails to the wind-down query address, with reference numbers generated but never resolved. Oncology, PMB and chronic medication cases attract the strongest anger, alongside slow pre-authorisations and providers waiting months for banking details to load. Call centre agents are described as rude, contradictory or unreachable. One former employee praised Medscheme as an employer.

Is Medscheme trustworthy?

Medscheme has a TrustIndex of 2.1 out of 10 on Hellopeter, based on 19 reviews in the last 12 months. They reply to 17% of negative reviews, typically within 5 hours 38 min. Hellopeter has tracked Medscheme across 408 total reviews. How is the TrustIndex calculated? →

Recent reviews (19)

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NC
Nonhlanhla C

1 reviews | Active since Mar 2024

8 Oct 2026, 08:07

Lack of knowledge by your Customer care consultants on Sisonke Health Medical Scheme

I am very concerned about how your consultants lack knowledge on Sisonke Health Medical Scheme and use the portal as an excuse all the time.It used to take Momentum Health less than 2minutes to get queries like specialist auth or claim concerns fixed.You will be lucky to get such issues resolved telephonically at Medscheme in less than 15minutes.Training and Supervision is needed at your customer care.

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Mapitse K

1 reviews | Active since Aug 2026

21 Aug 2026, 12:12

Cancelations of my Bonitas medical aid benefits

Cancelation of my Benefits from Bonitas My name is Jane Kwadi I am pensioner from Randwest Municipality, I am on Bonitas Medical aid which was managed by Medscheme been paying every month which I have proof of, then on April 2026 they said Bonitas was changed to Momentum, my benefits were canceled, when I contact Momentum they said they didn't receive my data from Medscheme they asked for proof of payment I send the POPs but still nothing is been done its almost 3months without any assistance, then I contacted Medscheme my Medical aid was canceled on November 2026 while I was paying. Still have proof of payment. I would like to have assistance as I am on chronic medication which I dont receive cause have to pay cash to get meanwhile am paying for medical aid

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samjooste S

1 reviews | Active since May 2017

30 Jul 2026, 13:28

*********

I have emailed *** numerous times and still they do not respond! I am going to keep reviewing you until you give me my tax report breakdown. Not the tax certificate, I already have that. The detailed tax breakdown from 1 March 2025- 28 February 2026 showing all claims processed and paid or not. You cannot withhold the required information from me as I will not be able to submit my SARS tax return. This is ********* and ******* I have now reported you to SARS and to the Chamber of Medical Schemes. Escalate this, do not phone me, email only ***

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samjooste S

1 reviews | Active since May 2017

26 Jul 2026, 19:08

Withholding tax information from me

I am going to keep reviewing you until you give me my tax report breakdown. Not the tax certificate, I already have that. The detailed tax breakdown from 1 March 2025- 28 February 2026 showing all claims processed and paid or not. Bonitas said to email *** which I have been doing for weeks with various reference numbers. However, no-one responds. This is *******. You cannot withhold the required information from me as I will not be able to submit my SARS tax return. I will report you to SARS and to the Chamber of Medical Schemes. Escalate this, do not phone me, email only 1 ***

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samjooste S

1 reviews | Active since May 2017

22 Jul 2026, 13:33

Failure to provide my tax report breakdown

I have been sent back and forth between Bonitas and Medscheme. All I want is my medical aid tax report BREAKDOWN (from 1March 2025 to 28 February 2026). Without this I cannot complete my SARS income tax. I have spoken to Bonitas who referred me to *** to provide me with my tax report breakdown urgently. I have sent numerous emails requesting this. If you do not provide me with my tax report breakdown, I am going to lodge a complaint with Chamber of Medical Schemes, just like I have done with Bonitas. Please note: I already have the tax certificate, I need the detailed breakdown. Do not phone me, email me only.

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Angel M

1 reviews | Active since May 2015

1 Jul 2026, 18:05

REPORTING YOU TO THE CMS!! PATHETIC!!!

I wish I could give you 0 stars! In May our medical aid Changed over to your administration and since then it has been a complete and Utter mess! You are claiming you have no record of my son and my treatment. Last year my son was in ICU for 4 weeks, picu for 2 weeks and rehabilitation center for 6 weeks because he has Guillain-Barre..see I wish as your system put it doesn't exist because last year was HELL and we didn't live that nightmare BUT WE DID! My son was 6... His treatment now needs to stop because you keep denying all the applications even though all the reports and letters and everything has been sent to you! This is a PMB case and you are refusing treatment and no 1 can answer us... Then is is my issue, I was getting treated by a neurologist and my medication has been denied and visits been denied... So you guys are just out here waiting for what? Your call center is RUDE... So please tell me when do I report you to the CMS? Because I am tired... If I have a siezure and something happens to me because I can't get my meds ? My son doesn't recover properly ?

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Nontokazi M

1 reviews | Active since Jun 2026

19 Jun 2026, 16:16

SAVINGS REFUND

Hi, I am VERY VERY VERY ANGRY at the service im getting for my SAVINGS REFUND,ITS BEEN 7 MONTHS, 7 MONTHS OF LIES AND LIES i was told my refund would be done in May, I sent all relevant documents and forms, but nothing, its been 7 months already, and my claim is still sitting at Finance department, No communication NOTHING!! i am really angry and Disgusted about the lies and empty promises Medsheme is giving me, Momentum TOOK OVER AND THEY TELLING ME THAT THEY DONT HAVE MY DETAILS, THEY KNOW NOTHING ABOUT ME, please REFUND MY MONEY AS SOON AS POSSIBLE

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Anette K

1 reviews | Active since Jun 2026

18 Jun 2026, 18:48

I worked at Medschem...

I worked at Medscheme for 24 years and they have treated me like gold, gave me all the experience that I have today

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