Medihelp Misleads Members on Mammogram Coverage

I am extremely disappointed with how my medical aid has handled my mammogram claim. According to the benefit information, one mammogram every two years is covered. However, when I submitted my claim, it was rejected with the explanation that the benefit is only available every two years from the date of the previous service.

Nowhere is this clearly communicated – not in the benefit guide, nor on the member portal. This kind of “fine print” only becomes visible after a claim is declined. It feels deceptive and dishonest.

Preventative care should be encouraged, not penalised. This kind of handling creates distrust and makes members feel they are not getting value for their money.

I expect better from a medical aid and cannot recommend this kind of service.