NM
Nicola M

1 reviews | Active since Jan 2022

13 May 2024, 15:56

Customer Service and Claims

Highly disappointed with the customer service that we've received thus far. My husband had a surgery in April now that we want to submit our claims that was out of pocket expenses for the procedure no assistance is given to inform us of the status of the claim. Rejection of Anesthesiologist cost due to code 20 "Required duration of anesthetic/prolonged consultation" as if my husband can tell why the duration was to long/short. The hospital claim is still not "assessed" multiple calls to the call center was given, was again put on hold for more than 30 minutes and still no answer, multiple emails was send with the claims only response "Dear sender thank you for your email. This email serves to confirm that we have received and attending to your email" but on the call they are confirming that no email was yet received. My GP's claim for May month have already been assessed for payment but my claims is still being "attended" Definitely the worst customer service from a medical scheme ever. Will most definitely NOT recommend them as their customer service is very poor.

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Replies (1)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply13 May 2024, 16:11
Official
Dear Nicola,

We acknowledge receipt of your complaint and apologise for the negative service experience. Our service consultant will contact you shortly to get more details on your query.

Regards
Umvuzo Health