Dis-Chem Health (Medical Insurance & Gap Cover)
Scores reflect the Overall AI Score for each category
Based on recent customer reviews, Dis-Chem Health (Medical Insurance & Gap Cover) is experiencing widespread frustration across nearly every service dimension. Members repeatedly describe denied claims, unauthorised debit orders after cancellation, unreachable call centres, and benefits that fail at the point of need. While a small group of agents like Lerato Masekela receive sincere praise, the dominant experience is one of administrative breakdown and broken promises during medical emergencies.
TrustIndex
3.8
NPS Score
-70
Recommended: Unlikely
Sep '25 - Aug '26
Based on recent customer reviews, Dis-Chem Health (Medical Insurance & Gap Cover) is experiencing widespread frustration across nearly every service dimension. Members repeatedly describe denied claims, unauthorised debit orders after cancellation, unreachable call centres, and benefits that fail at the point of need. While a small group of agents like Lerato Masekela receive sincere praise, the dominant experience is one of administrative breakdown and broken promises during medical emergencies.
The most common complaint about Dis-Chem Health (Medical Insurance & Gap Cover), based on Hellopeter's AI analysis of recent customer reviews, is Claims Processing & Authorisation. Claims Processing & Authorisation (1.1) is the most damaging theme. Members describe authorisations being granted and then revoked, emergency admissions denied while patients sit in casualty, claims rejected on technicalities like ICD-10 codes, and partial refunds with no explanation. The process feels designed to avoid paying.
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your Experience1 reviews | Active since Mar 2009
Great quick friendly service from Lerato Masekela. She was kind and got what I needed quickly
1 reviews | Active since Mar 2009
Great quick friendly service from Lerato Masekela. She was kind and got what I needed quickly
1 reviews | Active since Aug 2018
I highly recommend dischem-GAP. Submitting a claim is very easy and the turnaround time is unmatched. I received payment a few days after my claim was processed
1 reviews | Active since Aug 2018
I highly recommend dischem-GAP. Submitting a claim is very easy and the turnaround time is unmatched. I received payment a few days after my claim was processed
1 reviews | Active since Jun 2014
Lerato Masekela assisted me. Haven't always had such good service, but Lerato Masekela made everything worthwhile. She was friendly spoke so clear understood what I needed and sorted it out quickly. Keep up the excellent work Lerato
1 reviews | Active since Jun 2014
Lerato Masekela assisted me. Haven't always had such good service, but Lerato Masekela made everything worthwhile. She was friendly spoke so clear understood what I needed and sorted it out quickly. Keep up the excellent work Lerato
1 reviews | Active since Oct 2015
Sandy from Kaelo has consistently provided excellent service to our practice. She is always quick to respond to emails, closes queries efficiently, and has been incredibly helpful with member claims refunds. Her training on the Kaelo portal was also professional, clear, and very informative. Sandy is friendly, knowledgeable, and always willing to assist. We truly appreciate her outstanding support and excellent turnaround times.
1 reviews | Active since Oct 2015
Sandy from Kaelo has consistently provided excellent service to our practice. She is always quick to respond to emails, closes queries efficiently, and has been incredibly helpful with member claims refunds. Her training on the Kaelo portal was also professional, clear, and very informative. Sandy is friendly, knowledgeable, and always willing to assist. We truly appreciate her outstanding support and excellent turnaround times.
1 reviews | Active since Mar 2014
And once again, second month in a row my policy has been suspended for non payment. In the 1st instance (last month) they notified me that the debit order failed. There were funds in my account and my bank had no record of an attempted transaction. It took them several days to re-instate my services. It is now the 20th of the month and I have received notification that my services have been suspended due to non payment. My debit order is only supposed to go off on the 1st of the new month and there is no record from my bank that a transaction has been attempted. This is unacceptable as medical insurance is a critical service and they have failed me twice in a row. I would recommend people to STAY AWAY FROM DISCHEM HEALTH as they are *********** and completely unreliable. I am sorry I ever took them onboard as my medical service provider.
