M
Medihelp
Verified Business
M
AI Review Summary
Based on recent customer reviews, Medihelp faces significant challenges across nearly every dimension of the customer experience. While a small number of members praise individual consultants and the CARE/DBC programmes, the overwhelming majority describe denied claims, opaque coverage terms, billing disputes after cancellation, and deeply frustrating communication failures. The business scores below 2.0 out of 5 on all five core industry themes.
Top Strengths:
- •Customer Service & Staff Quality: A handful of members name specific consultants like Linda, Elmarie Stoddard, and Petro Bester as compassionate and helpful. The webchat team and broker Rene DeVilliers receive praise for responsiveness and genuine care.
Service Quality Ratings
MetricScoreIndustry AvgBest in Class
Performance(last 12 months):
0Trustindex Rating
#12Ranked In Medical Aid
26 hours 1 minuteAverage Time To Reply
-78 NPSRecommended: Unlikely
Replied to 88% of negative reviews
Typically takes less than 26 hours 59 min to reply
TrustIndex
0
Score
Ranking
#12
in Medical Aid
Avg Reply
26 hours 1 minute
NPS Score
-78
Recommended: Unlikely
Replied to 88% of negative reviews
Typically takes less than 26 hours 59 min to reply
Review Distribution
1.3|84 Reviews
May '25 - Apr '26
5(7.7%)
4(0%)
3(0%)
2(2.6%)
1(89.7%)
5(7.7%)
4(0%)
3(0%)
2(2.6%)
1(89.7%)
Recent reviews (84)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceXN
Xoli N
1 reviews | Active since Jan 2020
18 Mar 2026, 12:28
authorization
Can medihelp, medihelp dental risk tell me what is the meaning of -authorization is subject to available funds in the members savings account from the date of authorization mean? What was my savings balance in February when authorization of 14k was given?
Helpful (0)
|Replies (0)XN
Xoli N
1 reviews | Active since Jan 2020
18 Mar 2026, 12:28
authorization
Can medihelp, medihelp dental risk tell me what is the meaning of -authorization is subject to available funds in the members savings account from the date of authorization mean? What was my savings balance in February when authorization of 14k was given?
0
Replies (0)CH
CANDICE H
1 reviews | Active since Jan 2020
17 Mar 2026, 18:29
SHOULD BE DEREGISTERED AS A MEDICAL SCHEMES. THEY OWE ME FOR PAIN AND SUFFERING
If I could give them no stars I would. Please do not join. They are the absolute worst. Also any simple investigation into the Medical Schemes Act would show that they are in violation of the law based on "internal protocols". As such they should be deregistered as a medical schemes. As a cancer patient I have been treated inhumanely and ********ly. I have logged an internal complaint as this is protocol before the Council for Medical schemes. My emails kept coming back undelivered from the ones listed on their site which is again a violation of the law. I am awaiting a case number and case manager. Be on the lookout for my full complaint as it will shock you. Never join this scheme!
Helpful (0)
|Replies (0)CH
CANDICE H
1 reviews | Active since Jan 2020
17 Mar 2026, 18:29
SHOULD BE DEREGISTERED AS A MEDICAL SCHEMES. THEY OWE ME FOR PAIN AND SUFFERING
If I could give them no stars I would. Please do not join. They are the absolute worst. Also any simple investigation into the Medical Schemes Act would show that they are in violation of the law based on "internal protocols". As such they should be deregistered as a medical schemes. As a cancer patient I have been treated inhumanely and ********ly. I have logged an internal complaint as this is protocol before the Council for Medical schemes. My emails kept coming back undelivered from the ones listed on their site which is again a violation of the law. I am awaiting a case number and case manager. Be on the lookout for my full complaint as it will shock you. Never join this scheme!
0
Replies (0)fB
farhaan B
1 reviews | Active since Jan 2020
16 Mar 2026, 19:46
Re: Ticket ID #52541 | MH7553986 | Hellopeter nr 1 of 10 March 2026 – MH7553986 – MedVital – Complaint regarding 35% Non-DSP hospital co-payment
So after the response to my review which was not in favour. I called around for Drs that works in the SO CALLED MEDIHELP PRESTIGE NETWORK OF DAY HOSPITALS. All the DR'S are fully booked until May because she will be a new patient to them they require her medical history because she is also an oncology patient. So basically where she suppose to have the procedure done last week by her DR who is a medihelp network DR and at a network hospital why we assumed we where paying more for open network. She now needs to go to her physician to do a medical work up then a referral to her oncologist to get a report then hope she gets an appointment at a DR. How much does this cost the patient and the member and WHEN will she get the test she actually needs. Bear she is 74 yrs with multiple heart conditions that what if she does the procedure in rooms and has an angina or cardiac episode on the prcedure table. Just because medihelp wanted to save a few rands. ALSO SPEAKING TO ALL THESE DR'S THAT WORK IN THE DAY NETWORK THEY ALL AGREED THAT THEY A FULLY BOOKED FOR THE SAME REASON THAT THE MEDICAL AIDS ARE FORCING THIS ON PATIENTS. This is the second week that she is continuous bleeding from her ****** and the surgeon again to afraid of the mighty medical aid cannot admit the patient because the criteria according to the medical aid i not necessitated. SO WHAT DOES THE GENIUS MEDIHELP DR'S SUGGEST SHE DOES ? DIE OR GET TREATED WHEN THINGS GET MESSY ?
