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Dis-Chem Health (Medical Insurance & Gap Cover)

Verified Business
|2.3
173 Reviews (last 12 months)
Responds in 89h 3m

Scores reflect the Overall AI Score for each category

AI Review Summary

Based on recent customer reviews, Dis-Chem Health (Medical Insurance & Gap Cover) presents a sharply divided experience. Front line consultants earn warm, named praise under Customer Service & Staff Quality (3.2), and gap cover payouts sometimes impress. However, members consistently report debit orders after cancellation, refused authorisations and unanswered emails, dragging Billing, Payments & Account Management (0.6) and Communication & Responsiveness (1.1) to the bottom.

Top Strengths:

  • •Customer Service & Staff Quality: Members repeatedly name individual consultants such as Maria, Lerato Masekela, Vusumuzi Kubeka and Khanyisile Hadebe, describing patient, clear explanations of plans and quick resolution of query calls. Practice facing staff like Sandy and Sandra M are also singled out.
Service Quality Ratings
Industry Avg: 2.7Best: 4.6 (Bloom)
Industry Avg: 1.6Best: 3.7 (Bloom)
Industry Avg: 1.7Best: 4.3 (Bloom)
Industry Avg: 1.3Best: 3.8 (Bloom)
Industry Avg: 1.7Best: 4 (Bloom)
Overall AI Score
1.5
Industry Avg: 1.8Best: 4.1 (Bloom)
4.5-5 Excellent
3.5-4.5 Great
2.5-3.5 Average
1.5-2.5 Poor
<1.5 Terrible
Performance(last 12 months):
Trustindex Rating
4.3
#3
Reply Time
89h 3m
NPS Score
-56Unlikely

Replied to 99% of negative reviews

Reply time on negative reviews: 62h 48m

Review Distribution
2.3|173 Reviews

Oct '25 - Sep '26

Frequently Asked Questions About Dis-Chem Health (Medical Insurance & Gap Cover)

What do customers say about Dis-Chem Health (Medical Insurance & Gap Cover)?

Based on recent customer reviews, Dis-Chem Health (Medical Insurance & Gap Cover) presents a sharply divided experience. Front line consultants earn warm, named praise under Customer Service & Staff Quality (3.2), and gap cover payouts sometimes impress. However, members consistently report debit orders after cancellation, refused authorisations and unanswered emails, dragging Billing, Payments & Account Management (0.6) and Communication & Responsiveness (1.1) to the bottom.

What is Dis-Chem Health (Medical Insurance & Gap Cover)'s biggest strength?

Dis-Chem Health (Medical Insurance & Gap Cover)'s biggest strength, according to Hellopeter's AI analysis, is Customer Service & Staff Quality. Members repeatedly name individual consultants such as Maria, Lerato Masekela, Vusumuzi Kubeka and Khanyisile Hadebe, describing patient, clear explanations of plans and quick resolution of query calls. Practice facing staff like Sandy and Sandra M are also singled out.

What are the most common complaints about Dis-Chem Health (Medical Insurance & Gap Cover)?

The most common complaint about Dis-Chem Health (Medical Insurance & Gap Cover), based on Hellopeter's AI analysis of recent customer reviews, is Coverage, Benefits & Plan Transparency. A recurring theme is cover sold as protection that behaves differently at the hospital door. Members report refused admissions, waiting period waivers never honoured, benefits quietly reduced mid policy and listed network doctors turning patients away.

How does Dis-Chem Health (Medical Insurance & Gap Cover) compare to other Medical Insurance companies?

Dis-Chem Health (Medical Insurance & Gap Cover) scores 1.3 out of 5 on Hellopeter's AI analysis of service quality in Medical Insurance, compared to the Medical Insurance industry average of 1.8. Their strongest theme is Customer Service (1.7); their weakest is Claims Processing (1.1). The top AI-rated Medical Insurance business on Hellopeter is Bloom (4.1). How is the AI Score calculated? →

Is Dis-Chem Health (Medical Insurance & Gap Cover) trustworthy?

Dis-Chem Health (Medical Insurance & Gap Cover) has a TrustIndex of 4.3 out of 10 on Hellopeter, based on 173 reviews in the last 12 months. They reply to 99% of negative reviews, typically within 62 hours 48 min. Hellopeter has tracked Dis-Chem Health (Medical Insurance & Gap Cover) across 374 total reviews. How is the TrustIndex calculated? →

Recent reviews (173)

Used this business recently? Share your experience to help others decide.

Share Your Experience
WM
Witness M

1 reviews | Active since Sept 2026

22 Sept 2026, 11:53

Dis-chem health insurance is more convenient for people who are using medical aids at lower optio...