1 reviews | Active since Mar 2014
And once again, second month in a row my policy has been suspended for non payment. In the 1st instance (last month) they notified me that the debit order failed. There were funds in my account and my bank had no record of an attempted transaction. It took them several days to re-instate my services. It is now the 20th of the month and I have received notification that my services have been suspended due to non payment. My debit order is only supposed to go off on the 1st of the new month and there is no record from my bank that a transaction has been attempted. This is unacceptable as medical insurance is a critical service and they have failed me twice in a row. I would recommend people to STAY AWAY FROM DISCHEM HEALTH as they are *********** and completely unreliable. I am sorry I ever took them onboard as my medical service provider.
1 reviews | Active since Feb 2015
I've been on Dischem Health for almost two years and hardly used my Insurance benefits. When I used it for radiology in September 2025, the accounts were rejected. Reason was doctor's motivation letter had to get submitted. In November 2025, the motivation letter was submitted, but no response. In January 2026, I queried the matter and received a response on 8 January 2026, email stated motivation was referred to their Clinical team. To date, no response or outcome on the outstanding accounts. Meanwhile, Radiology24 has handed over the accounts for collection. I understand Dischem is new on the medical front, but the least they can do is to strive for excellence in order to make a dent in the market!!! I await patiently to see how long it takes their Clinical team to "assess" the Doctor's motivation for a mere shoulder Xray and an Abdominal sonar. It's not like I went for an MRI or CT scan which I know they don't cover
1 reviews | Active since Feb 2015
I've been on Dischem Health for almost two years and hardly used my Insurance benefits. When I used it for radiology in September 2025, the accounts were rejected. Reason was doctor's motivation letter had to get submitted. In November 2025, the motivation letter was submitted, but no response. In January 2026, I queried the matter and received a response on 8 January 2026, email stated motivation was referred to their Clinical team. To date, no response or outcome on the outstanding accounts. Meanwhile, Radiology24 has handed over the accounts for collection. I understand Dischem is new on the medical front, but the least they can do is to strive for excellence in order to make a dent in the market!!! I await patiently to see how long it takes their Clinical team to "assess" the Doctor's motivation for a mere shoulder Xray and an Abdominal sonar. It's not like I went for an MRI or CT scan which I know they don't cover
1 reviews | Active since Jun 2018
Ive been trying to re instate a plan for my 67 year old mother since the 1st of MAY ... The policy is due to expire on the 31st. I was sent a mail on the 8 informing me of the re instatement , with policy a schedule attached. Two day after that my mother received a message expressing that the policy is due to end on the 31st ? After i received the confirmation email. She is 67 years old i please would like to avoid any gaps in her coverage. i have had her on this plan for a year and a half now .. Please can someone assist. I am the main member I HAVE A TOTAL OF THREE plans with dischem health.. its taken me a month to try and re instate ... And still no luck
1 reviews | Active since Jun 2018
Ive been trying to re instate a plan for my 67 year old mother since the 1st of MAY ... The policy is due to expire on the 31st. I was sent a mail on the 8 informing me of the re instatement , with policy a schedule attached. Two day after that my mother received a message expressing that the policy is due to end on the 31st ? After i received the confirmation email. She is 67 years old i please would like to avoid any gaps in her coverage. i have had her on this plan for a year and a half now .. Please can someone assist. I am the main member I HAVE A TOTAL OF THREE plans with dischem health.. its taken me a month to try and re instate ... And still no luck
1 reviews | Active since May 2026
Received excellent assistance from outbound relationship specialist for Kaelo, Sandra M. Always eager to assist with any queries and providing swift responses in relation to a medical practice submitting claims to the insurer. Whether it's receiving feedback promptly or being helped with navigating through the online portal, she does it all!
1 reviews | Active since May 2026
Received excellent assistance from outbound relationship specialist for Kaelo, Sandra M. Always eager to assist with any queries and providing swift responses in relation to a medical practice submitting claims to the insurer. Whether it's receiving feedback promptly or being helped with navigating through the online portal, she does it all!
Dis-Chem Health (Medical Insurance & Gap Cover) has a TrustIndex of 3.8 out of 10 on Hellopeter, based on 136 reviews in the last 12 months. They reply to 99% of negative reviews, typically within 40 hours 56 min. Hellopeter has tracked Dis-Chem Health (Medical Insurance & Gap Cover) across 312 total reviews. How is the TrustIndex calculated? →
