KL
Karen L

1 reviews | Active since Oct 2011

18 May 2025, 22:09

Medihelp Nightmare: Authorised Surgery Turns into Financial Shock!

I feel compelled to share my shocking and deeply frustrating experience with Medihelp. Despite receiving explicit authorisation from Medihelp for surgery scheduled on 9 April, I am now flooded with bills from Netcare, the physiothe******, anaesthetist, diagnostic radiologist, and the surgeon etc. To my utter disbelief, I'm being held responsible for these costs because Medihelp either has no records of my admission or claims that these essential services are excluded from their benefits.

Even more alarming is the discovery that Medihelp EXCLUDES anaesthetisation from their surgical benefits. How can any reputable medical aid expect patients to undergo surgery without anaesthesia or bear the full burden of anaesthetic costs themselves? This is simply outrageous and utterly unacceptable.

Additionally, Medihelp seems to go the extra mile to look for reasons to avoid honouring payments. Ironically, their post-surgery team contacted me twice to inquire about my recovery and even requested feedback on the services provided by Netcare. Clearly, they had records of my admission - so why the sudden denial?

To anyone considering Medihelp, please reconsider or prepare yourself to personally cover significant medical expenses that you would reasonably expect to be covered. Medihelp has completely failed in its fundamental responsibility to provide reliable healthcare coverage, leaving their members exposed to financial distress.

Think carefully before choosing Medihelp - this experience has taught me a very expensive and stressful lesson.

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Replies (1)
Medihelp
Medihelp's reply20 May 2025, 14:13
Official
Dear Karen

Thank you for your enquiry.

Medihelp is in the process of attending to your enquiry and will furnish you with a response soon.

Kind regards

Medihelp Customer Care