Scores reflect the Overall AI Score for each category
Based on recent customer reviews, Umvuzo Health Medical Scheme is most heavily criticised for its pre-authorisation and claims processes. Members describe operations postponed or declined days before surgery, authorisations approved and then reversed at payment stage, and unpaid hospital, doctor and radiology accounts that end up with attorneys and blacklisting threats. Unanswered emails, dropped calls and repeated transfers deepen the frustration. A smaller group praises named consultants such as Jeanne, Lydia and Precious, plus smooth in-hospital claims and successful surgeries, showing capable service exists but remains inconsistent.
Replied to 97% of negative reviews
Reply time on negative reviews: 8h 11m
TrustIndex
4.5
Ranking
#4
in Medical Aid
Reply Time
6h 18m
NPS Score
-75
Recommended: Unlikely
Replied to 97% of negative reviews
Reply time on negative reviews: 8h 11m
Dec '25 - Nov '26
Frequently Asked Questions About Umvuzo Health Medical Scheme
What do customers say about Umvuzo Health Medical Scheme?
Based on recent customer reviews, Umvuzo Health Medical Scheme is most heavily criticised for its pre-authorisation and claims processes. Members describe operations postponed or declined days before surgery, authorisations approved and then reversed at payment stage, and unpaid hospital, doctor and radiology accounts that end up with attorneys and blacklisting threats. Unanswered emails, dropped calls and repeated transfers deepen the frustration. A smaller group praises named consultants such as Jeanne, Lydia and Precious, plus smooth in-hospital claims and successful surgeries, showing capable service exists but remains inconsistent.
Is Umvuzo Health Medical Scheme trustworthy?
Umvuzo Health Medical Scheme has a TrustIndex of 4.5 out of 10 on Hellopeter, based on 45 reviews in the last 12 months. They reply to 97% of negative reviews, typically within 8 hours 11 min. Hellopeter has tracked Umvuzo Health Medical Scheme across 375 total reviews. How is the TrustIndex calculated? →
Recent reviews (45)
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your Experience1 reviews | Active since Feb 2019
UMVUZO Refusing to pay
This is the worst medical aid ever. My daughter has been in and out of hospital and everytime I bring her back to the hospital because her condition isn't improving, they tell me I must pay for everything myself. Today, I had to bring her in because she's numb on the right side of her body but they tell the hospital staff that I have to pay or take my child home and go and treat her myself. What kind of stupid statement is that from a medical aid. What kind of medical training do I have? This medical aid have to pay me back every last cent I've ever paid over the past 4 years because I've never received any good service from them. Everything I do, I have to pay for myself and yet I'm paying almost R9000 towards this medical aid on a monthly basis and no one, except for my daughter, has ever been admitted in hospital since I've joined this medical aid.
1 reviews | Active since Feb 2019
UMVUZO Refusing to pay
This is the worst medical aid ever. My daughter has been in and out of hospital and everytime I bring her back to the hospital because her condition isn't improving, they tell me I must pay for everything myself. Today, I had to bring her in because she's numb on the right side of her body but they tell the hospital staff that I have to pay or take my child home and go and treat her myself. What kind of stupid statement is that from a medical aid. What kind of medical training do I have? This medical aid have to pay me back every last cent I've ever paid over the past 4 years because I've never received any good service from them. Everything I do, I have to pay for myself and yet I'm paying almost R9000 towards this medical aid on a monthly basis and no one, except for my daughter, has ever been admitted in hospital since I've joined this medical aid.
1 reviews | Active since Aug 2024
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
1 reviews | Active since Aug 2024
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
1 reviews | Active since Mar 2023
Umvuso has provided me with poor service so far. Despite submitting the doctor's motivation letter and repeatedly following up on
My son has been diagnosed with clubfoot. I previously contacted the scheme and, as requested, submitted a letter of motivation from his doctor. Despite providing the requested document, the scheme declined to register his condition as a Prescribed Minimum Benefit (PMB). His doctor is also surprised by this decision. They fail to provide the specific clinical and policy reasons for the refusal, explain how the decision was reached, and arrange a review of my son's PMB registration. I have also sent Khusto Ledwaba proof of payment so that he can process my claims and help me obtain reimbursement. I have not received a response to my ***. I am paying the specialist in cash and urgently need the outstanding claims to be processed. I am paying my contributions but am having to cover these medical costs myself while struggling to get clear answers. This has caused significant financial pressure and does not provide the peace of mind I expect from my medical scheme.
1 reviews | Active since Mar 2023
Umvuso has provided me with poor service so far. Despite submitting the doctor's motivation letter and repeatedly following up on
My son has been diagnosed with clubfoot. I previously contacted the scheme and, as requested, submitted a letter of motivation from his doctor. Despite providing the requested document, the scheme declined to register his condition as a Prescribed Minimum Benefit (PMB). His doctor is also surprised by this decision. They fail to provide the specific clinical and policy reasons for the refusal, explain how the decision was reached, and arrange a review of my son's PMB registration. I have also sent Khusto Ledwaba proof of payment so that he can process my claims and help me obtain reimbursement. I have not received a response to my ***. I am paying the specialist in cash and urgently need the outstanding claims to be processed. I am paying my contributions but am having to cover these medical costs myself while struggling to get clear answers. This has caused significant financial pressure and does not provide the peace of mind I expect from my medical scheme.
