Scores reflect the Overall AI Score for each category
Based on recent customer reviews, Bankmed is described by members as a scheme where administrative failures overshadow occasional excellent service. Customers consistently report authorised claims left unpaid, declined chronic medication and unanswered follow ups, with Claims Processing & Authorisation (0.6) and Billing, Payments & Account Management (0.6) drawing the sharpest criticism. A recurring theme is that individually named consultants deliver outstanding help, lifting Customer Service & Staff Quality (1.2) slightly above the rest.
Top Strengths:
- •Customer Service & Staff Quality: The strongest theme, carried almost entirely by individual consultants. Members name Luvuyo, Chanay, Riaaz Khan, Lebogang Sijila and Lizo as knowledgeable, patient and willing to go beyond their brief, and long standing members recall consistently professional call centre treatment.
Replied to 100% of negative reviews
Reply time on negative reviews: 3h 16m
TrustIndex
3.6
Ranking
#6
in Medical Aid
Reply Time
3h 59m
NPS Score
-83
Recommended: Unlikely
Replied to 100% of negative reviews
Reply time on negative reviews: 3h 16m
Dec '25 - Nov '26
Frequently Asked Questions About Bankmed
What do customers say about Bankmed?
Based on recent customer reviews, Bankmed is described by members as a scheme where administrative failures overshadow occasional excellent service. Customers consistently report authorised claims left unpaid, declined chronic medication and unanswered follow ups, with Claims Processing & Authorisation (0.6) and Billing, Payments & Account Management (0.6) drawing the sharpest criticism. A recurring theme is that individually named consultants deliver outstanding help, lifting Customer Service & Staff Quality (1.2) slightly above the rest.
What is Bankmed's biggest strength?
Bankmed's biggest strength, according to Hellopeter's AI analysis, is Customer Service & Staff Quality. The strongest theme, carried almost entirely by individual consultants. Members name Luvuyo, Chanay, Riaaz Khan, Lebogang Sijila and Lizo as knowledgeable, patient and willing to go beyond their brief, and long standing members recall consistently professional call centre treatment.
What are the most common complaints about Bankmed?
The most common complaint about Bankmed, based on Hellopeter's AI analysis of recent customer reviews, is Communication & Responsiveness. Members describe emails to claims, escalations and even executive addresses going unanswered for weeks. Promised callbacks from agents, team leaders and client relationship managers repeatedly fail, and one member was told a required document existed only as an internal system note.
How does Bankmed compare to other Medical Aid companies?
Bankmed scores 0.8 out of 5 on Hellopeter's AI analysis of service quality in Medical Aid, compared to the Medical Aid industry average of 1.8. Their strongest theme is Customer Service (1.2); their weakest is Claims Processing (0.6). The top AI-rated Medical Aid business on Hellopeter is AGS Health (4.1). How is the AI Score calculated? →
Is Bankmed trustworthy?
