RP
Roseline P
1 reviews | Active since Feb 2023
15 Feb 2023, 21:01
Disgusting service from Umvuzo Health
I was admitted to Shifa hospital on the 11/02/2023 at 04h00 at the ER due to severe stomach pain, My doctors came in on the same day to check on me and requested a procedure to be carried out, The procedure is called a Laparoscopic procedure, His nurse contacted Umvuzo for authorisation for the procedure and Umvuzo requested for blood samples to be taken and tested, that was done on the 11/02/2023, The results was given to the doctor on the 13/02/2023, This information was shared to Umvuzo health and the Authorisation was pending for the procedure, Umvuzo health then requested for an ultrasound scans to be done and a motivational letter from the gynecologist, this was done and sent to Umvuzo health on the 14/02/2023. Today the 15/02/2023, the doctor once again asked for authorisation to perform the procedure, and now Umvuzo health required Pap Smears to be done. At this stage, I am in hospital for 5 days already, I am in pain and Umvuzo keeps on requesting extra procedures daily, there is no assistance from this Medical aid . The doctor discharged me from the hospital today due to there being no authorisation from Umvuzo Health. I am back at home with the same pain, I have been a loyal customer of Umvuzo Health for 14 years and am on the Supreme plan, I have a history of cancer of which Umvuzo is aware of. I am highly disgusted with this medical aid, I would require an URGENT RESPONSE from umvuzo health. I also want a response from Mr Hugo Van Zyl. I need to know why is it that we pay diligently for this medical aid and yet cannot have the services that is needed,
I REQUIRE AN URGENT RESPONSE ASAP PLEASE
Helpful (0)
Replies (13)0
Replies (13)
Umvuzo Health Medical Scheme's replyOfficial
16 Feb 2023, 10:06Dear Ms Roseline Pretorius,
Thank you for bringing up your complaint to our attention.
It is disheartening to learn of your experience and what you went through. Umvuzo health has the best interest of our members at heart.
May you please award us an opportunity to investigate the matter. We will revert to you the soonest.
In the interim, our Clinical Consultant will be in contact with you.
Kind Regards,
Umvuzo Health Client Services.
Thank you for bringing up your complaint to our attention.
It is disheartening to learn of your experience and what you went through. Umvuzo health has the best interest of our members at heart.
May you please award us an opportunity to investigate the matter. We will revert to you the soonest.
In the interim, our Clinical Consultant will be in contact with you.
Kind Regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply16 Feb 2023, 10:06
Official
Dear Ms Roseline Pretorius,
Thank you for bringing up your complaint to our attention.
It is disheartening to learn of your experience and what you went through. Umvuzo health has the best interest of our members at heart.
May you please award us an opportunity to investigate the matter. We will revert to you the soonest.
In the interim, our Clinical Consultant will be in contact with you.
Kind Regards,
Umvuzo Health Client Services.
Thank you for bringing up your complaint to our attention.
It is disheartening to learn of your experience and what you went through. Umvuzo health has the best interest of our members at heart.
May you please award us an opportunity to investigate the matter. We will revert to you the soonest.
In the interim, our Clinical Consultant will be in contact with you.
Kind Regards,
Umvuzo Health Client Services.
RP
Roseline P's updateReviewer Update
17 Feb 2023, 09:18I have sent Umvuzo Health an email the exact same time that I have placed this review, As of now the 17/02/2023, there has been no response on the email to Umvuzo and noone has contacted me with regards to the problem at hand, I lie with the same severe pain while paying Umvuzo over the past 14 years for myself and my kids on the supreme plan and this is the service we receive, it is very sad and absolutely disgusting from Umvuzo Health.
RP
Roseline P's update17 Feb 2023, 09:18
Reviewer Update
I have sent Umvuzo Health an email the exact same time that I have placed this review, As of now the 17/02/2023, there has been no response on the email to Umvuzo and noone has contacted me with regards to the problem at hand, I lie with the same severe pain while paying Umvuzo over the past 14 years for myself and my kids on the supreme plan and this is the service we receive, it is very sad and absolutely disgusting from Umvuzo Health.
