RM
Rivoningo M

1 reviews | Active since Aug 2024

10 Nov 2026, 15:13

The worst experience ever

I am on Umvuzo Supreme.

HPV vaccine is listed as a Female Health benefit on page 4 of the Supreme Brochure in the Umvuzo Health App. There is no age limit, no dose limit, no Rand limit and no exclusion written next to it.

When I applied for authorisation, ChroniLine / Mediscor declined and said the member falls outside the age group the vaccine will pay for.

I was told to check the Mediscor website for the rule. I am a member of Umvuzo Health, not Mediscor. I was never given a Mediscor formulary.

Umvuzo send me the exact age rule and Scheme Rule in writing. The App brochure should have all the benefit information in it. Members should not have to search a third-party website to find out a benefit is excluded.

I am still waiting for the written rule. If it is not provided, I will escalate to the Council for Medical Schemes.

And all communications should be done via *** not calls

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Replies (2)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply11 Nov 2026, 08:51
Official

Dear Member,

Thank you for bringing this matter to our attention. We acknowledge your concerns regarding the HPV vaccine benefit, the information contained in the Supreme benefit brochure, and the outcome of your authorisation request.

We understand your concerns regarding the clarity of the benefit information provided and your request for written confirmation of the applicable funding criteria. We also note your preference for communication via email.

A written response addressing the matters you have raised will be provided.

Kind regards,

Umvuzo Health

RM
Rivoningo M's update11 Nov 2026, 13:46
Reviewer Update
Thank you for your acknowledgement on 11 Nov 2026 and for noting my preference for email communication. I am still waiting for the written response you promised. Please provide in writing via email: 1. The exact funding criteria for the HPV vaccine benefit on the Supreme option 2. The specific clause / page in the Supreme benefit brochure that you are relying on 3. The reason for the outcome of my authorisation request 4. Whether my authorisation will be reconsidered once the criteria are clarified Please send this within 5 working days. I do not accept a telephonic explanation only, as I requested written confirmation. Kind regards