NT
Neville T

1 reviews | Active since Mar 2021

03 Mar 2021, 10:39

Umvuso health( bad medical aid ever)

I joined UMVUSO Health in 2019 everything went well with the medical aid, we have been in consultations with the Doctors GP, Up until last year 2020 when my wife was referred to the specialist by the GP, 1st time and 2nd time upon visiting the specialist - payment was made and for the 3rd time the payment was not made to the specialist, That's when the problem started, I've been receiving messages from the specialist lawyers saying that i should pay R1400 who face the consequences. When i contacted the UMVUSO Health i was told that proper procedure was not followed, when i asked which procedure are they referring to, they told me i didn't call for authorization, they are saying each and every visit to the GP or Specialist i should call them for an authorization. I don't mind doing that, my argument is: i joined Umvuso in 2019 and we have been visiting GP's without me calling for any authorization up until last year they refuse to pay just because i didn't make a call...That's unfair. Now i have to face consequences from the specialist lawyers. I even explained to them that even on their brochure there is no information that state who should call for authorisation. Anyone who can assist me with this futher please assist. My number is *** Tony

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Replies (2)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply04 Mar 2021, 11:03
Official
Dear Neville,

Thank you for alerting us of your negative experience. We can assure you this is receiving our attention. Our escalations consultant has attempted to call you and left a message. We have also been in contact with the doctor's practice so we can have details of the specific unpaid account. 

Kind regards,
Umvuzo Health


NT
Neville T's update11 Mar 2021, 12:50
Reviewer Update
Payments to the Doctor couldn't be made just because of 1 phone call which i was unaware that i should've made whiles i am facing legal step which has been caused by UMVUSO Health whiles i am paying them on a monthly basis.