Medshield
Based on recent customer reviews, Medshield receives overwhelmingly negative feedback across virtually every dimension of its service. Customers consistently describe frustrating claims rejections, poor communication, billing errors, and a lack of empathy from staff. While a handful of reviews praise individual consultants by name, the dominant experience is one of distress, unresolved queries, and feeling abandoned when medical aid is needed most.
Replied to 92% of negative reviews
Typically takes less than 15 hours 13 min to reply
TrustIndex
0
Score
Ranking
#12
in Medical Aid
Avg Reply
17 hours 12 minutes
NPS Score
-77
Recommended: Unlikely
Replied to 92% of negative reviews
Typically takes less than 15 hours 13 min to reply
May '25 - Apr '26
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 Jan 2020
I regret the day I joined this medical aid, if only I could see in the future to know I would have received a diagnosis of cancer I would never have left Discovery Health. I'm not getting any assistance I raised complaints no one has the decency to call me back, instead I'm having to call them almost every day and no one can give me a straight answer instead I'm having to call back to my doctor the agents are rude and lack empathy on the calls. I called the doctors office and even the secretary can confirm she was advised nothing else is needed however they don't proceed, she could even tell me of the agents lack of customer service and it's like they don't save notes as you having to explain every time. I'm left in distress as I'm having to worry. I would not recommend anyone to join on social media you just see the good because they hide the bad reviews.
1 reviews | Active since Jan 2020
I regret the day I joined this medical aid, if only I could see in the future to know I would have received a diagnosis of cancer I would never have left Discovery Health. I'm not getting any assistance I raised complaints no one has the decency to call me back, instead I'm having to call them almost every day and no one can give me a straight answer instead I'm having to call back to my doctor the agents are rude and lack empathy on the calls. I called the doctors office and even the secretary can confirm she was advised nothing else is needed however they don't proceed, she could even tell me of the agents lack of customer service and it's like they don't save notes as you having to explain every time. I'm left in distress as I'm having to worry. I would not recommend anyone to join on social media you just see the good because they hide the bad reviews.
1 reviews | Active since Jan 2020
I WAS HOSPITALIZED AT VISTA HOSPITAL FROM 27 APRIL 2024 FOR 29 DAYS. SOME MEDICATION CAUSED A SEVERE ALLERGIC REACTION, REQUIRING A GP AND FULL ALLERGY TESTS, WITH BLOODS SENT TO DR FAROOQ INC. (R4,592.40), WHICH STILL HASN’T BEEN PAID. MY PSYCHIATRIST DISCONTINUED DOPAQUEL, WHICH I HAD BEEN TAKING FOR YEARS AND WHICH MADE ME OBESE CLASS 3. HE RECOMMENDED A DIETICIAN (CONSULTED IN HOSPITAL, CLAIM DECLINED) AND PRESCRIBED OZEMPIC, WHICH I HAD TO PAY CASH BECAUSE YOUR COMPANY REFUSES. I ALSO HAVE A CHRONIC ILLNESS REQUIRING BLOOD TESTS EVERY SIX MONTHS UNDER PMB, YET VERMAAK HASN’T PAID SINCE 2022, CLAIMING “BENEFITS USED OUT.” PMBS ARE LEGALLY COVERED! YOUR HEARTLESS NEGLIGENCE IS CAUSING FINANCIAL AND EMOTIONAL STRESS—RESOLVE THESE CLAIMS IMMEDIATELY
1 reviews | Active since Jan 2020
I WAS HOSPITALIZED AT VISTA HOSPITAL FROM 27 APRIL 2024 FOR 29 DAYS. SOME MEDICATION CAUSED A SEVERE ALLERGIC REACTION, REQUIRING A GP AND FULL ALLERGY TESTS, WITH BLOODS SENT TO DR FAROOQ INC. (R4,592.40), WHICH STILL HASN’T BEEN PAID. MY PSYCHIATRIST DISCONTINUED DOPAQUEL, WHICH I HAD BEEN TAKING FOR YEARS AND WHICH MADE ME OBESE CLASS 3. HE RECOMMENDED A DIETICIAN (CONSULTED IN HOSPITAL, CLAIM DECLINED) AND PRESCRIBED OZEMPIC, WHICH I HAD TO PAY CASH BECAUSE YOUR COMPANY REFUSES. I ALSO HAVE A CHRONIC ILLNESS REQUIRING BLOOD TESTS EVERY SIX MONTHS UNDER PMB, YET VERMAAK HASN’T PAID SINCE 2022, CLAIMING “BENEFITS USED OUT.” PMBS ARE LEGALLY COVERED! YOUR HEARTLESS NEGLIGENCE IS CAUSING FINANCIAL AND EMOTIONAL STRESS—RESOLVE THESE CLAIMS IMMEDIATELY
1 reviews | Active since Jan 2020
I just joined Medshield as a new member, directly moving from Discovery Medical aid. I was never advised of any waiting periods as that should apply to people who have not been on medical aid for long periods. I logged a call and no one is helping. All my dependants who moved with me from Discovery except me the main member. This is very absured, I do not have any pending chronics and looming hospitilisation. This is BAD...REALLY REALLY BAD.
