1 reviews | Active since Dec 2016
Bad Service
On the 25/06/2019 I visited my Orthopedic Surgeon, he then ask me to request an authorization from Affinity Health for a surgery that is needed to be performed on the 17/07/2019. Firstly they refused to pay for an MRI then they asked for documents for the surgery to be performed. On the 27/06 I sent the documents then I received an email from Sherain Bent requesting a quotation from the Dr and the hospital the procedure will take place. I sent all the documents when I called to check how far they are with my request I spoke to Buhle who said they don’t have the quotes from the hospital and the Dr’s. He then ask me not to send them, because I explained to him that I didn’t send them once but three times. He said I must give him the amounts and Dr’s names and PR numbers. He said he will speak to his supervisor they will send the authorization before the end of the day. He didn’t come back to me and the next day I received a call from a gentleman who said I just joined the company on the 01/07/2019 therefore I don’t qualify because of the waiting period, he actually called on my house landline not my cell. I joined Affinity Health in 2018 so I didn’t understand what **** he was telling me. If that’s how the run business at this company I totally made a big mistake by joining them. I demand that they sort this out because I’m not letting them getaway with this, if they did this to someone they need to be stopped.
We appreciate you raising your concerns with us.
We confirm that a Complaints Officer has been in contact with you to advise that the clinical assessment of the medical document provided is being investigated, and that feedback will be provided to you soon.
Kind regards
Affinity Health Management Team
We appreciate you raising your concerns with us.
We confirm that a Complaints Officer has been in contact with you to advise that the clinical assessment of the medical document provided is being investigated, and that feedback will be provided to you soon.
Kind regards
Affinity Health Management Team
Please note that your procedure requires admission for under 24 hours.
Such an admission is deemed a day procedure under the Hospital Benefits in the Affinity Health policy.
Therefore, the applicable benefit for your admission is R10 000 for 1 day from the Daily Illness Hospitalisation Benefit, as per your Hospital Plan.
Please note that Pre-Authorisation and the Complaints Officer assisting you will revert back to you with feedback to help you understand your benefits soon.
Your patience is greatly appreciated.
Kind regards
Affinity Health Management Team
Please note that your procedure requires admission for under 24 hours.
Such an admission is deemed a day procedure under the Hospital Benefits in the Affinity Health policy.
Therefore, the applicable benefit for your admission is R10 000 for 1 day from the Daily Illness Hospitalisation Benefit, as per your Hospital Plan.
Please note that Pre-Authorisation and the Complaints Officer assisting you will revert back to you with feedback to help you understand your benefits soon.
Your patience is greatly appreciated.
Kind regards
Affinity Health Management Team
