KM
Katleho M

1 reviews | Active since Aug 2024

07 Nov 2024, 19:47

Bad service and lack of communication and sense of urgency....

My mom had an accident, she fell and broke her leg by the ankle, we took her to a GP and immediately he referred us to the hospital and we went to Rose acres, upon geting assistance from the hospital we had to wait for affinity to authorise treatment. We got the qoute from the hospital and sent it to affinity but we had to keep making follow ups and eventually they refused to pay saying they want to investigate, so my mom had to be discharged as we couldnt stay at the hospital(mind you she is still moving around with the injury). A whole week passes where no feed back is given to us. And we are the ones going up and down to try get this resolved. We went back to the Gp to get another referral to see another speciallist who helped us with the ton of paper work and motivational letters requested by affinity. And the doctor even stated that the initial injury was minor but now that she had to keep moving around with the injury it has gotten even worse. And still affinity refuses to pay the full amount for surgery when it was cause of their lack of urgency in this matter, they also hiding behind the fact that one of the conditions listed of arthritis was the cause when in fact it wasnt the cause of the accident. Affinity is really a **** Cause you disclose everything upfront and they use all of that as an excuse not to do right by their cilents.

They promise heaven and earth when you sign up. But once you need the services you get to see their true colour's.... how do you expect a pensioner to pay a shortfall of R95000..... thats the whole reason why she joined affinity to avoid such issues......

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Replies (1)
Affinity Health
Affinity Health's reply08 Nov 2024, 07:59
Official
Dear Katleho, 

We hereby acknowledge and confirm receipt of the above complaint. 

We are truly saddened by your recent experience and can assure you that a Complaints Officer will investigate the matter and provide thorough feedback to the relevant party once concluded. 

Kindest Regards,
Affinity Health Management Team.