Bankmed has a TrustIndex of 3.6 out of 10 on Hellopeter, based on 91 reviews in the last 12 months. They reply to 100% of negative reviews, typically within 3 hours 16 min. Hellopeter has tracked Bankmed across 1,569 total reviews. How is the TrustIndex calculated? →
Recent reviews (91)
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 Apr 2020
Poor service from Bankmed
Poor service received from Bankmed. They will not accept a pro forma invoice and proof of payment for a claim. It must be a tax invoice, resulting in me having to travel back to Ampath to obtain a tax invoice. The consultant at Bankmed to whom I spoke this morning made we wait nearly 15m without referring back to me on my request to speak to a senior representative, resulting in me ending the call. Quick to collect your monies but very slow to assist! j Esterhuizen ***
1 reviews | Active since Apr 2020
Poor service from Bankmed
Poor service received from Bankmed. They will not accept a pro forma invoice and proof of payment for a claim. It must be a tax invoice, resulting in me having to travel back to Ampath to obtain a tax invoice. The consultant at Bankmed to whom I spoke this morning made we wait nearly 15m without referring back to me on my request to speak to a senior representative, resulting in me ending the call. Quick to collect your monies but very slow to assist! j Esterhuizen ***
1 reviews | Active since May 2023
Horrible
Yet again . Extremely disappointed in the terrible service from bankmed. I need an explanation on why doctors invoices are not being paid for an approved procedure. I also have not received feedback from *** . I want a detailed explanation on why the anaesthesiologist's and surgeons payment was declined despite the approved hospital authorization. Whether you Liaised directly with the relevant provider, if necessary, to resolve the payment issue. Provide written confirmation that the claim will be processed and that no further action is required from my side Such a useless medical aid . I'm so angry because instead of recovering I am having to go back and forth with bankmed yet again
1 reviews | Active since May 2023
Horrible
Yet again . Extremely disappointed in the terrible service from bankmed. I need an explanation on why doctors invoices are not being paid for an approved procedure. I also have not received feedback from *** . I want a detailed explanation on why the anaesthesiologist's and surgeons payment was declined despite the approved hospital authorization. Whether you Liaised directly with the relevant provider, if necessary, to resolve the payment issue. Provide written confirmation that the claim will be processed and that no further action is required from my side Such a useless medical aid . I'm so angry because instead of recovering I am having to go back and forth with bankmed yet again
1 reviews | Active since May 2023
Horrible medical aid
Bankmed is the most useful medical aid. They approved me for a procedure in an October and now when it's time to pay the doctors they are telling me the the pre-authorization declined due to the procedure being an excluded benefit . How? When I have an approval letter after my Dr wrote a motivation. Do not join these horrible medical aid . It's expensive , terrible benefits and just poor administrative service
1 reviews | Active since May 2023
Horrible medical aid
Bankmed is the most useful medical aid. They approved me for a procedure in an October and now when it's time to pay the doctors they are telling me the the pre-authorization declined due to the procedure being an excluded benefit . How? When I have an approval letter after my Dr wrote a motivation. Do not join these horrible medical aid . It's expensive , terrible benefits and just poor administrative service
1 reviews | Active since Jul 2021
I would like to request an urgent update regarding the settlement of my hospital ***. The hospital has informed me
I would like to request an urgent update regarding the settlement of my hospital ***. The hospital has informed me that my *** will be handed over to debt collectors on 09 November 2026, which could negatively affect my credit profile. The person I spoke to previously assured me that I would receive written confirmation of the *** settlement to date. However, I have not yet received this confirmation. I kindly request that you urgently confirm when the outstanding *** will be settled and provide me with the promised written confirmation to prevent the *** from being handed over. Your prompt assistance in resolving this matter would be greatly appreciated, as I am concerned about the potential impact on my credit profile.
1 reviews | Active since Jul 2021
I would like to request an urgent update regarding the settlement of my hospital ***. The hospital has informed me
I would like to request an urgent update regarding the settlement of my hospital ***. The hospital has informed me that my *** will be handed over to debt collectors on 09 November 2026, which could negatively affect my credit profile. The person I spoke to previously assured me that I would receive written confirmation of the *** settlement to date. However, I have not yet received this confirmation. I kindly request that you urgently confirm when the outstanding *** will be settled and provide me with the promised written confirmation to prevent the *** from being handed over. Your prompt assistance in resolving this matter would be greatly appreciated, as I am concerned about the potential impact on my credit profile.
1 reviews | Active since Oct 2026
Bankmed is useless.
