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juanita C

1 reviews | Active since Jun 2025

03 Jun 2025, 10:21

Umvuzo declining authorizationswith allrequested documents

wow their service has worsen so much over last few years always a struggle to get authorization. I was told I can get once off authorization for my daughter to do tooth extraction done in theater, as long as its 3 or more teeth including resin. I submitted all documents requested to get declined, but when it comes to the deductions month end their first to get paid this is getting ridiculous its not cheap to be a member but then to pay and be declined authorization is pathetic after I was told I can get authorization for it. I was previously told by Elaine De Waal at Umvuzo to speak to her directly if I ever encounter a problem again but they always refuse to put you through to her. As this is not the first time struggling to get authorization. can anyone please advise a good medical aid as we are thinking off switching, Umvuzo is getting useless.

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Replies (2)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply03 Jun 2025, 10:39
Official
Dear Juanita,

 We will investigate this matter further and have one of our service consultants contact you to provide feedback.

Kind Regards,
Umvuzo Health
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply03 Jun 2025, 13:57
Official
Dear Juanita

Following a clinical review by our Medical Advisor, the procedure codes have now been approved as an exception, payable at Scheme Rates.

Regards
Umvuzo Health