CP
Chad P
1 reviews | Active since Oct 2016
22 Mar 2025, 14:46
AFFINITY BREAKS THEIR OWN TERMS AND CONDITIONS!!! And we must accept it
As Chad Paulse, acting on behalf of my wife, Stephanie, with signed consent from Affinity Health, I am deeply disappointed with the lack of adherence to their own terms and conditions.
On January 20th, I visited a gynecologist and had blood work done, expecting a reimbur*****t within the stated 30-day period, as per their claims policy. However, more than 60 days have passed, and I have yet to receive any payment. Despite multiple follow-ups, there has been no resolution or clear communication regarding the delay.
This experience has shown me that Affinity Health does not honor its commitments, leaving members frustrated and financially strained. Based on my experience, I strongly advise against using their services.
Helpful (0)
Replies (7)0
Replies (7)
Affinity Health's replyOfficial
22 Mar 2025, 16:10Dear Chad Paulse,
We can confirm that an email was sent to the policyholder on 17th March 2025 with feedback in relation to the complaint.
We sincerely apologise for the delay and inconvenience this matter has caused.
Kind regards,
Affinity Health Management Team
We can confirm that an email was sent to the policyholder on 17th March 2025 with feedback in relation to the complaint.
We sincerely apologise for the delay and inconvenience this matter has caused.
Kind regards,
Affinity Health Management Team
Affinity Health's reply22 Mar 2025, 16:10
Official
Dear Chad Paulse,
We can confirm that an email was sent to the policyholder on 17th March 2025 with feedback in relation to the complaint.
We sincerely apologise for the delay and inconvenience this matter has caused.
Kind regards,
Affinity Health Management Team
We can confirm that an email was sent to the policyholder on 17th March 2025 with feedback in relation to the complaint.
We sincerely apologise for the delay and inconvenience this matter has caused.
Kind regards,
Affinity Health Management Team
CP
Chad P's updateReviewer Update
22 Mar 2025, 16:16I was also assured that the process would be done by Friday. I understand the public holiday but it’s Saturday past 4 and I still haven’t received any response nor apologies as this has already surpassed the 30 days! No sense of urgency!!!
CP
Chad P's update22 Mar 2025, 16:16
Reviewer Update
I was also assured that the process would be done by Friday. I understand the public holiday but it’s Saturday past 4 and I still haven’t received any response nor apologies as this has already surpassed the 30 days! No sense of urgency!!!
Affinity Health's replyOfficial
22 Mar 2025, 16:53Dear Chad,
A response was providing confirminf that the matter is resolved along with the necessary supporting evidence for the complaint.
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes.
Thanks,
Affinity Health Management Team
A response was providing confirminf that the matter is resolved along with the necessary supporting evidence for the complaint.
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes.
Thanks,
Affinity Health Management Team
Affinity Health's reply22 Mar 2025, 16:53
Official
Dear Chad,
A response was providing confirminf that the matter is resolved along with the necessary supporting evidence for the complaint.
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes.
Thanks,
Affinity Health Management Team
A response was providing confirminf that the matter is resolved along with the necessary supporting evidence for the complaint.
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes.
Thanks,
Affinity Health Management Team
CP
Chad P's updateReviewer Update
22 Mar 2025, 16:56The email received was a proof of payment (POP) however, that was part pay for the complete claim. Both Gynaecologist and Blood works were done on the same day, claim for both submitted same day, however, pay out is in 2 different payments! Who is affinity trying to fool?
CP
Chad P's update22 Mar 2025, 16:56
Reviewer Update
The email received was a proof of payment (POP) however, that was part pay for the complete claim. Both Gynaecologist and Blood works were done on the same day, claim for both submitted same day, however, pay out is in 2 different payments! Who is affinity trying to fool?
Affinity Health's replyOfficial
22 Mar 2025, 17:01 Dear Chad,
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes in relation to both claims.
Thanks,
Affinity Health Management Team
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes in relation to both claims.
Thanks,
Affinity Health Management Team
Affinity Health's reply22 Mar 2025, 17:01
Official
Dear Chad,
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes in relation to both claims.
Thanks,
Affinity Health Management Team
We will reques that the Complaints Officer provide the policyholder with follow up feedback when work resumes in relation to both claims.
Thanks,
Affinity Health Management Team
CP
Chad P's updateReviewer Update
22 Mar 2025, 17:04But we were assured payment was made by Thursday on a call by your First line Checker as all managers were in meetings. Now they must still please explain when your agent assured us that it will be paid out.
Now we hear a different story!!!
Now we hear a different story!!!
CP
Chad P's update22 Mar 2025, 17:04
Reviewer Update
But we were assured payment was made by Thursday on a call by your First line Checker as all managers were in meetings. Now they must still please explain when your agent assured us that it will be paid out.
Now we hear a different story!!!
Now we hear a different story!!!
Affinity Health's replyOfficial
26 Mar 2025, 14:37Good day Chad,
Kindly note that our Claims Department operates from Monday to Friday and is closed on weekends and public holidays.
We apologize for the delay and any inconvenience caused regarding the processing of your claims. We can confirm that the claims have been paid, and proof of payment has been sent to the main member via email.
Should the main member have any further queries or concerns, we kindly request that she responds directly to the email for prompt assistance.
Thank you for your understanding.
Kind regards,
Affinity Health Management Team
Affinity Health Management Team
Affinity Health's reply26 Mar 2025, 14:37
Official
Good day Chad,
Kindly note that our Claims Department operates from Monday to Friday and is closed on weekends and public holidays.
We apologize for the delay and any inconvenience caused regarding the processing of your claims. We can confirm that the claims have been paid, and proof of payment has been sent to the main member via email.
Should the main member have any further queries or concerns, we kindly request that she responds directly to the email for prompt assistance.
Thank you for your understanding.
Kind regards,
Affinity Health Management Team
Affinity Health Management Team