1 reviews | Active since Jan 2020
I just joined Medshield as a new member, directly moving from Discovery Medical aid. I was never advised of any waiting periods as that should apply to people who have not been on medical aid for long periods. I logged a call and no one is helping. All my dependants who moved with me from Discovery except me the main member. This is very absured, I do not have any pending chronics and looming hospitilisation. This is BAD...REALLY REALLY BAD.
1 reviews | Active since Jan 2020
This is bad guys I wouldn’t advise anyone to take chose medshield medical aid. Their service is extremely poor. It’s 16:00 pm now I’ve been waiting a call from claims manager regarding the error made by their agent no call but it was promised that he will call me at 12:00 pm. I spoke to Karabo this morning whom advise me my complaint is escalated to manager Sunjiph Manilal (claims manager) I also spoke to Karabo’s TL Reec who promised and this Manager will call me today before 1pm but no call. My appointment with my OB tomorrow depends on this call. Meaning I won’t be going tomorrow as heavily pregnant as I am with complications im not supposed to miss appointments especially now but it seems like I’m gonna miss one for tomorrow because of them. Should anything go wrong I want every one of them to be held accountable. This is bul**** honestly promise not kept to your clients who pay every month for such poor service. I’m going to escalate this further it won’t end here. If no one calls me before COB action will taken guy this is bad managers who can’t deliver. 0717791403 is my number nx
1 reviews | Active since Jan 2020
This is bad guys I wouldn’t advise anyone to take chose medshield medical aid. Their service is extremely poor. It’s 16:00 pm now I’ve been waiting a call from claims manager regarding the error made by their agent no call but it was promised that he will call me at 12:00 pm. I spoke to Karabo this morning whom advise me my complaint is escalated to manager Sunjiph Manilal (claims manager) I also spoke to Karabo’s TL Reec who promised and this Manager will call me today before 1pm but no call. My appointment with my OB tomorrow depends on this call. Meaning I won’t be going tomorrow as heavily pregnant as I am with complications im not supposed to miss appointments especially now but it seems like I’m gonna miss one for tomorrow because of them. Should anything go wrong I want every one of them to be held accountable. This is bul**** honestly promise not kept to your clients who pay every month for such poor service. I’m going to escalate this further it won’t end here. If no one calls me before COB action will taken guy this is bad managers who can’t deliver. 0717791403 is my number nx
1 reviews | Active since Jan 2020
Dear Medshield Medical Aid Management I am writing to formally express my disappointment with the handling of my mother’s admission at Fourways Hospital from 06 May to 09 May 2025. While the hospital stay was covered by her medical aid and the specialists’ claims were settled by Gap Cover, Fourways Hospital has now demanded R10,285 for two codes not approved by the medical aid. Throughout this process, I have had to make multiple calls to Medshield, only to be given messages to relay back to the hospital instead of receiving direct assistance. On 16 February, after persistent effort, I finally spoke with Hlengiwe from the pre-authorization department, who advised that a letter from DBC was required to confirm the treatment. I obtained this letter and submitted it to the Medical Aid Authorization Department. However, the codes are still declined. See attached It is unacceptable that my 79-year-old mother was expected to manage these stressful queries herself. I have had to intervene, spending significant time during working hours to resolve this matter. The lack of proper guidance and support from Medshield has added unnecessary stress and frustration to an already difficult situation. We pay substantial amounts for medical coverage, yet the service levels and accountability demonstrated in this case have been extremely disappointing. I request that Medshield urgently review this matter, provide clear communication, and ensure that the unjustified claim is withdrawn. I also expect Medshield to take accountability for the poor service and unnecessary distress caused.
