PB
Phillip B

1 reviews | Active since Oct 2018

01 Oct 2018, 16:03

Dishonest and worthless Medical cover

So far I have been with Affinity Health they did not cover any of my medical issues. Not for an emergensie room or even my chronic medication. When asked them if they cover ADHD they said yes , after 6 months of waiting period I want to apply for the chronic medication documents they send it to me and stated they cover all the chronic medical conditions except ADHD. Affinity Health is worthless!!!!!

0
Replies (2)
Affinity Health
Affinity Health's reply01 Oct 2018, 16:17
Official

Good day Phillip

Thank you for raising your concerns with us.

Please be advised that the sales call will be investigated, and a Complaints Officer will be in contact to provide you with feedback.

Kind regards

Affinity Health Management Team

Affinity Health
Affinity Health's reply03 Oct 2018, 13:00
Official

Good day Phillip

Please note that we've been trying to contact you, to no avail.

Kindly note that no record can be found of the above allegations.

It was not queried whether Concerta would be covered, the sales rep did not confirm that Concerta would be covered, and the sales rep advised that medication would be covered according to formulary, which is a list of medications that is managed in order to keep the cost of medical cover affordable.

Please note that it is written in Policy Wording and printed on your membership certificate that conditions such as ADHD are not covered by Affinity Health.

Should you need any further assistance, please feel free to email ***.

Kind regards

Affinity Health Management Team