RP
Roseline P's updateReviewer Update
17 Feb 2023, 09:19I have sent umvuzo the email on the 15/02/2023, the same date as i placed the first review.
RP
Roseline P's update17 Feb 2023, 09:19
Reviewer Update
I have sent umvuzo the email on the 15/02/2023, the same date as i placed the first review.
Umvuzo Health Medical Scheme's replyOfficial
17 Feb 2023, 09:35Dear Ms Pretorius,
This case is receiving the urgent attention, we have received the emails sent and has been worked on it, the Medical Advisor is looking into this case. it is viewed on a serious note, and we do empathise with you.
The clinical consultant did attempt to get hold of you; an attempt will be made again.
Best Regards,
Umvuzo Health Client Services.
This case is receiving the urgent attention, we have received the emails sent and has been worked on it, the Medical Advisor is looking into this case. it is viewed on a serious note, and we do empathise with you.
The clinical consultant did attempt to get hold of you; an attempt will be made again.
Best Regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply17 Feb 2023, 09:35
Official
Dear Ms Pretorius,
This case is receiving the urgent attention, we have received the emails sent and has been worked on it, the Medical Advisor is looking into this case. it is viewed on a serious note, and we do empathise with you.
The clinical consultant did attempt to get hold of you; an attempt will be made again.
Best Regards,
Umvuzo Health Client Services.
This case is receiving the urgent attention, we have received the emails sent and has been worked on it, the Medical Advisor is looking into this case. it is viewed on a serious note, and we do empathise with you.
The clinical consultant did attempt to get hold of you; an attempt will be made again.
Best Regards,
Umvuzo Health Client Services.
RP
Roseline P's updateReviewer Update
17 Feb 2023, 11:19I have not received any calls and neither any response on the emails.
RP
Roseline P's update17 Feb 2023, 11:19
Reviewer Update
I have not received any calls and neither any response on the emails.
Umvuzo Health Medical Scheme's replyOfficial
17 Feb 2023, 11:41Hi Ms Pretorius,
We have been contacting you on the number on your profile: ***, we will try the one ***.
Best regards,
Umvuzo Health Client Services.
We have been contacting you on the number on your profile: ***, we will try the one ***.
Best regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply17 Feb 2023, 11:41
Official
Hi Ms Pretorius,
We have been contacting you on the number on your profile: ***, we will try the one ***.
Best regards,
Umvuzo Health Client Services.
We have been contacting you on the number on your profile: ***, we will try the one ***.
Best regards,
Umvuzo Health Client Services.
RP
Roseline P's updateReviewer Update
27 Feb 2023, 10:44Once again Umvuzo has messed up, my youngest daughter is sick and we at a normal. GP which Umvuzo has paid on numerous occasions, when the nurse calls for authorisation, the consultant tells the nurse that my daughter who WAS BORN IN 2016 was removed from the medical aid in 2014.
Because of Umvuzo *********** staff, my daughter cannot receive treatment at the doctor.
How much further must we suffer with this medical aid,
Because of Umvuzo *********** staff, my daughter cannot receive treatment at the doctor.
How much further must we suffer with this medical aid,
RP
Roseline P's update27 Feb 2023, 10:44
Reviewer Update
Once again Umvuzo has messed up, my youngest daughter is sick and we at a normal. GP which Umvuzo has paid on numerous occasions, when the nurse calls for authorisation, the consultant tells the nurse that my daughter who WAS BORN IN 2016 was removed from the medical aid in 2014.
Because of Umvuzo *********** staff, my daughter cannot receive treatment at the doctor.
How much further must we suffer with this medical aid,
Because of Umvuzo *********** staff, my daughter cannot receive treatment at the doctor.
How much further must we suffer with this medical aid,
Umvuzo Health Medical Scheme's replyOfficial
27 Feb 2023, 14:24Dear Ms Pretorius,
We have called the Doctor's rooms to ascertain what transpired. The have confirmed that the daughter has been assisted.
There must have been some mix up somewhere, the call registered on system was the confirmation of benefits, which were correctly confirmed, as a result the daughter can be consulted.
Kind Regards,
Umvuzo Health Client Services.
We have called the Doctor's rooms to ascertain what transpired. The have confirmed that the daughter has been assisted.
There must have been some mix up somewhere, the call registered on system was the confirmation of benefits, which were correctly confirmed, as a result the daughter can be consulted.
