KR
Karina R

1 reviews | Active since Feb 2022

07 Aug 2022, 23:22

Can't deal with the insufficient service

I've actually had it with Affinity's poor customer service and the consultants clearly not providing the same information. A month or so ago I had to see the GP, went to the network doctor and as per Affinity's info went to clicks to give in my script, Affinity did not pay ANY of the medication the dr perscribed being a high schedule according to clicks, the consultant then said the GP should have known to prescribed what Affinity covers, so If I am understanding correctly the GP needs to change his diagnoses and try and think of some other medication, even if it does not do what its needed so it suits Affinity. After my daughter queried everything the consultant said next time when you are at clicks quickly phone and we will speak to clicks to see alternative medication. So 2 weeks ago I had to see the orto specialist where I got pre aith for, however the ortho requires upfront payment, I phoned Affinity and was told that is fine just send the proof of payment slip and Affinity will contact the dr and request further info,and so I did and it took Nicole days to ask for the reimburment form and invoice and then 5 days to return my email requesting the tarrif code, which means for me to phone the dr and ask this code and probably wait another week for her to reply asking more details. The Specialist sent me for bloodtest and whilst at Lancet my daughter phoned asking for pre auth, the consultant did not have knowledge of the test and I sent through the lancet form which was also said to me with my GP visit a month ago, pre auth will be given after a whatsapp in 5 mins. Lancet said their codes and affinity codes are not the same and they cannot wait for Affinity to one day get back to me, but they did eventually 3HOURS later. So at clicks with my script if almost R500 Affinity covered fuat over R70, so as previously advised I tried phoning affinity and no answer. The pharmacist waited and waited an he couldnt anymore so that had to be paid. 40 minutes later I received a call regarding the medication where the consultant said that the dr needs to prescribe someting else, after I said to her I already had to purchase the medication and there is not alternative. Your sales agents are ABSOLUTELY amazing at selling this product but for me personally after that uts been a downwards spiral! With all the added extra's, is it worth it? I am being truly honest the pharmacist at Clicks empangeni sighed when I gave him my affinity card and his exact words was they like to quickly debit order your money and sent you a fancy card, but they dont like paying. Scary

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Replies (3)
Affinity Health
Affinity Health's reply08 Aug 2022, 08:28
Official
Good Day Karina 

Thank you so much for getting in touch with us and bringing this to our attention. We are so sorry to hear about your experience and apologize for any inconvenience caused. 

We have referred this to the relevant department and one of our representatives will be in contact with you to investigate this matter further. 

Kind Regards
Affinity Health Management Team
Affinity Health
Affinity Health's reply12 Aug 2022, 10:30
Official
Good Day Karina, 

Please note that a Complaints Officer has attempted to make contact with you regarding the concerns raised.

Please advise on a convenient time that they can contact with you?

Warm regards,
Affinity Health Management Team.
Affinity Health
Affinity Health's reply15 Aug 2022, 14:12
Official
Good Day Karina, 

Please note that a Complaints Officer has attempted to make contact with you to provide feedback on the concerns raised in your review but to no avail.

We can confirm that email communication has been forwarded through to you.

Should you require any further assistance, please do not hesitate to contact us.

Warm regards,
Affinity Health Management Team.