CH
Corrie H
1 reviews | Active since May 2015
06 May 2015, 16:02
Hear Attack
My husband had a Major Heart Attack on 8 January 2015 and was admitted to Hospital where he had to have a Tipple By-pass within 48 hours. We had a Hospital plan with Momentum Health with no problem and then changed to Affininty Health to a full comprehensive cover. We were told we have a 3 month waiting period but have got cover for Emergencies during this period.Altough they state they cover Trauma events requiring emergency service<br> We had to pay an amount of R390 000 for the admit ion at 3 different Hospitals A Tipple Bypass was done. We still have the struggle with Affinity to pay. According to them a Tipple Bypass and Hart Attack is not an Emergency. Our doctor advice that a Medical aid must pay when its a PMB case According to Medical Law \ In terms of the Medical Schemes Act of 1998 and its regulations
Helpful (0)
Replies (1)0
Replies (1)
Affinity Health's replyOfficial
07 May 2015, 09:47Hello CorrieHe,
Thank you for reporting your experience on Hello Peter.
Affinity Health is a Medical Insurance and not a Medical Aid. The Medical Schemes Act does not apply to us.
Our policy does offer immediate cover for accidents on receipt of first successful payment.
We have been in communication with you to advise of this and also advised that the policy was still within waiting periods and that the admission would no be approved.
We will again make contact with you to resolve this matter.
Kind regards
Affinity Health Management Team
Thank you for reporting your experience on Hello Peter.
Affinity Health is a Medical Insurance and not a Medical Aid. The Medical Schemes Act does not apply to us.
Our policy does offer immediate cover for accidents on receipt of first successful payment.
We have been in communication with you to advise of this and also advised that the policy was still within waiting periods and that the admission would no be approved.
We will again make contact with you to resolve this matter.
Kind regards
Affinity Health Management Team
Best regards,
Affinity Health's reply07 May 2015, 09:47
Official
Hello CorrieHe,
Thank you for reporting your experience on Hello Peter.
Affinity Health is a Medical Insurance and not a Medical Aid. The Medical Schemes Act does not apply to us.
Our policy does offer immediate cover for accidents on receipt of first successful payment.
We have been in communication with you to advise of this and also advised that the policy was still within waiting periods and that the admission would no be approved.
We will again make contact with you to resolve this matter.
Kind regards
Affinity Health Management Team
Thank you for reporting your experience on Hello Peter.
Affinity Health is a Medical Insurance and not a Medical Aid. The Medical Schemes Act does not apply to us.
Our policy does offer immediate cover for accidents on receipt of first successful payment.
We have been in communication with you to advise of this and also advised that the policy was still within waiting periods and that the admission would no be approved.
We will again make contact with you to resolve this matter.
Kind regards
Affinity Health Management Team
Best regards,