KP
Karen P

1 reviews | Active since Sept 2018

01 Oct 2024, 12:05

PATHETIC MEDICAL AID

Believe me if I could rate them a 0 star I would have. Umvuzo is a great medical aid until a life-threatening condition hits you then they don't authorize this or that.

On Monday 7 October 2024 I must go see a Professor in Pretoria for a hernia that is bothering me now for 3 years. This professor is doing everything in his rooms. So, the rooms gave me 4 or 5 procedure codes that he will use and guess what this excuse of a medical aid only approves one code. But wait the best is still to come.

My procedure for Monday is a in and out. Now the medical aid is not paying for 3 procedure codes so the PROFESSOR can't do a proper evaluation because this pathetic medical aid doesn't approve a mini surgery. So now the PROFESSOR must admit me to hospital. Now I must pay for a day in the hospital, and they must pay for the theater so where is the cost saving coming from now.

I am on the top plan but still they decide what is important and what not.

I did send them a mail on Friday to contact me but until today no body contacted me yet.

0
Replies (3)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply01 Oct 2024, 12:16
Official
Dear Karen Pretorius
 
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 
KP
Karen P's update04 Oct 2024, 06:18
Reviewer Update
This medical aid doesn't care about the bad reviews. Someone phoned me on Tuesday after my post. Today is Friday and Monday I must see the specialist and no feedback as yet.
This medical aid is great until you must go for something then they have 1001 excuses not to approve.
Every month they take your money but when you need them, or you must use your funds then they don't approve this or that. Wish we could go back to WCMAS this was the best medical aid and never had any issues. You pay them and they help you but not UMVUZO.
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply10 Oct 2024, 12:22
Official
Dear Karen Pretorius

The requested documents have been received and are now being sent for reprocessing to explore potential funding options. 

Regards
Umvuzo Health