1 reviews | Active since Jan 2020
Dear Medshield Medical Aid Management I am writing to formally express my disappointment with the handling of my mother’s admission at Fourways Hospital from 06 May to 09 May 2025. While the hospital stay was covered by her medical aid and the specialists’ claims were settled by Gap Cover, Fourways Hospital has now demanded R10,285 for two codes not approved by the medical aid. Throughout this process, I have had to make multiple calls to Medshield, only to be given messages to relay back to the hospital instead of receiving direct assistance. On 16 February, after persistent effort, I finally spoke with Hlengiwe from the pre-authorization department, who advised that a letter from DBC was required to confirm the treatment. I obtained this letter and submitted it to the Medical Aid Authorization Department. However, the codes are still declined. See attached It is unacceptable that my 79-year-old mother was expected to manage these stressful queries herself. I have had to intervene, spending significant time during working hours to resolve this matter. The lack of proper guidance and support from Medshield has added unnecessary stress and frustration to an already difficult situation. We pay substantial amounts for medical coverage, yet the service levels and accountability demonstrated in this case have been extremely disappointing. I request that Medshield urgently review this matter, provide clear communication, and ensure that the unjustified claim is withdrawn. I also expect Medshield to take accountability for the poor service and unnecessary distress caused.
1 reviews | Active since Jan 2020
Dear Yolanda.J (Team Leader Service Excellence), On such a platform where we're most likely prone to complain, I'd personally like to publically dedicate my 5-star rating and utmost gratitude to you as an individual in your own right. I do hope that whichever company you find yourself in (now or in future) appreciates you and values your hard work ethic when it comes to taking full ownership of customer complaints. This is by no means an easy task, and you handled it exceptionally going over and beyond to see things through. My daughter got her braces and the refund received. You just crossed my mind, and the very least I could do is to acknowledge you on such a platform so you get the bouquet as the gem that you really are. I hope to see a much deserved and elevated change in your email signature, where your title supercedes the current (and hopefully under different circumstances) as you continue to exemplify Excellence. Ngiyabonga ***hulu. @MedshieldHellopeter, This part of the review is for you... I understand you have dedicated people in your department to reply to online reviews, and I hope you'll do the needful by ensuring THIS particular review reaches all intended parties. If anything, I'd actually appreciate a reply to my review from anyone OTHER than yourselves and everyone else that I copied in my numerous emails that fell on deaf ears. There were so many different reference numbers and automated email responses from you, I'd suggest searching my email on your database because there's only one (thank goodness, right?). The road is very long here, Medshield. Mnk.
