RN
Refiloe N

1 reviews | Active since May 2017

31 May 2017, 14:32

Affinity Health unfair practice

<p>I have been a member of the Affinity health insurance for about a year now and last year in October i went for a scan , the claim documents were sent to them and some how it was said the claim number was incorrect, and then i called the dr office and told them and sent them the correct invoice again we had emails going back and forth till now. today i received a letter from the docter saying they handing me over to their attorneys for my insurance refuses to pay. I just spoken to one of their consultants who i have been communicating with, with this issue and she just told me that they will not pay it due to it now not coverd . My issue is why is this only told to me now why wait for over six months to notify me and tell me about codes being wrong on the procedure i went for, where else i could have paid this docter a long time ago and avoided being handed over to their attorneys , i aslo have all the email going back and forth in this regard. Why did it take them 7 Months to let me know that i was not coverd </p>

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Replies (1)
Affinity Health
Affinity Health's reply31 May 2017, 15:18
Official

Good day Refiloe,

Thank you for reporting your experience with us.

Please note that we have escalated this matter to our Complaints Officer who is currently conducting an investigation and will make contact with you in due course.

Kind Regards,

Affinity Health Management Team