Helpful (0)
|Replies (0)fB
farhaan B
1 reviews | Active since Jan 2020
16 Mar 2026, 19:46
Re: Ticket ID #52541 | MH7553986 | Hellopeter nr 1 of 10 March 2026 – MH7553986 – MedVital – Complaint regarding 35% Non-DSP hospital co-payment
So after the response to my review which was not in favour. I called around for Drs that works in the SO CALLED MEDIHELP PRESTIGE NETWORK OF DAY HOSPITALS. All the DR'S are fully booked until May because she will be a new patient to them they require her medical history because she is also an oncology patient. So basically where she suppose to have the procedure done last week by her DR who is a medihelp network DR and at a network hospital why we assumed we where paying more for open network. She now needs to go to her physician to do a medical work up then a referral to her oncologist to get a report then hope she gets an appointment at a DR. How much does this cost the patient and the member and WHEN will she get the test she actually needs. Bear she is 74 yrs with multiple heart conditions that what if she does the procedure in rooms and has an angina or cardiac episode on the prcedure table. Just because medihelp wanted to save a few rands. ALSO SPEAKING TO ALL THESE DR'S THAT WORK IN THE DAY NETWORK THEY ALL AGREED THAT THEY A FULLY BOOKED FOR THE SAME REASON THAT THE MEDICAL AIDS ARE FORCING THIS ON PATIENTS. This is the second week that she is continuous bleeding from her ****** and the surgeon again to afraid of the mighty medical aid cannot admit the patient because the criteria according to the medical aid i not necessitated. SO WHAT DOES THE GENIUS MEDIHELP DR'S SUGGEST SHE DOES ? DIE OR GET TREATED WHEN THINGS GET MESSY ?
0
Replies (0)fB
farhaan B
1 reviews | Active since Jan 2020
9 Mar 2026, 18:52
MEDIHELP DOES NOT HELP AT ALL
So my grandmother needs to have a G&C procedure done. She has multiple chronic conditions and oncology baskets active. She visited her specialists who app**** for the procedures authorization just to find out that there is 35% co payment for non network day procedure ****. Ironically the hospital and the Dr is on the network strange enough there is no day procedure network where the Dr can practice to have this co payment removed. Now my question arises a 75 year old frail patient paying extra in premiums to use any network and having being treated for years at the same hospital and the same team of DR's must now set search for a new team of Dr's bring them up to speed on her medical history while her condition deteriorates. I just do not se the logic in this. Also why is the list of network day procedures not shared in the beginning of the year with the member how must a 75 year old log on to a member zone ? Really this is such a slap in the face...
Helpful (0)
|Replies (0)fB
farhaan B
1 reviews | Active since Jan 2020
9 Mar 2026, 18:52
MEDIHELP DOES NOT HELP AT ALL
So my grandmother needs to have a G&C procedure done. She has multiple chronic conditions and oncology baskets active. She visited her specialists who app**** for the procedures authorization just to find out that there is 35% co payment for non network day procedure ****. Ironically the hospital and the Dr is on the network strange enough there is no day procedure network where the Dr can practice to have this co payment removed. Now my question arises a 75 year old frail patient paying extra in premiums to use any network and having being treated for years at the same hospital and the same team of DR's must now set search for a new team of Dr's bring them up to speed on her medical history while her condition deteriorates. I just do not se the logic in this. Also why is the list of network day procedures not shared in the beginning of the year with the member how must a 75 year old log on to a member zone ? Really this is such a slap in the face...
0
Replies (0)MH
Michelle H
1 reviews | Active since Jan 2020
26 Feb 2026, 11:02
Excellent service
I have worked with medical aids for over 10 years and would like to commend Medihelp on the service. Consultants are always friendly and professional. The time to answer the calls are excellent. Other schemes can really learn from this. Never left with questions after a call.
Helpful (0)
|Replies (0)MH
Michelle H
1 reviews | Active since Jan 2020
26 Feb 2026, 11:02
Excellent service
I have worked with medical aids for over 10 years and would like to commend Medihelp on the service. Consultants are always friendly and professional. The time to answer the calls are excellent. Other schemes can really learn from this. Never left with questions after a call.
