JJ
Jamie J

1 reviews | Active since Nov 2024

15 Apr 2025, 13:21

Authorisation number

Very disappointed in this medical aid. 1 week ago i sent my docs for my authorisation to remove my wisdom tooth. 4 days later i called for feedback and my docs wasnt even submitted for authorisation. They submit it and 6 days later i called for feedback cause my procedure is on the 8th day.they said they require a motivational letter get that submitted and call them on the 7th day its still under review. Imagine we pay for a medical aid that doesnt consider another human being. I havent eaten for days cause im unable to eat and i have been on meds for the past 7days and my sugar drops super low almost every day. I even told this to the medical aid but still no feedback. They would rather let a patient be stressed and worried and die then actually give an authorisation number. The consultants were really helpful but as i said the medical aid is bad. Imagine not eating and taking meds. This medical aid will cause u added sicknesses then anything.

Honestly cant wait to change my medical aid. I should have read the reviews before i proceeded. My procedure is tomorrow!!! and everyone tells me to call the medical back at a certain time and when I do they have no feedback.

0
Replies (7)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply15 Apr 2025, 13:32
Official
Dear Jamie
 
We acknowledge receipt of your complaint and apologise for your negative service experience.
 
Our Service Consultant will contact you shortly to get more details of your query.
 
Regards
Umvuzo Health
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply15 Apr 2025, 13:41
Official
 Dear Jamie,

Thank you for bringing your concerns to our attention.

 We sincerely apologize for the distress and inconvenience you've experienced regarding the authorization process for your wisdom tooth removal procedure. 

Our service consultant will contact you shortly.

Kind regards,
Umvuzo Health.
JJ
Jamie J's update15 Apr 2025, 13:50
Reviewer Update
i have been hearing that for quite some time, you wanted the motivational letter I sent it but i still get no feedback, this is really unfair, i literally call every hour since yesterday for feedback. Yesterday i was told to call at 3 , i called and theres no feedback. today same story. I am in pain!!!!!!!!!!!!!
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply15 Apr 2025, 14:02
Official
Dear Jamie

As discussed with our consultant, the procedure has been tentatively declined. 

However, we will provide you with consolidated feedback once we receive a final response from our Clinical Department.

Kind regards
Umvuzo Health
JJ
Jamie J's update15 Apr 2025, 14:20
Reviewer Update
Yes, I know it was declined- Pending authorization as you required a motivational letter. Which was sent to you.
Also if I am declined after the final review, I would like reasons why it was declined. I have read over the scheme rules and policy and that states otherwise.
Regards,
JJ
Jamie J's update15 Apr 2025, 14:23
Reviewer Update
You know what's really sad, I have been to 3 dentist and all 3 does not want to remove my tooth in a chair because my tooth is embedded in the gums, stuck on the jawbone and it's in 2 nerves and there's a high risk of paralysis on my one side of my face.
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply15 Apr 2025, 16:19
Official
Dear Jamie, 

We are pleased to inform you that your request for authorization to undergo wisdom tooth extraction has been approved.

We wish you a smooth and speedy recovery. 

Kind regards, 
Umvuzo Health.