1 reviews | Active since Sept 2020
Affinity Health are robbing their customers.
I am so enraged with Affinity Health I feel like a atomic bomb. With my initial application the contact person told me that they cover all scans and all tests with no co-payments unless you are in hospital. Today I wanted to pre-authorize for my sonar scan my doctor referred me for. Only to find out that they do not cover the scan. It is the exact same scan as an ultrasound, which by the way they also do not cover even when pregnant, because of some story about it not being on their formulary. So not only was I **** to when i asked the person doing my application about any and all scans but they keep spinning in circles not to give you a straight answer. When you ask them to explain they keep repeating that the scan is not on their formulary. I talked to 4 different people today. Each one gave me a different story. First they did't know the code of the scan and I had to phone the radiologists to find out. After phoning back and having to start all over with different person just for them to tell me no they don;t cover breast scans but do cover ultrasounds but they needed to know what scan it is cause they can;t find it on their systems. Then after phoning the radiologists again and then back to affinity just to repeat myself all over to find out they don't even cover any type of ultrasound (only for your first 2 trimesters of pregnancy). So even if a gynacologist refers you for a ultrasound for some reason other than pregnancy you will have to pay yourself.
So why do they charge my account with R1 400.00 every month if they can't even pay for my scan of over the counter meds. What is the use of a full medical aid if they don't give two ****s about their members. Just because I am under 35 and thus cannot go for a mammogram, now i have to pay my own meds and my own scans plus my medical premium. This is day light ******* and in my book very *********. Why tell people one story so that you can get their money each month to find out down the line that what you are paying for with your hard earned money each month is basically useless.
Please do not sign up with AFFINITY HEALTH.
They just rob you.
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Please note that an investigation will be conducted and a Complaints Officer will be in contact to assist you with all your concerns.
Kind Regards
Affinity Health Management Team
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Please note that an investigation will be conducted and a Complaints Officer will be in contact to assist you with all your concerns.
Kind Regards
Affinity Health Management Team
We can confirm that a Complaints Officer has been in contact with you to advise accordingly with regards to your above concerns.
Please be advised that Diagnostic procedures are covered according to schedule 2 on the policy wording and the Radiology Benefit provides cover for basic x-rays only that is covered according to the Formulary.
Should you require any further clarification, you are welcome to contact us and we will gladly assist.
Kind Regards
Affinity Health Management Team
We can confirm that a Complaints Officer has been in contact with you to advise accordingly with regards to your above concerns.
Please be advised that Diagnostic procedures are covered according to schedule 2 on the policy wording and the Radiology Benefit provides cover for basic x-rays only that is covered according to the Formulary.
Should you require any further clarification, you are welcome to contact us and we will gladly assist.
Kind Regards
Affinity Health Management Team
