NM
Netcare Medical Scheme
Verified Business
NM
Netcare Medical Scheme
Verified Business
14 Reviews (last 12 months)
Responds in 46 hours 43 min
AI Review Summary
Based on recent customer reviews, Netcare Medical Scheme faces widespread criticism across claims handling, communication and service delivery. Customers repeatedly report ignored claims, broken callback promises and unresolved refund requests. Gap cover members describe policies being cancelled without valid reason and claims being rejected despite stated benefits. Hospital service complaints highlight extremely long wait times and poor post-operative care. Administrative errors, such as incorrect benefit deductions and missing membership cards, compound frustration. One positive review praised the accidental cover plan for honouring commitments following a child's injury.
Performance(last 12 months):
0Trustindex Rating
#14Ranked In Health & Medical
46 hours 43 minutesAverage Time To Reply
-67 NPSRecommended: Unlikely
Replied to 83% of negative reviews
Typically takes less than 55 hours 43 min to reply
TrustIndex
0
Score
Ranking
#14
in Health & Medical
Avg Reply
46 hours 43 minutes
NPS Score
-67
Recommended: Unlikely
Replied to 83% of negative reviews
Typically takes less than 55 hours 43 min to reply
Review Distribution
1.4|14 Reviews
May '25 - Apr '26
5(7.7%)
4(0%)
3(7.7%)
2(0%)
1(84.6%)
5(7.7%)
4(0%)
3(7.7%)
2(0%)
1(84.6%)
Frequently Asked Questions About Netcare Medical Scheme
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.
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? →
Recent reviews (14)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceC
C
Colin
1 reviews | Active since Jan 2020
17 Feb 2026, 12:08
Worst service provider ever
This is how bad this service provider is, on the 11th of February they said someone will contact me. The 17th of February and still nothing, please people dont trust this scheme. Empty promises is all that they are good for
Helpful (0)
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Colin
1 reviews | Active since Jan 2020
17 Feb 2026, 12:08
Worst service provider ever
This is how bad this service provider is, on the 11th of February they said someone will contact me. The 17th of February and still nothing, please people dont trust this scheme. Empty promises is all that they are good for
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Replies (0)C
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Terry F
1 reviews | Active since Jan 2020
6 Feb 2026, 08:37
Poor hospital care
Never have I had such poor post op care infact it was nonexistent existant. My bell did not work so I had to ask people around me to please call for a nurse to assist this happened 3 times and they had to called twice on each occasion. Then I was not told to collect medication at the pharmacy and I am still waiting for the refund of that cost. Then we go onto the refunds department. It has taken them 2 weeks to get to my request and then I get told it would be done by Wedsnesday the latest. We'll I've been getting sms and emails saying its been done, but no money in my bank account. Today the supervisor blatantly **** to me snd said it would be paid today. I then asked for the manager she tells me its only judt been approved. So let's see if I get my refund today as I insisted.
Helpful (0)
|Replies (0)TF
Terry F
1 reviews | Active since Jan 2020
6 Feb 2026, 08:37
Poor hospital care
Never have I had such poor post op care infact it was nonexistent existant. My bell did not work so I had to ask people around me to please call for a nurse to assist this happened 3 times and they had to called twice on each occasion. Then I was not told to collect medication at the pharmacy and I am still waiting for the refund of that cost. Then we go onto the refunds department. It has taken them 2 weeks to get to my request and then I get told it would be done by Wedsnesday the latest. We'll I've been getting sms and emails saying its been done, but no money in my bank account. Today the supervisor blatantly **** to me snd said it would be paid today. I then asked for the manager she tells me its only judt been approved. So let's see if I get my refund today as I insisted.
