Affinity Health Insurance...The joke of the industry!

Hi,

I submitted a claim for a doctors visit in December 2018 for R 350 which has not been honoured to date. (The requested blood tests of around R 790 were paid directly by myself and not submitted/claimed).

There have been communications between the consultant and myself even to the extent of requesting management to take a decision on this matter. The receipt of payment with full details as well as the completed claim form was supp**** as requested including a detailed e-mail of all the particulars on the receipt.

Today when I followed up on the processing of the claim, I was informed that I now need to go back to the doctor to get a statement. An invoice/receipt for cash payment was provided, why would you require a statement? I contacted my doctor never-the-less and advised him. He in turn, does not have an accounting system in place and operates as a cash practice.

I suppose this claim will not be honoured, as there seems to be a culture of "passing the buck" within this organisation, I would be lucky if management will revert in another two months on the status of this claim!

Great Advertising Punchlines: "Outstanding Service Qualified and motivated service agents powered by a state-of-the-art call centre." In my opinion a state of the art call centre does nothing for customer service...it is just there for the benefits of employees who need to feel priviledged in following orders without any thought process involved. Another Punchline: "Simplicity: An easy and effortless claims process." This one could prove well as new material for Trevor Noah's next production!

Affinity Health Insurance...The joke of the industry!