NM
Netcare Medical Scheme
Verified Business
NM
AI Review Summary
Based on recent customer reviews, Netcare Medical Scheme receives sharply divided feedback, with a recurring theme of frustration around the Netcare Plus gap cover product. Customers consistently mention unresolved claims, unanswered follow-ups, and call centre inefficiencies, with several describing empty promises and abrupt policy cancellations. A smaller group of members report genuinely positive experiences, particularly around accident-related claims being paid swiftly and hospital costs fully covered. Hospital service quality is also raised as inconsistent, with complaints about slow attendance and post-operative care undermining the private healthcare experience.
Performance(last 12 months):
TrustIndex
3.3
Ranking
#30
in Health & Medical
NPS Score
-50
Recommended: Unlikely
Review Distribution
1.6|18 Reviews
Jul '25 - Jun '26
Recent reviews (18)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your ExperienceA
Anonymous
1 reviews | Active since Jan 2020
19 May 2026, 12:42
Poor admin process
On my first claim in 3 years the process was a joke well not very funny as I had to sort the payment to supplier out. It took almost 3 months to get the payment sorted which then became a double payment to supplier mine and netcare gap cover The supplier was very quick and helpful to reimburse me I will admit that the people in the service centre at netcare plus tried their best to help but the admin on claims side is lacking service. They don't reply to mails at all So I am in process if getting a new gap cover supplier
Helpful (0)
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Anonymous
1 reviews | Active since Jan 2020
19 May 2026, 12:42
Poor admin process
On my first claim in 3 years the process was a joke well not very funny as I had to sort the payment to supplier out. It took almost 3 months to get the payment sorted which then became a double payment to supplier mine and netcare gap cover The supplier was very quick and helpful to reimburse me I will admit that the people in the service centre at netcare plus tried their best to help but the admin on claims side is lacking service. They don't reply to mails at all So I am in process if getting a new gap cover supplier
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Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
18 May 2026, 09:16
Netcare 911 Ambulance attempted to Kidnap me
This is to share my experience of being tried to be kidnapped by a Netcare 911 Ambulance in full filing doings similar to witchcraft (ukutwebula). This happened on the between 10 to 12 March 2025. Do you also Kidnap people with your Ambulances or you were not aware when the Ambulance was called? A case needs be opened. Your Ambulance visited Hill of Good Hope 2. Springfield Road in Midrand to Kidnap me with a family member? Do you partake in kidnapping also? A detailed reason for your visit on the day assist.
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Anonymous
1 reviews | Active since Jan 2020
18 May 2026, 09:16
Netcare 911 Ambulance attempted to Kidnap me
This is to share my experience of being tried to be kidnapped by a Netcare 911 Ambulance in full filing doings similar to witchcraft (ukutwebula). This happened on the between 10 to 12 March 2025. Do you also Kidnap people with your Ambulances or you were not aware when the Ambulance was called? A case needs be opened. Your Ambulance visited Hill of Good Hope 2. Springfield Road in Midrand to Kidnap me with a family member? Do you partake in kidnapping also? A detailed reason for your visit on the day assist.
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Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
15 May 2026, 09:15
Poor Service and Lack of Accountability from Accounts Department
I am extremely disappointed with the administrative and accounts handling at Netcare Olivedale Hospital. Despite having already settled my account and providing proof of payment (proof of payment submitted multiple times), I continue to receive repeated emails claiming that I have not paid. These messages have also caused unnecessary stress for my mother, who is currently ill, as she has been contacted as well. I have made several attempts to resolve this by calling different departments, including accounts and reception. Unfortunately, I was not assisted effectively. I was repeatedly redirected without resolution, and in some cases, staff were dismissive. When I asked for clarity on who to speak to in accounts, I was told to “call them myself,” which is not helpful considering I was already trying to resolve the issue through the correct channels. Even after speaking to staff members such as Michelle, I was told that departments “work in silos” and do not know who is responsible for what. This is unacceptable for a hospital administration system, where patient billing should be properly coordinated and traceable. Overall, the lack of communication between departments, poor customer service at reception, and failure to acknowledge proof of payment has made this a very frustrating experience. I hope management takes this seriously and improves both their billing processes and patient communication. I spoke to a Michelle, the receptionist who was rude and emailed Palesa Ngobeni.