1 reviews | Active since Feb 2019
Umvuzo refusing to pay for daughter's treatment
My daughter is in hospital and Umvuzo refuses her treatment. Can you explain to me why I'm paying almost R9 000 per month and when it comes to making use of the service, you keep refusing to approve any kind of treatment. Should anything happen to my daughter, this world will not be big enough for those responsible, to hide. Mark my words. Useless medical aid.
1 reviews | Active since Feb 2019
Umvuzo refusing to pay for daughter's treatment
My daughter is in hospital and Umvuzo refuses her treatment. Can you explain to me why I'm paying almost R9 000 per month and when it comes to making use of the service, you keep refusing to approve any kind of treatment. Should anything happen to my daughter, this world will not be big enough for those responsible, to hide. Mark my words. Useless medical aid.
1 reviews | Active since Mar 2024
Hospital Authorisation and Conduct
I am a treating Dr of the patient on one of the highest benefit options of Umvuzo. In straightforward PMB conditions especially medical cases the hospital authorisation process has never taken 2 or 3hours like it did today. There were prolonged,fragmented and poorly managed unnecessary delays.This caused alot of distress especially for the patient. And i would know because in my 8years at Momentum Tyb it took less than 6 to 10 minutes to get hosp auth matters sorted .Granted that Umvuzo is a small med aid and costs have to be taken into consideration however today it felt like a gatekeeping exercise with a consultant who has external locus of control when behaviour distortions were addressed. We have engaged with Lesego and Pearl and it has always been professional with mutual understanding.I do not want to discuss Kelebogile's unprofessional conduct on this platform however i would like to invite Lesego,Pearl and Kelebogile to go re-read that referral letter and maybe this time it would click why that patient needs admission. When Kelebogile phoned the patient around 17h00 if she had solid clinical background,she would have picked it then but instead she focussed on splitting escalating the condition of patient even more. Umvuzo i am greatly dissappointed that an opportunity to go beyond just what your consultants are told by their teamleaders especially because FOC is starting next week turned out like this. Requesting vitals and treatment plan is necessary but must never be used as a form of gatekeeping like in this particular patient. What other schemes do they grant 24hours auth pending submission of outstanding data.
1 reviews | Active since Mar 2024
Hospital Authorisation and Conduct
I am a treating Dr of the patient on one of the highest benefit options of Umvuzo. In straightforward PMB conditions especially medical cases the hospital authorisation process has never taken 2 or 3hours like it did today. There were prolonged,fragmented and poorly managed unnecessary delays.This caused alot of distress especially for the patient. And i would know because in my 8years at Momentum Tyb it took less than 6 to 10 minutes to get hosp auth matters sorted .Granted that Umvuzo is a small med aid and costs have to be taken into consideration however today it felt like a gatekeeping exercise with a consultant who has external locus of control when behaviour distortions were addressed. We have engaged with Lesego and Pearl and it has always been professional with mutual understanding.I do not want to discuss Kelebogile's unprofessional conduct on this platform however i would like to invite Lesego,Pearl and Kelebogile to go re-read that referral letter and maybe this time it would click why that patient needs admission. When Kelebogile phoned the patient around 17h00 if she had solid clinical background,she would have picked it then but instead she focussed on splitting escalating the condition of patient even more. Umvuzo i am greatly dissappointed that an opportunity to go beyond just what your consultants are told by their teamleaders especially because FOC is starting next week turned out like this. Requesting vitals and treatment plan is necessary but must never be used as a form of gatekeeping like in this particular patient. What other schemes do they grant 24hours auth pending submission of outstanding data.
1 reviews | Active since Oct 2024
Umvuzo Health Stellar Consultants
This rating is based on my recent interaction with some of the Umvuzo Health consultants: 1. Kelebogile 2. Stephina 3. Aletta I have found them to be exceptionally helpful! Kind... compassionate... eager to help. Thank you ladies 🙏🌻
1 reviews | Active since Oct 2024
Umvuzo Health Stellar Consultants
This rating is based on my recent interaction with some of the Umvuzo Health consultants: 1. Kelebogile 2. Stephina 3. Aletta I have found them to be exceptionally helpful! Kind... compassionate... eager to help. Thank you ladies 🙏🌻
1 reviews | Active since Apr 2026
If you get the right help (Thelemae) the scheme is really works well
If it was not for Thelemae helping me and guiding me with everything I would've thought of leaving. He is on the ball with everything and always goes out of his way to make sure I get the best help from his side. Thelemae deserves 10/10 for his efforts! #champ
1 reviews | Active since Apr 2026
If you get the right help (Thelemae) the scheme is really works well
If it was not for Thelemae helping me and guiding me with everything I would've thought of leaving. He is on the ball with everything and always goes out of his way to make sure I get the best help from his side. Thelemae deserves 10/10 for his efforts! #champ