Kind Regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply27 Feb 2023, 14:24
Official
Dear Ms Pretorius,
We have called the Doctor's rooms to ascertain what transpired. The have confirmed that the daughter has been assisted.
There must have been some mix up somewhere, the call registered on system was the confirmation of benefits, which were correctly confirmed, as a result the daughter can be consulted.
Kind Regards,
Umvuzo Health Client Services.
We have called the Doctor's rooms to ascertain what transpired. The have confirmed that the daughter has been assisted.
There must have been some mix up somewhere, the call registered on system was the confirmation of benefits, which were correctly confirmed, as a result the daughter can be consulted.
Kind Regards,
Umvuzo Health Client Services.
RP
Roseline P's updateReviewer Update
28 Feb 2023, 07:43That is correct, after the 3rd call for authorisation and I spoke to the person, then they confirmed their error,
Yesterday the hospital nu Shifa calls me and states that umvuzo now does not want to pay for the 5 day stay at the hospital, the reason I was in hospital for that time was because of umvuzo.
Please call the hospital and advise.
Everyday there is something new with Umvuzo.
I want a manager to call me to explain as to why I should still stay on this medical aid and not move after 15 years of loyal support to your medical aid together with all my work colleagues at the global company that we work for.
Yesterday the hospital nu Shifa calls me and states that umvuzo now does not want to pay for the 5 day stay at the hospital, the reason I was in hospital for that time was because of umvuzo.
Please call the hospital and advise.
Everyday there is something new with Umvuzo.
I want a manager to call me to explain as to why I should still stay on this medical aid and not move after 15 years of loyal support to your medical aid together with all my work colleagues at the global company that we work for.
RP
Roseline P's update28 Feb 2023, 07:43
Reviewer Update
That is correct, after the 3rd call for authorisation and I spoke to the person, then they confirmed their error,
Yesterday the hospital nu Shifa calls me and states that umvuzo now does not want to pay for the 5 day stay at the hospital, the reason I was in hospital for that time was because of umvuzo.
Please call the hospital and advise.
Everyday there is something new with Umvuzo.
I want a manager to call me to explain as to why I should still stay on this medical aid and not move after 15 years of loyal support to your medical aid together with all my work colleagues at the global company that we work for.
Yesterday the hospital nu Shifa calls me and states that umvuzo now does not want to pay for the 5 day stay at the hospital, the reason I was in hospital for that time was because of umvuzo.
Please call the hospital and advise.
Everyday there is something new with Umvuzo.
I want a manager to call me to explain as to why I should still stay on this medical aid and not move after 15 years of loyal support to your medical aid together with all my work colleagues at the global company that we work for.
Umvuzo Health Medical Scheme's replyOfficial
28 Feb 2023, 10:39Dear Ms Pretoriius,
We acknowledge your concern.
We had the interaction with Shifa Hospital yesterday, the length of stay will be updated as the admission was authorised.
The Manager will call you as requested.
Kind Regards,
Umvuzo Health Client Services.
We acknowledge your concern.
We had the interaction with Shifa Hospital yesterday, the length of stay will be updated as the admission was authorised.
The Manager will call you as requested.
Kind Regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply28 Feb 2023, 10:39
Official
Dear Ms Pretoriius,
We acknowledge your concern.
We had the interaction with Shifa Hospital yesterday, the length of stay will be updated as the admission was authorised.
The Manager will call you as requested.
Kind Regards,
Umvuzo Health Client Services.
We acknowledge your concern.
We had the interaction with Shifa Hospital yesterday, the length of stay will be updated as the admission was authorised.
The Manager will call you as requested.
Kind Regards,
Umvuzo Health Client Services.
RP
Roseline P's updateReviewer Update
14 Mar 2023, 19:15Today the 14 March 2023, I have still not received a call from the management of Umvuzo,
RP
Roseline P's update14 Mar 2023, 19:15
Reviewer Update
Today the 14 March 2023, I have still not received a call from the management of Umvuzo,
RP
Roseline P's updateReviewer Update
19 Apr 2023, 08:18ONCE AGAIN UMVUZO DISSAPOINTS,
I AM GETTING MESSAGES AND CALLS FROM ER24 STATING THAT THE AMBULANCE HAS NOT BEEN PAID,
THIS WAS AN EMERGENCY AT 3AM.