Helpful (0)
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Anonymous
1 reviews | Active since Jan 2020
15 May 2026, 09:15
Poor Service and Lack of Accountability from Accounts Department
I am extremely disappointed with the administrative and accounts handling at Netcare Olivedale Hospital. Despite having already settled my account and providing proof of payment (proof of payment submitted multiple times), I continue to receive repeated emails claiming that I have not paid. These messages have also caused unnecessary stress for my mother, who is currently ill, as she has been contacted as well. I have made several attempts to resolve this by calling different departments, including accounts and reception. Unfortunately, I was not assisted effectively. I was repeatedly redirected without resolution, and in some cases, staff were dismissive. When I asked for clarity on who to speak to in accounts, I was told to “call them myself,” which is not helpful considering I was already trying to resolve the issue through the correct channels. Even after speaking to staff members such as Michelle, I was told that departments “work in silos” and do not know who is responsible for what. This is unacceptable for a hospital administration system, where patient billing should be properly coordinated and traceable. Overall, the lack of communication between departments, poor customer service at reception, and failure to acknowledge proof of payment has made this a very frustrating experience. I hope management takes this seriously and improves both their billing processes and patient communication. I spoke to a Michelle, the receptionist who was rude and emailed Palesa Ngobeni.
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Replies (0)A
Anonymous
1 reviews | Active since Jan 2020
8 Apr 2026, 11:53
A happy customer
I got paid for my gap cover difference in a day, i have no reason to complain, and Netcare plus policy is really helpful, I slipped and fell in the shower and I went to the hospital immediately, they covered Everything from consultation to Xray and when i went to pharmacy i was not asked to pay as everything was covered by Netcare plus policy
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Anonymous
1 reviews | Active since Jan 2020
8 Apr 2026, 11:53
A happy customer
I got paid for my gap cover difference in a day, i have no reason to complain, and Netcare plus policy is really helpful, I slipped and fell in the shower and I went to the hospital immediately, they covered Everything from consultation to Xray and when i went to pharmacy i was not asked to pay as everything was covered by Netcare plus policy
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Anonymous
1 reviews | Active since Jan 2020
7 Apr 2026, 09:54
Netcareplus Gap Cover - Don't take gap cover with this company
Pathetic - Do not take out this gap cover - they do not cover your gap claims as advertised. I am paying a large monthly subscription to Netcareplus Gap cover. I have submitted over 10 claims. On the one claim I received an email requesting more information. When I rep**** asking them what exact information they require - No response. On all the other claims - no response. I have phoned their customer call centre umteen times - the call centre people that are on the other end each time the call is disconnected, nobody bothers to call you back and the call centre agents are not fully trained and cannot answer any queries effectively or professionally. Pathetic service and pathetic company to try and deal with.
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Anonymous
1 reviews | Active since Jan 2020
7 Apr 2026, 09:54
Netcareplus Gap Cover - Don't take gap cover with this company
Pathetic - Do not take out this gap cover - they do not cover your gap claims as advertised. I am paying a large monthly subscription to Netcareplus Gap cover. I have submitted over 10 claims. On the one claim I received an email requesting more information. When I rep**** asking them what exact information they require - No response. On all the other claims - no response. I have phoned their customer call centre umteen times - the call centre people that are on the other end each time the call is disconnected, nobody bothers to call you back and the call centre agents are not fully trained and cannot answer any queries effectively or professionally. Pathetic service and pathetic company to try and deal with.
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Anonymous
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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Anonymous
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
0
Replies (0)A