ML
Molatelo L

1 reviews | Active since Nov 2022

28 Aug 2024, 10:24

Unhappy Umvuzo Health Medical Scheme Client

I’ve had ongoing issues with Umvuzo Health since joining, and it’s been a constant source of frustration. Every time I need a procedure, whether before or after, there are always problems—either they refuse to pay for certain things, or getting authorization is a hassle. Despite paying over R6,000 a month in contributions, I still end up having to pay service providers out of pocket because they won’t cover the costs. I can’t keep dealing with this; it feels like abuse. If you can, avoid this medical aid scheme. They'll promise a medicine bag and refills which you never get unless you complain.

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Replies (3)
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply28 Aug 2024, 12:26
Official
Dear Molatelo Letsoalo
 
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
 
Umvuzo Health Medical Scheme
Umvuzo Health Medical Scheme's reply28 Aug 2024, 13:14
Official
Dear Molatelo Letsoalo

Our consultant has contacted you to collect additional information regarding your query. They will review the details and get back to you with a comprehensive response.

Regards
Umvuzo Health


ML
Molatelo L's update09 Oct 2024, 11:13
Reviewer Update
Nelson contacted me to assist with resolving my queries, but so far, nothing has been resolved. I was informed that the procedure wouldn't be covered due to something that was used during it. However, after further investigation and discussion, Nelson admitted he was mistaken and confirmed that the medical aid should have informed me upfront about any exclusions when the authorization was given. He assured me that he would get them to cover the cost, but no progress has been made since then. I've also requested for the process of termination which I have also not received to date.