1 reviews | Active since Jan 2020
Dear Yolanda.J (Team Leader Service Excellence), On such a platform where we're most likely prone to complain, I'd personally like to publically dedicate my 5-star rating and utmost gratitude to you as an individual in your own right. I do hope that whichever company you find yourself in (now or in future) appreciates you and values your hard work ethic when it comes to taking full ownership of customer complaints. This is by no means an easy task, and you handled it exceptionally going over and beyond to see things through. My daughter got her braces and the refund received. You just crossed my mind, and the very least I could do is to acknowledge you on such a platform so you get the bouquet as the gem that you really are. I hope to see a much deserved and elevated change in your email signature, where your title supercedes the current (and hopefully under different circumstances) as you continue to exemplify Excellence. Ngiyabonga ***hulu. @MedshieldHellopeter, This part of the review is for you... I understand you have dedicated people in your department to reply to online reviews, and I hope you'll do the needful by ensuring THIS particular review reaches all intended parties. If anything, I'd actually appreciate a reply to my review from anyone OTHER than yourselves and everyone else that I copied in my numerous emails that fell on deaf ears. There were so many different reference numbers and automated email responses from you, I'd suggest searching my email on your database because there's only one (thank goodness, right?). The road is very long here, Medshield. Mnk.
1 reviews | Active since Jan 2020
Very very disappointed in medshield medical aid!!! Will never ever reccomend to anyone!!!! I have to go for an operation as i cannot eat or swallow properly and living in constant pain and yet medshield declined my authirisation after doctor motivation as well as proof that i nees to go they feel it is not pmd and not needed then asked if I can upgrade my plan and also another door shut in my face as only in novemeber it is done!!! Thank you to who ever think it is ok to live the way I have to live !!! Very quick to take our money every month but when it comes to paying nowhere to be found!!! never been on a medical aid worse than this
1 reviews | Active since Jan 2020
Very very disappointed in medshield medical aid!!! Will never ever reccomend to anyone!!!! I have to go for an operation as i cannot eat or swallow properly and living in constant pain and yet medshield declined my authirisation after doctor motivation as well as proof that i nees to go they feel it is not pmd and not needed then asked if I can upgrade my plan and also another door shut in my face as only in novemeber it is done!!! Thank you to who ever think it is ok to live the way I have to live !!! Very quick to take our money every month but when it comes to paying nowhere to be found!!! never been on a medical aid worse than this
1 reviews | Active since Jan 2020
I have been a Medshield member for 13 years. When I needed assistance with a claim, my claim was refused and I did not receive the support I expected after over a decade of membership. Based on my experience, this has been the worst medical aid experience I have had. I feel extremely disappointed and let down. I would advise others to carefully review their options before choosing Medshield.
1 reviews | Active since Jan 2020
I have been a Medshield member for 13 years. When I needed assistance with a claim, my claim was refused and I did not receive the support I expected after over a decade of membership. Based on my experience, this has been the worst medical aid experience I have had. I feel extremely disappointed and let down. I would advise others to carefully review their options before choosing Medshield.
Based on recent customer reviews, this business delivers a consistently strong customer experience anchored by outstanding agent quality and rapid communication. Customers frequently name individual consultants and praise their friendliness, patience, and professionalism. Recurring praise is given to claims and roadside assistance, though a vocal minority report frustrating delays, rejected claims, and poor transparency around premium increases.
This business's biggest strength, according to Hellopeter's AI analysis, is Agent Quality & Customer Care. Named consultants are praised repeatedly for patience, friendliness, and going above and beyond. Words like 'amazing,' 'star,' and 'gem' appear frequently, reflecting genuinely caring human interactions.
The most common complaint, based on Hellopeter's AI analysis of recent customer reviews, is Pricing, Premiums & Transparency. Customers appreciate premium reductions upon request but complain about unexplained annual increases, hidden excess charges, and debits continuing after cancellation. Transparency at policy inception is a recurring gap.
Industry comparison data is calculated from each business's overall AI Score against the industry average. Strongest themes typically include Agent Quality and Communication; weakest tend to be Repair Quality and Pricing. How is the AI Score calculated? →
Hellopeter's TrustIndex is a 0–10 score based on review star ratings, reply speed, and recent activity over the last 12 months. How is the TrustIndex calculated? →
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