Affinity Health

We have belonged to Affinity Health since 2016-07-01. Now that we really need them, they only authorized +-13% of the total value of my husbands back operation. Why do we pay them for so many years but they don't want to help us when we urgently need them. My husband need to go for a back operation otherwise he will soon end up in a wheelchair, I feel discouraged.

Authorisation via affinityrelay.co.za

Affinity Health Ticket number: *** Ticket status: Open Pre-Auth Department::Authorisation::Affinity Health Good day Mr and Mrs Du Plessis,

Thank you for contacting us.

Please see the quotations received for your procedure.

The breakdown of costs are as follows: Hospital Estimate including Prosthesis of R75,000.00 R296,128.60 Doctor Costs R72,942.20 Assistant Doctor's Costs R32,010.48 Anaesthetist Costs R45,000.00 Prosthesis Post Op R2,960.00 Total R441,041.28 Authorised Amount R58,500.00 Shortfall R390,541.28 Please advise if you would like to proceed with the procedure.

We will pay all providers a portion of the benefit unless otherwise stated by yourself.

Attached below is the Affinity Health Standard Combined Plan Brochure and Policy Wording Document for your perusal as per request.

Should you require any further assistance, please feel free to contact us on ***or reply to me directly. Affinity Health Regards, Sanele Mpandla Pre-Auth Nurse