MG
Mark G
1 reviews | Active since Mar 2019
26 Mar 2019, 15:03
Breach of policy
This morning I was declined admission to the hospital because one of your agents and case managers deemed my injury as a pre existing condition. I consulted with an affiliated GP who then reffered me to a specialist (to whom I paid cash). I visited the specialist and he recommended that I be admitted to hospital. Does pre existing not mean before the policy was taken?
Your agent refused to speak to me and instead informed the hospital administrator that she would send me an email... I'm still waiting for the email.
I am currently is exruciating pain and have reffered this case to the ombudsman. Thank you for your negligence. P.S... Your call centre number ********** 033 is also not available.
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Replies (3)0
Replies (3)
Affinity Health's replyOfficial
26 Mar 2019, 15:15Good day Mark
Thank you for raising your concerns with us.
Please note that the event was declined as a diagnostic procedure, and there was no confirmation of your condition as pre-existing.
Kindly expect contact from a Complaints Officer soon.
Kind regards
Affinity Health Management Team
Thank you for raising your concerns with us.
Please note that the event was declined as a diagnostic procedure, and there was no confirmation of your condition as pre-existing.
Kindly expect contact from a Complaints Officer soon.
Kind regards
Affinity Health Management Team
Affinity Health's reply26 Mar 2019, 15:15
Official
Good day Mark
Thank you for raising your concerns with us.
Please note that the event was declined as a diagnostic procedure, and there was no confirmation of your condition as pre-existing.
Kindly expect contact from a Complaints Officer soon.
Kind regards
Affinity Health Management Team
Thank you for raising your concerns with us.
Please note that the event was declined as a diagnostic procedure, and there was no confirmation of your condition as pre-existing.
Kindly expect contact from a Complaints Officer soon.
Kind regards
Affinity Health Management Team
MG
Mark G's updateReviewer Update
26 Mar 2019, 15:311. I was refered by your doctor to see a specialist regarding my injury. Which was yesterday.
2. Ofcourse the hospital would lie. Why on earth would they want patients?
MG
Mark G's update26 Mar 2019, 15:31
Reviewer Update
1. I was refered by your doctor to see a specialist regarding my injury. Which was yesterday.
2. Ofcourse the hospital would lie. Why on earth would they want patients?
Affinity Health's replyOfficial
26 Mar 2019, 15:43Mark,
The event was officially declined as a diagnostic event.
Once the results of the procedure are available, you are more than welcome to send these documents to us for clinical assessment, from which it can only be determined then whether the condition is pre-existing or not pre-existing.
Kind regards
Affinity Health Management Team
The event was officially declined as a diagnostic event.
Once the results of the procedure are available, you are more than welcome to send these documents to us for clinical assessment, from which it can only be determined then whether the condition is pre-existing or not pre-existing.
Kind regards
Affinity Health Management Team
Affinity Health's reply26 Mar 2019, 15:43
Official
Mark,
The event was officially declined as a diagnostic event.
Once the results of the procedure are available, you are more than welcome to send these documents to us for clinical assessment, from which it can only be determined then whether the condition is pre-existing or not pre-existing.
Kind regards
Affinity Health Management Team
The event was officially declined as a diagnostic event.
Once the results of the procedure are available, you are more than welcome to send these documents to us for clinical assessment, from which it can only be determined then whether the condition is pre-existing or not pre-existing.
Kind regards
Affinity Health Management Team