I am extremely disappointed with the service I have received from Bankmed. At this point, having Bankmed medical aid feels almost as good as not having medical aid at all, because when I urgently need treatment, I am left dealing with delays, poor communication and uncertainty about whether my treatment will be covered. I visited my doctor yesterday, and a PMB application for treatment was submitted. When I spoke to an agent, I was not informed of all the documentation required. I followed up this morning, only to be told that the application could not proceed because additional information was outstanding. This information could and should have been communicated upfront, while I was still at the doctor's office and could arrange for the necessary documents to be submitted. Meanwhile, my face is swollen, I am in severe pain, and I have had to take sick leave from work. I am trying to access treatment, but instead of receiving clear guidance and assistance, I am met with requirements being communicated in drips and drabs, causing unnecessary delays and additional distress. What is particularly frustrating is having to question how a tooth extraction can be treated as a non-PMB benefit when the procedure is medically necessary in my circumstances. How can a member be expected to understand what is covered, what qualifies for PMB consideration and what additional documentation is needed when the medical aid itself does not communicate these requirements clearly? I understand that not every tooth extraction automatically qualifies as a PMB, but surely the circumstances of the condition and the applicable PMB criteria should be properly assessed and explained to the member. What is the point of paying for medical aid if, when you are in pain and urgently need treatment, you are left feeling as though you are on your own? Members should not have to chase their medical aid for answers while suffering, nor should treatment be unnecessarily delayed because the correct information was not requested from the outset. The communication has been poor, the process has been frustrating, and the lack of urgency has been incredibly disappointing. I expect better from Bankmed. I want clear communication, accountability and a proper explanation of the PMB assessment and benefit decision, rather than another round of incomplete information and further delays. Bankmed needs to remember that behind every application is a person who may be in pain and desperately waiting for treatment. This is not just an administrative inconvenience. It is affecting my health, my ability to work and my peace of mind.
1 reviews | Active since Oct 2026
Bankmed is useless.
I am extremely disappointed with the service I have received from Bankmed. At this point, having Bankmed medical aid feels almost as good as not having medical aid at all, because when I urgently need treatment, I am left dealing with delays, poor communication and uncertainty about whether my treatment will be covered. I visited my doctor yesterday, and a PMB application for treatment was submitted. When I spoke to an agent, I was not informed of all the documentation required. I followed up this morning, only to be told that the application could not proceed because additional information was outstanding. This information could and should have been communicated upfront, while I was still at the doctor's office and could arrange for the necessary documents to be submitted. Meanwhile, my face is swollen, I am in severe pain, and I have had to take sick leave from work. I am trying to access treatment, but instead of receiving clear guidance and assistance, I am met with requirements being communicated in drips and drabs, causing unnecessary delays and additional distress. What is particularly frustrating is having to question how a tooth extraction can be treated as a non-PMB benefit when the procedure is medically necessary in my circumstances. How can a member be expected to understand what is covered, what qualifies for PMB consideration and what additional documentation is needed when the medical aid itself does not communicate these requirements clearly? I understand that not every tooth extraction automatically qualifies as a PMB, but surely the circumstances of the condition and the applicable PMB criteria should be properly assessed and explained to the member. What is the point of paying for medical aid if, when you are in pain and urgently need treatment, you are left feeling as though you are on your own? Members should not have to chase their medical aid for answers while suffering, nor should treatment be unnecessarily delayed because the correct information was not requested from the outset. The communication has been poor, the process has been frustrating, and the lack of urgency has been incredibly disappointing. I expect better from Bankmed. I want clear communication, accountability and a proper explanation of the PMB assessment and benefit decision, rather than another round of incomplete information and further delays. Bankmed needs to remember that behind every application is a person who may be in pain and desperately waiting for treatment. This is not just an administrative inconvenience. It is affecting my health, my ability to work and my peace of mind.
1 reviews | Active since Jan 2013
Best medical aid ⭐
I've been with Bankmed from 2007 until 2022. I was on the Comprehensive plan for 15 years and not even a single time have I had issues with billing issues or selection of Dr's/hospitals. Sometimes the problem is not the service but the plans we choose. Thank you Bankmed for the excellent service you have provided over the years.If I had an option to choose a medical aid again.Bankmed will always be my first choice.
1 reviews | Active since Jan 2013
Best medical aid ⭐
I've been with Bankmed from 2007 until 2022. I was on the Comprehensive plan for 15 years and not even a single time have I had issues with billing issues or selection of Dr's/hospitals. Sometimes the problem is not the service but the plans we choose. Thank you Bankmed for the excellent service you have provided over the years.If I had an option to choose a medical aid again.Bankmed will always be my first choice.
