1 reviews | Active since Jun 2015
Affinity Health has an affinity for frustrating their clients.
If you can help it, please don’t take up your medical aid with Affinity Health. I have never felt the relief of having medical aid in all the time I’ve been with them because their most comprehensive cover is not comprehensive at all, there’s always 1 more thing or another loophole or some other fine print you must’ve missed.
They insist on teleconsultations before they give you authorisation for a GP visit only for the person doing the consultation on the other line to tell you ‘oh, you should see your primary physician’... yes, that is what I wanted to do but had all this unnecessary, exasperating red tape to go through.
The most recent being a covid 19 positive test result reimbur*****t claim... ffs, with everything going on, and all the red tape I had to go through to get myself tested, the least you can do is be efficient, helpful and way less exhausting in reimbursing the 50% of the costs I had to pay out of my own pocket, even though you never miss a chance to debit your premiums at the end of every month.
Thank you for your raising your concerns with us. We will ensure that your concerns are escalated to the Complaints Department and a Complaints Officer will contact you to assist.
Kind Regards
Affinity Health Management Team
Thank you for your raising your concerns with us. We will ensure that your concerns are escalated to the Complaints Department and a Complaints Officer will contact you to assist.
Kind Regards
Affinity Health Management Team
We can confirm that you were contacted and by our Complaints Department and you were provided with clarification on the refund process and the documents that are required.
Please note that you have 120 days from the service date to submit the reimbur*****t documents for us to assist you before your claim is considered stale.
Please do not hesitate to contact our Customer Care Department should you require any assistance and we will gladly assist.
Kind regards
Affinity Health Management Team
We can confirm that you were contacted and by our Complaints Department and you were provided with clarification on the refund process and the documents that are required.
Please note that you have 120 days from the service date to submit the reimbur*****t documents for us to assist you before your claim is considered stale.
Please do not hesitate to contact our Customer Care Department should you require any assistance and we will gladly assist.
Kind regards
Affinity Health Management Team
thank you for your response.
Yes, a consultant did get in touch and we had a chat about nothing that went on for just under 10 mins.
I still stand by my initial sentiments, you don't make things easy for your clients, there is a lot of unnecessary bureaucracy and red tap that is almost never explicit.
i.e. On the almost 10mins telecom with your consultants, they did not mention that the reimbur*****t claim was subject to a 120 days deadline.
in any case.
It's cool.
thank you for your response.
Yes, a consultant did get in touch and we had a chat about nothing that went on for just under 10 mins.
I still stand by my initial sentiments, you don't make things easy for your clients, there is a lot of unnecessary bureaucracy and red tap that is almost never explicit.
i.e. On the almost 10mins telecom with your consultants, they did not mention that the reimbur*****t claim was subject to a 120 days deadline.
in any case.
It's cool.
We can confirm that the Complaints Department did contact you and requested for required information to assist you further. We furthermore can confirm that you advised it will be sent via email.
Kindly note that all policy terms and conditions are provided in the member's policy documentation that is sent electronically and physically. Within the policy document, the Claims Process is outlined advising that members have 120 days to submit the required documentation for a claim to be assessed.
We will await your email communication.
Kind Regards
Affinity Health Management Team
We can confirm that the Complaints Department did contact you and requested for required information to assist you further. We furthermore can confirm that you advised it will be sent via email.
Kindly note that all policy terms and conditions are provided in the member's policy documentation that is sent electronically and physically. Within the policy document, the Claims Process is outlined advising that members have 120 days to submit the required documentation for a claim to be assessed.
We will await your email communication.
Kind Regards
Affinity Health Management Team