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Replies (0)C
AS
Arthur S
1 reviews | Active since Jan 2020
9 Jan 2026, 07:52
YOU PAY THE MONTHLY PREMIUM BUT WHEN ITS THEIR TURN TO PAY WHAT IS DUE TO YOU AS A CLIENT THEY DONT WANT TO PAY - THEY WILL DRAG THE PAYMENTS FOR MONTHS WHILE YOU INCURE PENALTIES
would like to warn South Africans about this **** called NETCARE PLUS GAP COVER , a claim was submitted on the 27/11/2025,in December the back and forth started when I was doing a follow-up on my claim , one of their consultants Thapelo send me and email stating that a payment(claim) will be made/processed into my bank account on the 7th Jan 2025 and on their clause or benefit it states that : "Co-payments - You will be protected against upfront co-payment for each certain day procedure,like scopes or scans performed in hospital or day clinic".Last night I receive an email stating that they dont cover short-falls for procedures performed in the hospital_60010567. SOUTH AFRICANS PLEASE DO NOT FALL FOR NETCARE PLUS LIES AND DONT JOIN THESE ****** BUT LOOK FOR OTHER GAP COVERS
Helpful (0)
|Replies (0)AS
Arthur S
1 reviews | Active since Jan 2020
9 Jan 2026, 07:52
YOU PAY THE MONTHLY PREMIUM BUT WHEN ITS THEIR TURN TO PAY WHAT IS DUE TO YOU AS A CLIENT THEY DONT WANT TO PAY - THEY WILL DRAG THE PAYMENTS FOR MONTHS WHILE YOU INCURE PENALTIES
would like to warn South Africans about this **** called NETCARE PLUS GAP COVER , a claim was submitted on the 27/11/2025,in December the back and forth started when I was doing a follow-up on my claim , one of their consultants Thapelo send me and email stating that a payment(claim) will be made/processed into my bank account on the 7th Jan 2025 and on their clause or benefit it states that : "Co-payments - You will be protected against upfront co-payment for each certain day procedure,like scopes or scans performed in hospital or day clinic".Last night I receive an email stating that they dont cover short-falls for procedures performed in the hospital_60010567. SOUTH AFRICANS PLEASE DO NOT FALL FOR NETCARE PLUS LIES AND DONT JOIN THESE ****** BUT LOOK FOR OTHER GAP COVERS
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Replies (0)AN
Amanda N
1 reviews | Active since Jan 2020
5 Jan 2026, 07:54
Netcare Gap cover - Nightmar3
I would like to warn everyone against moving to Netcare Gap cover. Their administration is an absolute nightmare. I confirmed my policy early December and effectively cancelled my previous policy to move to Netcare which was a more affordable premium. I then receive an email stating my policy is cancelled immediately, this was 4 days into the new month. They provided no reason and no feedback. I waited on their call centre which took 30 mins and the call cut 4 times due to very inefficient voice prompt options. Thereafter I was told I was cancelled due to non-payment however my premium is only due on the 25th of January. The consultant was really unhelpful. I cannot imagine the stress and a claim stage.
Helpful (0)
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Amanda N
1 reviews | Active since Jan 2020
5 Jan 2026, 07:54
Netcare Gap cover - Nightmar3
I would like to warn everyone against moving to Netcare Gap cover. Their administration is an absolute nightmare. I confirmed my policy early December and effectively cancelled my previous policy to move to Netcare which was a more affordable premium. I then receive an email stating my policy is cancelled immediately, this was 4 days into the new month. They provided no reason and no feedback. I waited on their call centre which took 30 mins and the call cut 4 times due to very inefficient voice prompt options. Thereafter I was told I was cancelled due to non-payment however my premium is only due on the 25th of January. The consultant was really unhelpful. I cannot imagine the stress and a claim stage.
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Replies (0)EM
Edwin M
1 reviews | Active since Jan 2020
13 Nov 2025, 13:24
Service was excellent but administration went wrong
Attended the Hospital in May and the service was excellent, There was a prime that had to pay and paid with my account, For somehow reason it was never updated by admin, Sent an e-mail, handed a proof of hardcopy payment to the building, but for a surprise was handed over to attorneys. Confused because have to do a re-print and send to their attorney but additionally required a receipt which was not granted.
Helpful (0)
|Replies (0)EM
Edwin M
1 reviews | Active since Jan 2020
13 Nov 2025, 13:24
Service was excellent but administration went wrong
Attended the Hospital in May and the service was excellent, There was a prime that had to pay and paid with my account, For somehow reason it was never updated by admin, Sent an e-mail, handed a proof of hardcopy payment to the building, but for a surprise was handed over to attorneys. Confused because have to do a re-print and send to their attorney but additionally required a receipt which was not granted.
0
Replies (0)