CAN SOMEONE SORT THIS OUT AND CONTACT ME ASAP,
THE COMPANY THAT I WORK FOR HAS AN UMVUZO REP AS MANY OF OUR STAFF HAS UMVUZO AS THEIR MEDICAL AID PROVIDER, HOWEVER HE ALSO CANNOT TAKE CALLS TO ASSIST,
HOW DO WE GET ASSISTANCE FOR THE SERVICE THAT WE PAY FOR???
I AM GETTING MESSAGES AND CALLS FROM ER24 STATING THAT THE AMBULANCE HAS NOT BEEN PAID,
THIS WAS AN EMERGENCY AT 3AM.
CAN SOMEONE SORT THIS OUT AND CONTACT ME ASAP,
THE COMPANY THAT I WORK FOR HAS AN UMVUZO REP AS MANY OF OUR STAFF HAS UMVUZO AS THEIR MEDICAL AID PROVIDER, HOWEVER HE ALSO CANNOT TAKE CALLS TO ASSIST,
HOW DO WE GET ASSISTANCE FOR THE SERVICE THAT WE PAY FOR???
RP
Roseline P's update19 Apr 2023, 08:18
Reviewer Update
ONCE AGAIN UMVUZO DISSAPOINTS,
I AM GETTING MESSAGES AND CALLS FROM ER24 STATING THAT THE AMBULANCE HAS NOT BEEN PAID,
THIS WAS AN EMERGENCY AT 3AM.
CAN SOMEONE SORT THIS OUT AND CONTACT ME ASAP,
THE COMPANY THAT I WORK FOR HAS AN UMVUZO REP AS MANY OF OUR STAFF HAS UMVUZO AS THEIR MEDICAL AID PROVIDER, HOWEVER HE ALSO CANNOT TAKE CALLS TO ASSIST,
HOW DO WE GET ASSISTANCE FOR THE SERVICE THAT WE PAY FOR???
I AM GETTING MESSAGES AND CALLS FROM ER24 STATING THAT THE AMBULANCE HAS NOT BEEN PAID,
THIS WAS AN EMERGENCY AT 3AM.
CAN SOMEONE SORT THIS OUT AND CONTACT ME ASAP,
THE COMPANY THAT I WORK FOR HAS AN UMVUZO REP AS MANY OF OUR STAFF HAS UMVUZO AS THEIR MEDICAL AID PROVIDER, HOWEVER HE ALSO CANNOT TAKE CALLS TO ASSIST,
HOW DO WE GET ASSISTANCE FOR THE SERVICE THAT WE PAY FOR???
Umvuzo Health Medical Scheme's replyOfficial
19 Apr 2023, 08:52Dear Ms Roseline Pretorius,
Thank you for raising your concerns, we appreciate it because we take some learnings from them.
Umvuzo Health uses Netcare 911 as their Emergency Service Provider. There is a process that is followed if Netcare 911 is not available in the area.
We will contact you to get more details and assist in this matter.
Kind Regards,
Umvuzo Health Client Services.
Thank you for raising your concerns, we appreciate it because we take some learnings from them.
Umvuzo Health uses Netcare 911 as their Emergency Service Provider. There is a process that is followed if Netcare 911 is not available in the area.
We will contact you to get more details and assist in this matter.
Kind Regards,
Umvuzo Health Client Services.
Umvuzo Health Medical Scheme's reply19 Apr 2023, 08:52
Official
Dear Ms Roseline Pretorius,
Thank you for raising your concerns, we appreciate it because we take some learnings from them.
Umvuzo Health uses Netcare 911 as their Emergency Service Provider. There is a process that is followed if Netcare 911 is not available in the area.
We will contact you to get more details and assist in this matter.
Kind Regards,
Umvuzo Health Client Services.
Thank you for raising your concerns, we appreciate it because we take some learnings from them.
Umvuzo Health uses Netcare 911 as their Emergency Service Provider. There is a process that is followed if Netcare 911 is not available in the area.
We will contact you to get more details and assist in this matter.
Kind Regards,
Umvuzo Health Client Services.