Dis-chem health insurance is more convenient for people who are using medical aids at lower options and not fully covered, I'm enjoying the help of dis-chem

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NH
Natasha H

1 reviews | Active since Apr 2022

21 Sept 2026, 09:48

Bad service

Very bad service from Dischem. I have been requesting banking details to be changed for the past week! I have filled in the banking form and sent everything else that was requested. I have been phoning and I am told the same story over and over to resend the send documents. I have resent the documents 3 times! I spoke to Stella earlier on and the call cut, she didn't bother to call back. I have sent an *** and requested a call back and nothing! Clearly keeping clients is not a priority. At this point I want a supervisor to call me before I take this complaint further.

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SS
Sunshine S

1 reviews | Active since Nov 2011

19 Sept 2026, 13:04

Telephonic Nurse Consultation and Medication Coverage*

Dear Dis-Chem Health Team, I would like to formally express my disappointment regarding the service I received today. I initially contacted you because I wanted pre-authorisation to consult my GP as I am currently unwell. Instead, I was referred to a telephonic consultation with a nurse, who advised that I did not need to see my GP and that she would issue a prescription for me. During the consultation, I specifically asked whether the medication prescribed would be covered, and I was assured that it would be. I was therefore extremely disappointed when I was later contacted and informed that only three of the prescribed items would be covered, while basic medication I currently need for my symptoms, including Panado and throat lozenges, would not be covered. This leaves me questioning the benefit of being directed to a telephonic nurse consultation instead of being allowed to consult my GP, who would have been able to assess me properly and dispense the medication I need. To make matters worse, I was informed that the medication would not be delivered and that I would need to collect it from Kenilworth. I am currently sick and do not feel well enough to travel to Kenilworth simply to collect medication. I have also previously had medication delivered to me, so I would appreciate an explanation as to why delivery is suddenly not available in this instance. I pay for medical insurance because I expect it to assist me when I am unwell. At the moment, I have followed the process I was directed to follow, yet I am still without some of the medication I need and am expected to travel while sick to collect the limited medication that has been approved. Please explain why I was directed away from my GP, why I was assured that the nurse's prescription would be covered when this was not the case, and why delivery cannot be arranged. I would appreciate this matter being addressed urgently.

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BZ
Bernu Z

1 reviews | Active since Feb 2025

11 Sept 2026, 09:11

Paying for full insurance but no benefits

I have been in bed after seriously hurting my back. I am not allowed to visit a hospital and according to the insurance, I have exceeded my total allowed doctors visits. I must get urgent medical attention as I busy loosing mobility. I can't sleep or eat because of the pain. I am paying every month for the full insurance cover, but I am not allowed to use any of it. I hope someone from Dischem Health Insurance can contact me urgently and tell me what to do.

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VH
Vanessa H

1 reviews | Active since Feb 2015

8 Sept 2026, 18:14

Satisfied

I'm happy to report that the issue I had with Dischem Health has been resolved, they went over and above to address and resolve my issue. I'm grateful that my Policy document was received and all is well. A big thank you to the Consultants who attended to my issue.

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TB
Taryn B

1 reviews | Active since Jul 2021

3 Sept 2026, 09:54

********* money hungry medical scheme.

Dischem Health tells sick patients that they cannot go to a doctor because their symptoms does not qualify them to speak to their doctor in person. After being asked my symptoms I am told my symptoms do not warrant me going to my family doctor and that I have to speak with their virtual doctor. So you expect me to share my medical history with a stranger on the phone - a person who can't check my temperature, hear the tightness on my chest, give me any injections - why, why can I not see my doctor when I pay you guys every month and this would only be my 5th visit to the doctor for the year. So I ask the consultant what the difference is as I would like to see my doctor, is it because you do not want to pay my doctor and she tells me no we pay the virtual doctors as well. So pay my doctor and let me see the health care professional I am comfortable with. Also to be told over the phone my symptoms are not severe enough for physical examination how can that determination be made after speaking with me for not more than 5 minutes when I am struggling to get my words out because of a heavy chest. You are dealing with people's health at least act as if making money is not your only concern.

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TP
Tshepo P

1 reviews | Active since May 2025

2 Sept 2026, 09:48

Cancellation of the medical scheme

I have cancelled the dischem medical scheme on the 8th of July 2026 and I received a cancellation reference number, they keep on deducting the money on my account , even this month of September 2026, they have deducted the money from my account after 2 months of cancellation

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VH
Vanessa H

1 reviews | Active since Feb 2015

1 Sept 2026, 09:07

Useless Service

I signed up for Dischem Health in July, effective from 1 September, the debit order reflects on ny bank statement today, but to date I have not received any email correspondence with my Policy details. You have to authorize a debicheck and Surprise Surprise, you cannot reverse the transaction. PLEASE cancel this policy and REFUND me immediately!!!!!! It's been more than a month I signed up and all my efforts of contacting Dischem telephonically have been useless!!! I sent an email a few weeks ago about the Policy and all I received was Welcome new Member email. Absolutely useless and unacceptable that in 1 September like clock work the debit order was effected, but no communication or Policy documents. THIS IS *****!!!!!!

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