LB
Lee-Ann Bissoondayal

1 reviews | Active since Jan 2024

20 Jan 2024, 12:47

Blaming the client

This medical aid is a bunch of ****s. I had an e-ray done in October after hurting my arm. I had phoned for an authorisation and advised the agent what is wrong and I may need to do x-rays however I wasn't advised that I would need to phone and advise them. Today(20/01/2024) I got a sms from the x-ray company advising that I need to pay, when I phoned Affinity Health department the agent advised that I needed to call them that same day and advise them that I was getting a x-ray done, and then they would have given me a code for which they will pay however I wasn't told this previously. I had told the agent that I was not told this and how can they not pay when I am paying R1800. She advised that I am at fault for not phoning them and telling them about the x-rays been done. This is not the first time I have been on a medical aid but this is the first time that I have experienced something like this when an medical aid company. Now the amount of R3600 which is the cost of the x-rays is falling on me to pay when I am paying towards affinity health. For average people who is looking for medical aid that is affordable don't deserve this type of thing to happen, I am extremely disappointed and will be cancelling my memory with them.

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Replies (2)
Affinity Health
Affinity Health's reply20 Jan 2024, 18:03
Official
Good Day Lee-Ann,
 Kindly note that Affinity Health is a Medical Insurance under demarcation with the Council for Medical Schemes.
We appreciate you taking the time to raise your concerns with us, here, on Hello Peter. Your complaint will be relayed to the Complaints Department for further investigation.

You will be contacted by a Complaints Officer once the investigation is concluded.
Warm regards,
Affinity Health Management Team.
Affinity Health
Affinity Health's reply30 Jan 2024, 15:39
Official
Good Day  Lee-Ann, 

We can confirm that a Complaints Officer has been in contact and provided you with feedback regarding your complaint.

Best regards,
Affinity Health Management Team.