PH
Prelina H

1 reviews | Active since Nov 2018

18 Dec 2020, 09:50

Bad experience, no payment made!

I have been with you guys for years! Paid every premium! Only made 1 claim of the R100000 I paid you! That claim was for my son in May 2018. His temperature was high so after midnight I made arrangements with your call Centre and they approved everything! Now 2 years later the hospital contacts me with lawyers letters claiming no payment was received!!! I was liaising with a lady from there Busisiwe Sithole, who sent me a form to sign on the 30 May 2020. That was signed and returned to her. So what is the problem? I have been trying to get help from you people and all I ever get is some one will get back to you!!! When???? 10 years from now???

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Replies (9)
Affinity Health
Affinity Health's reply18 Dec 2020, 09:54
Official
Good Day Prelina

Thank you for taking the time to share your concerns with us. Please be advised that this matter will be thoroughly investigated and a Complaints Officer will be in contact with you to assist.

Kind Regards
Affinity Health Management Team
Affinity Health
Affinity Health's reply21 Dec 2020, 13:20
Official
Good day Prelina

Kindly be advised that a Complaints Officer has attempted to contact you to discuss your concerns but to no avail.

Please advise of a convenient time to be in contact with you to further assist.

Kind Regards
Affinity Health Management Team
PH
Prelina H's update21 Dec 2020, 13:28
Reviewer Update
Hi you can call now. I have been busy on another call.

Thanks
Affinity Health
Affinity Health's reply21 Dec 2020, 14:39
Official
Hi Prelina, please be advised that we have attempted to contact you once more but to no avail.

Kindly let us know once you are available in order to assist with a resolution to your concerns,

Kind Regards
Affinity Health Management Team
Affinity Health
Affinity Health's reply22 Dec 2020, 11:28
Official
Hi Prelina, please be advised that we have attempted to contact you once more but to no avail.

Please advise of a convenient time to be in contact with you to assist.

Kind Regards
Affinity Health Management Team 
Affinity Health
Affinity Health's reply29 Dec 2020, 13:30
Official
 Good Day Prelina 

We can confirm that a Complaints Officer has been in contact with you to discuss your concerns.

We can further confirm that email communication has been forwarded through to you, providing you with feedback.

Kind Regards
Affinity Health Management Team 
PH
Prelina H's update29 Dec 2020, 13:54
Reviewer Update
I have been in contact with someone at Affinity. After receiving confirmation from the below accordingly:
From: Busisiwe Sithole [mailto:***]
Sent: Wednesday, 30 May 2018 08:14
Subject: Re: Cession Form Kavish Pillay - *** Good day Thank you for your email; it is well received and has been captured accordingly. Should you require any further assistance, please do not hesitate to contact us on ***. Kind Regards,

Today I get a response from affinity saying that the claim will be declined!! Your staff member received my email and confirmed all is in order and 2 years later i recieve legal notices for not paying hospital!!!!!

The email i forwarded to you from your staff!! and you still have the nerve to tell me its declined now due to MY incompetence!!!!

This is day light *******!! How many other people have you done this to!!!!



Affinity Health
Affinity Health's reply29 Dec 2020, 16:43
Official
Good day Prelina

Kindly be advised that all claims need to be submitted within 120 days of the defined event, please be note that no claims were submitted to Affinity Health within the specified time-frame.

It should be noted that the claim in question occurred 2 years ago and is therefore deemed stale and unfortunately Affinity Health cannot assist with honouring the claim.

Kind Regards
Affinity Health Management Team

Affinity Health
Affinity Health's reply29 Dec 2020, 16:43
Official
Hi Prelina

Please be advised that all claims need to be submitted within 120 days of the defined event, kindly note that the claim in question service date was on the 28th of May 2018 and the claim will therefore be deemed