MM
Mduduzi M
1 reviews | Active since Feb 2021
02 Feb 2021, 21:47
Bad service from affinity health
My mother is very ill and we took her to the doctor the doctor referred us to the hospital (Medforum) In Pretoria when we arrived they told us they don't accept affinity health patients. That time we paying the combined plan for over 2 years. If the medical insurance only works with certain hospitals they should specify and inform their doctors the changes. The doctor booked we even had a bed number only to be turned back at the hospital. This is very much disappointing. As I am writing I dont even know what to do as she is very weak.
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Replies (4)0
Replies (4)
Affinity Health's replyOfficial
03 Feb 2021, 08:31Good Day Mduduzi
We are so sorry to hear that your mother had to go through this. We will ensure that this matter is investigated thoroughly. Our priority is to assist your mother and we can confirm that you have been contacted by a Complaints Officer who will be assisting you to ensure that your mother is provided with the treatment that she needs.
Kind Regards
Affinity Health Management Team
We are so sorry to hear that your mother had to go through this. We will ensure that this matter is investigated thoroughly. Our priority is to assist your mother and we can confirm that you have been contacted by a Complaints Officer who will be assisting you to ensure that your mother is provided with the treatment that she needs.
Kind Regards
Affinity Health Management Team
Affinity Health's reply03 Feb 2021, 08:31
Official
Good Day Mduduzi
We are so sorry to hear that your mother had to go through this. We will ensure that this matter is investigated thoroughly. Our priority is to assist your mother and we can confirm that you have been contacted by a Complaints Officer who will be assisting you to ensure that your mother is provided with the treatment that she needs.
Kind Regards
Affinity Health Management Team
We are so sorry to hear that your mother had to go through this. We will ensure that this matter is investigated thoroughly. Our priority is to assist your mother and we can confirm that you have been contacted by a Complaints Officer who will be assisting you to ensure that your mother is provided with the treatment that she needs.
Kind Regards
Affinity Health Management Team
Affinity Health's replyOfficial
03 Feb 2021, 11:59We can confirm that Affinity Health's Pre-Authorisation Department and Complaints Department have been in constant contact with family members and treating facilities and that your mum is being assisted at one of the treating facilities.
We do sincerely apologise for the experience that you had and will ensure that the proper internal measures are put in place for this to not happen again.
We wish your mother a speedy recovery.
Kind Regards
Affinity Health Management Team
We do sincerely apologise for the experience that you had and will ensure that the proper internal measures are put in place for this to not happen again.
We wish your mother a speedy recovery.
Kind Regards
Affinity Health Management Team
Affinity Health's reply03 Feb 2021, 11:59
Official
We can confirm that Affinity Health's Pre-Authorisation Department and Complaints Department have been in constant contact with family members and treating facilities and that your mum is being assisted at one of the treating facilities.
We do sincerely apologise for the experience that you had and will ensure that the proper internal measures are put in place for this to not happen again.
We wish your mother a speedy recovery.
Kind Regards
Affinity Health Management Team
We do sincerely apologise for the experience that you had and will ensure that the proper internal measures are put in place for this to not happen again.
We wish your mother a speedy recovery.
Kind Regards
Affinity Health Management Team
MM
Mduduzi M's updateReviewer Update
03 Feb 2021, 15:03Never have we been sent from pillar to post so much but what was admitted was that doctors have troubles when ever they must have their claims processed so that is why they refuse admit patients from affinity health. This has been another day waisted here with no help what so ever doctor agreeing to admit her but after hearing affinity they do a u turn. That time my mothers health is slowly detoriating with no help in sight. M so frustrated and so very much hurt and disappointed.
MM
Mduduzi M's update03 Feb 2021, 15:03
Reviewer Update
Never have we been sent from pillar to post so much but what was admitted was that doctors have troubles when ever they must have their claims processed so that is why they refuse admit patients from affinity health. This has been another day waisted here with no help what so ever doctor agreeing to admit her but after hearing affinity they do a u turn. That time my mothers health is slowly detoriating with no help in sight. M so frustrated and so very much hurt and disappointed.
Affinity Health's replyOfficial
03 Feb 2021, 16:12Good Day Mduduzi
We do understand that you are upset and it is unfortunate that the booster was not taken out for your mother that would have assisted with the treatment that she now requires.
Affinity Health did provide authorisation this morning according to the benefits available on your mother's plan.
We do ensure that members are provided with the benefit amount available when authorisation is granted and to which service providers the benefit will be paid to. Kindly note that we have to follow the terms and conditions of the member's policy as a regulated Organisation.
Kind Regards
Affinity Health Management Team
We do understand that you are upset and it is unfortunate that the booster was not taken out for your mother that would have assisted with the treatment that she now requires.
Affinity Health did provide authorisation this morning according to the benefits available on your mother's plan.
We do ensure that members are provided with the benefit amount available when authorisation is granted and to which service providers the benefit will be paid to. Kindly note that we have to follow the terms and conditions of the member's policy as a regulated Organisation.
Kind Regards
Affinity Health Management Team
Affinity Health's reply03 Feb 2021, 16:12
Official
Good Day Mduduzi
We do understand that you are upset and it is unfortunate that the booster was not taken out for your mother that would have assisted with the treatment that she now requires.
Affinity Health did provide authorisation this morning according to the benefits available on your mother's plan.
We do ensure that members are provided with the benefit amount available when authorisation is granted and to which service providers the benefit will be paid to. Kindly note that we have to follow the terms and conditions of the member's policy as a regulated Organisation.
Kind Regards
Affinity Health Management Team
We do understand that you are upset and it is unfortunate that the booster was not taken out for your mother that would have assisted with the treatment that she now requires.
Affinity Health did provide authorisation this morning according to the benefits available on your mother's plan.
We do ensure that members are provided with the benefit amount available when authorisation is granted and to which service providers the benefit will be paid to. Kindly note that we have to follow the terms and conditions of the member's policy as a regulated Organisation.
Kind Regards
Affinity Health Management Team