TR
Thabiso R

1 reviews | Active since Feb 2018

28 Oct 2019, 14:16

Authorization Rejected on a Newly Diagnosed Condition.

Never thought this day will come for me to write a review regarding Affinity Health as they have been fantastic until recently when i was turned down for authorization of a newly diagnosed condition. I was supposed to go for a 30 minute procedure to restructure a condition that was created by a pre-existing condition but to affinity the two are the same even when the medical definitions of the two are completely different. I guess because they are situated in the same region. Anyway, I am disappointed because they have been by my side for over 10 years and our relationship got sour because now the procedure was an expensive one and maybe they did not want to break the bank. It is sad to say good bye but i guess it is time to join a medical aid and know that they will be there for me in the long run and won't put life in danger. Spend a little more and make sure that you are fully covered when it matters most. This is a Medical Insurance and we know what an insurance will do when it is time to pay up. They will less than a R1000 rands for everything you require but make sure you do not require a medical emergency for over that amount because you will be on your own...

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Replies (2)
Affinity Health
Affinity Health's reply28 Oct 2019, 14:25
Official
Good Day Thabiso

It can be confirmed that the Complaints Department has received your email and an investigation is being conducted regarding the decline for authorisation.

Feedback will be provided to you within 48 hours.

Kind Regards
Affinity Health Management Team
Affinity Health
Affinity Health's reply29 Oct 2019, 11:56
Official
Good Day Thabiso

We can confirm that a Complaints Officer has been in contact with you to assist with regards to your complaint and has advised you accordingly.

Kind Regards
Affinity Health Management Team