AM
Annemarie M

1 reviews | Active since Nov 2019

18 Nov 2019, 12:23

Disappointed

I'm a member of Affinity Combined Plan AND the Dental Premium Plan, now for a few years. On the plan description they pay for 2 dental caps, or one set dentures every 24 months. Last year I app**** for the 2 crowns/caps but my contribution would have been R15 000. So, yes, you can have it, just pay out of your pocket for it lol!!! The above didn't happen and this year the tooth broke. I'll have to go for the dentures option as the tooth is now irreparable. Guess what, you can either have top OR bottom sets and not both to chew properly. AND my access money is more than R2000.00 for only a top set. My front tooth broke.

I suggest Affinity do not say 'COVER' if they mean CONTRIBUTE. Also give amounts how much they contribute. Make a list of codes available to clients, because the codes they cover is not codes necessary to make dentures or crowns. What they say is: yes you can have it but we cover codes not applicable to make the product. Take note: It is at a prescribed dentist. Which means they should cover it. Makes me seriously scared for unforeseen situations like hospitals etc. THEY'RE NOT GOING TO PAY!!!!!!!!!!!!!

0
Replies (1)
Affinity Health
Affinity Health's reply18 Nov 2019, 12:36
Official
Good Day Annemarie

Thank you for raising your concerns with us.

Please note that Affinity Health and Affinity Dental are two separate products  offering unique benefits. Terms and conditions are applicable to the product offering.

For any information required for your Affinity Health, please contact our customer care line on ***to ensure that you are provided with accurate information prior to utilisation.

Please note that an investigation will be conducted regarding your concerns of your Affinity Dental plan and feedback will be provided to you.

Kind Regards
Affinity Health Management Team