AM
Anglo Medical Scheme
Unclaimed Business
AM
Anglo Medical Scheme
Unclaimed Business
2 Reviews (last 12 months)
Does not respond to reviews
Performance(last 12 months):
TrustIndex
0
Score
Ranking
#14
in Health & Medical
NPS Score
-100
Recommended: Unlikely
Review Distribution
1|2 Reviews
May '25 - Apr '26
5(0%)
4(0%)
3(0%)
2(0%)
1(100%)
5(0%)
4(0%)
3(0%)
2(0%)
1(100%)
Recent reviews (2)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceRL
Ruwaida L
1 reviews | Active since Jan 2020
9 Jan 2026, 10:28
AMS does not want to pay a claim they keep claiming unclear imaagw
I have submitted a claim twice now, claims dot keeps saying the image is unclear and I have scanned the reciept twice now nothing is unclear about the reciept that I am sending but they keep saying the image is unclear, is it to avoid paying the claim
Helpful (0)
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Ruwaida L
1 reviews | Active since Jan 2020
9 Jan 2026, 10:28
AMS does not want to pay a claim they keep claiming unclear imaagw
I have submitted a claim twice now, claims dot keeps saying the image is unclear and I have scanned the reciept twice now nothing is unclear about the reciept that I am sending but they keep saying the image is unclear, is it to avoid paying the claim
0
Replies (0)RL
Ruwaida L
1 reviews | Active since Jan 2020
4 Jul 2025, 10:50
Cancellation of Chronic Medication Benefi
I am writing a complaint in response to a letter I received today indicating that my chronic medication benefit will be cancelled due to an alleged lack of qualifying claims over the past 12 months. According to your communication, the claims history suggests that I have not accessed chronic medication for the registered condition(s). However, this is not accurate. In fact, just last month, I collected a prescription for Vyvanse, which is the chronic medication prescribed by my daughter Ziara Thomas’s paediatrician - Dr Tshigabe for her Attention Deficit Disorder. I have an active script for June as well, which I am happy to provide. These prescriptions are dispensed at Dischem and are submitted to the medical aid at the point of sale—so the transaction and chronic medication record should be visible in your claims history. Additionally, my daughter is also on Epilim for epilepsy, which should likewise qualify as a chronic medication. Given that these medications are clearly dispensed via the medical aid, I am concerned that this information has not been properly reflected in your assessment. Review the matter urgently and advise why the chronic medication benefit has been cancelled despite ongoing qualifying claims. I would appreciate a prompt resolution to avoid further disruption.
Helpful (0)
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Ruwaida L
1 reviews | Active since Jan 2020
4 Jul 2025, 10:50
Cancellation of Chronic Medication Benefi
I am writing a complaint in response to a letter I received today indicating that my chronic medication benefit will be cancelled due to an alleged lack of qualifying claims over the past 12 months. According to your communication, the claims history suggests that I have not accessed chronic medication for the registered condition(s). However, this is not accurate. In fact, just last month, I collected a prescription for Vyvanse, which is the chronic medication prescribed by my daughter Ziara Thomas’s paediatrician - Dr Tshigabe for her Attention Deficit Disorder. I have an active script for June as well, which I am happy to provide. These prescriptions are dispensed at Dischem and are submitted to the medical aid at the point of sale—so the transaction and chronic medication record should be visible in your claims history. Additionally, my daughter is also on Epilim for epilepsy, which should likewise qualify as a chronic medication. Given that these medications are clearly dispensed via the medical aid, I am concerned that this information has not been properly reflected in your assessment. Review the matter urgently and advise why the chronic medication benefit has been cancelled despite ongoing qualifying claims. I would appreciate a prompt resolution to avoid further disruption.
0
Replies (0)BM
Brian M
1 reviews | Active since Jan 2020
8 Apr 2024, 11:22
Anglo Medical Scheme Misrepresentation of Benefit
Hopefully this will serve as a warning to any current member of Anglo Medical Scheme who is hoping some time in the future to utilize the Frailcare Benefit purported to be one of the benefits offered by this scheme. My experience in respect of my recently deceased mother is that the offer of this benefit by AMS is a misrepresentation. My experience was as follows: My housemate attempted for over a month to obtain pre-authorisation for my mother after she had had a stroke and needed to be moved into frailcare. Anglo required that the facility be registered as a frailcare facility. Every frailcare facility that we approached advised us that such registration DOES NOT EXIST IN SOUTH AFRICA. Eventually I spoke to the person manning enquiries in the Pre-Authorisation Department and we agreed that the Nursing Sister managing the facility be registered appropriately and that this Nursing Sister be also registered with Discovery Health. This was done in respect of the Frailcare facility that we chose. I have submitted the claim to Anglo Medical Scheme TWICE and have been ignored...no payment and no communication at all. My mother passed away on 14 March so I have decided there is little point in taking this up with the Council of Medical Schemes. However I would like to make members of AMS aware that AMS will go out of its way to make it difficult, if not impossible, for you to enjoy this benefit. My mother was S M MacDonald.
Helpful (0)
|Replies (0)BM
Brian M
1 reviews | Active since Jan 2020
8 Apr 2024, 11:22
Anglo Medical Scheme Misrepresentation of Benefit
Hopefully this will serve as a warning to any current member of Anglo Medical Scheme who is hoping some time in the future to utilize the Frailcare Benefit purported to be one of the benefits offered by this scheme. My experience in respect of my recently deceased mother is that the offer of this benefit by AMS is a misrepresentation. My experience was as follows: My housemate attempted for over a month to obtain pre-authorisation for my mother after she had had a stroke and needed to be moved into frailcare. Anglo required that the facility be registered as a frailcare facility. Every frailcare facility that we approached advised us that such registration DOES NOT EXIST IN SOUTH AFRICA. Eventually I spoke to the person manning enquiries in the Pre-Authorisation Department and we agreed that the Nursing Sister managing the facility be registered appropriately and that this Nursing Sister be also registered with Discovery Health. This was done in respect of the Frailcare facility that we chose. I have submitted the claim to Anglo Medical Scheme TWICE and have been ignored...no payment and no communication at all. My mother passed away on 14 March so I have decided there is little point in taking this up with the Council of Medical Schemes. However I would like to make members of AMS aware that AMS will go out of its way to make it difficult, if not impossible, for you to enjoy this benefit. My mother was S M MacDonald.
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