1 reviews | Active since Jul 2021
Complaint Regarding Bankmed Service and Outstanding Hospital Account
I am extremely disappointed with the service I have received from Bankmed. I recently underwent emergency surgery, and despite being a member for approximately six years and having paid around R200,000 in medical aid contributions during that time, I am now facing difficulties with my hospital claim. I have never been hospitalised before, and I find it frustrating that now, when I genuinely need their assistance, they are refusing to cover the full hospital bill, claiming that the hospital overcharged me. Bankmed has paid approximately R80,000 towards the hospital account, but I would like to understand how they arrived at this amount and why the remaining balance of R11,000 is my responsibility. The hospital has indicated that my outstanding account may be handed over to debt collectors, which puts me under additional financial pressure. It is unfair that I am expected to pay this outstanding amount out of my own pocket while continuing to pay my monthly medical aid contributions. I have been paying my medical aid consistently for six years, trusting that I would be covered when faced with a medical emergency. I would appreciate a clear explanation of how the claim was assessed, a detailed breakdown of the amount paid, and a review of the outstanding balance. I believe this matter needs to be resolved fairly, as I should not be left struggling financially after an emergency surgery simply because of a dispute between the medical aid scheme and the hospital. I look forward to receiving a satisfactory response and a fair resolution to this matter.
1 reviews | Active since Jul 2021
Complaint Regarding Bankmed Service and Outstanding Hospital Account
I am extremely disappointed with the service I have received from Bankmed. I recently underwent emergency surgery, and despite being a member for approximately six years and having paid around R200,000 in medical aid contributions during that time, I am now facing difficulties with my hospital claim. I have never been hospitalised before, and I find it frustrating that now, when I genuinely need their assistance, they are refusing to cover the full hospital bill, claiming that the hospital overcharged me. Bankmed has paid approximately R80,000 towards the hospital account, but I would like to understand how they arrived at this amount and why the remaining balance of R11,000 is my responsibility. The hospital has indicated that my outstanding account may be handed over to debt collectors, which puts me under additional financial pressure. It is unfair that I am expected to pay this outstanding amount out of my own pocket while continuing to pay my monthly medical aid contributions. I have been paying my medical aid consistently for six years, trusting that I would be covered when faced with a medical emergency. I would appreciate a clear explanation of how the claim was assessed, a detailed breakdown of the amount paid, and a review of the outstanding balance. I believe this matter needs to be resolved fairly, as I should not be left struggling financially after an emergency surgery simply because of a dispute between the medical aid scheme and the hospital. I look forward to receiving a satisfactory response and a fair resolution to this matter.
1 reviews | Active since Aug 2021
Authorization Given but System Error for Payment
Imagine a client has been authorized on the 5th October and all the required information and supporting documentation were submitted correctly, including the claim. Despite this, Bankmed has been unable to process the claim due to a system error for the past two weeks. During this period, I have made several follow-up calls, but there has been no resolution. Each time, I receive the same response that the matter has been escalated, without any meaningful feedback, indication of progress, or expected resolution date. This situation is becoming increasingly frustrating for both the patient and our practice. The patient has received authorization and reasonably expects the benefit to be processed accordingly, while the practice is left dealing with the consequences of a delay that is not attributable to any error or omission on our part. As a healthcare provider, we make every effort to ensure that claims and supporting documentation are submitted correctly and that our patients receive the benefits to which they are entitled.
1 reviews | Active since Aug 2021
Authorization Given but System Error for Payment
Imagine a client has been authorized on the 5th October and all the required information and supporting documentation were submitted correctly, including the claim. Despite this, Bankmed has been unable to process the claim due to a system error for the past two weeks. During this period, I have made several follow-up calls, but there has been no resolution. Each time, I receive the same response that the matter has been escalated, without any meaningful feedback, indication of progress, or expected resolution date. This situation is becoming increasingly frustrating for both the patient and our practice. The patient has received authorization and reasonably expects the benefit to be processed accordingly, while the practice is left dealing with the consequences of a delay that is not attributable to any error or omission on our part. As a healthcare provider, we make every effort to ensure that claims and supporting documentation are submitted correctly and that our patients receive the benefits to which they are entitled.