0
Replies (0)LS
Lee S
1 reviews | Active since Jan 2020
17 Feb 2026, 20:58
Medihelp MedSaver co-payment abomination
We are at our wits end with Medihelp and their lack of client service. In 2025 we changed to MedSaver, when we did the change we were given the option to not have our co-payments be taken out of our Savings account as we have GAP cover. Firstly, they randomly reversed a payment which they had made to a doctor, tw and a half months after they made the first payment, for no reason and without communicating with us, which we only found out about when we received the account for the next procedure with the same doctor. With this procedure, they took the shortfall out of our savings account, which obliterated it for the year. No sooner did we get this reversed then we have another procedure by the same doctor and once again they take the shortfall out of our savings! This all being done AFTER we expressly chose the option for no co-payments or shortfalls to be taken out of our savings as we have GAP cover with Sirago. Medihelp communicated to us that they would submit any shortfalls to Sirago on our behalf, which they have not don to date. We have been Medihelp clients for the past 16 years, with no problems until we switched to MedSaver. Nobody gets back to you or your broker and Medihelp just does as they please. If I could give 0 stars, I would!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Helpful (0)
|Replies (0)LS
Lee S
1 reviews | Active since Jan 2020
17 Feb 2026, 20:58
Medihelp MedSaver co-payment abomination
We are at our wits end with Medihelp and their lack of client service. In 2025 we changed to MedSaver, when we did the change we were given the option to not have our co-payments be taken out of our Savings account as we have GAP cover. Firstly, they randomly reversed a payment which they had made to a doctor, tw and a half months after they made the first payment, for no reason and without communicating with us, which we only found out about when we received the account for the next procedure with the same doctor. With this procedure, they took the shortfall out of our savings account, which obliterated it for the year. No sooner did we get this reversed then we have another procedure by the same doctor and once again they take the shortfall out of our savings! This all being done AFTER we expressly chose the option for no co-payments or shortfalls to be taken out of our savings as we have GAP cover with Sirago. Medihelp communicated to us that they would submit any shortfalls to Sirago on our behalf, which they have not don to date. We have been Medihelp clients for the past 16 years, with no problems until we switched to MedSaver. Nobody gets back to you or your broker and Medihelp just does as they please. If I could give 0 stars, I would!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
0
Replies (0)kG
kalay G
1 reviews | Active since Jan 2020
17 Feb 2026, 18:44
Co payment
My son was severely sick in Jan, I took him to non pmb hospital. Medihelp covered the stay with the copayment of 35 %. When your child is sick, the closest hospital I took him without thinking, I had no idea he will end up with an infectious disease. Medihelp response to say that I had made an informed decision to go to a non prescribed hospital. Which person in their right mind, will go to a hospital, where they will pay extra, knowingly it wasn't the prescribed hospital. I as a parent was overwhelmed.
Helpful (0)
|Replies (0)kG
kalay G
1 reviews | Active since Jan 2020
17 Feb 2026, 18:44
Co payment
My son was severely sick in Jan, I took him to non pmb hospital. Medihelp covered the stay with the copayment of 35 %. When your child is sick, the closest hospital I took him without thinking, I had no idea he will end up with an infectious disease. Medihelp response to say that I had made an informed decision to go to a non prescribed hospital. Which person in their right mind, will go to a hospital, where they will pay extra, knowingly it wasn't the prescribed hospital. I as a parent was overwhelmed.
0
Replies (0)CL
Charl L
1 reviews | Active since Jan 2020
16 Feb 2026, 15:54
Medihelp *****ing money
I hereby wish to lodge a formal complaint regarding the handling of my medical aid upgrade request and the subsequent suspension of my membership. I requested an upgrade of my medical aid plan with Medihelp at the end of February 2026. Despite this, an amount of R5,682.00 was deducted from my bank account in January 2026, which is significantly higher than my previous monthly contribution. Based on the upgrade, the correct deduction should have been R4,164.00. Today, when I attended my doctor’s appointment for a routine check-up and a new blood pressure prescription, I was informed at the practice that my Medihelp membership had been suspended. At no point was I notified of any suspension, outstanding issues, or non-payment. This situation caused me extreme embarrassment and distress. I request an urgent investigation, immediate reinstatement of my membership, and written clarification regarding: The incorrect deduction amount The reason for the suspension Confirmation of my correct plan status going forward I expect this matter to be treated with urgency, as it directly affects my access to medical care.
Helpful (0)
|Replies (0)CL
Charl L
1 reviews | Active since Jan 2020
16 Feb 2026, 15:54
Medihelp *****ing money
I hereby wish to lodge a formal complaint regarding the handling of my medical aid upgrade request and the subsequent suspension of my membership. I requested an upgrade of my medical aid plan with Medihelp at the end of February 2026. Despite this, an amount of R5,682.00 was deducted from my bank account in January 2026, which is significantly higher than my previous monthly contribution. Based on the upgrade, the correct deduction should have been R4,164.00. Today, when I attended my doctor’s appointment for a routine check-up and a new blood pressure prescription, I was informed at the practice that my Medihelp membership had been suspended. At no point was I notified of any suspension, outstanding issues, or non-payment. This situation caused me extreme embarrassment and distress. I request an urgent investigation, immediate reinstatement of my membership, and written clarification regarding: The incorrect deduction amount The reason for the suspension Confirmation of my correct plan status going forward I expect this matter to be treated with urgency, as it directly affects my access to medical care.
0
Replies (0)