KR
Kim R

1 reviews | Active since Nov 2014

02 Sept 2023, 12:00

Lack or service and correspodonce

Affinity DO NOT OFFER WHAT THEY SAY. 24hrs 7days a week this is a lie. They purposely take forever to get back to you with any claim or authorization that you will need, so when there is a scheduled operation due to an accident, they postpone it for as long as possible by not sending one email with everything they require but different emails nearly 36 to 48 hours after you have sent your email through. Then when you call back (cause you always have to phone them, they never phone you) you have to explain everything all over again. No managers work ‘’after hours’’ only Mondays to Friday 8am to 5pm. When there is an accident they request hospitalization/operation request forms to be filled in, then once that has done, they take as long as possible to contact you back. Then they request further forms to be filled in by the specialist which they take again as long as possible and you have to still call them back. Then they give you one option to claim on your day to day benefit, and you are not allowed to claim off your accidental benefit, when it was an accident. DO not use affinity try find another medical insurance to cover you who don’t dictate to you. If you need any further assistance over the weekend, FORGET IT NO ONE WILL BE ABLE TO ASSIST YOU UNTIL Monday. They do give you an email address, where you can email someone, but again that person is only available from Mondays till Fridays So the authorisation that was given to us as day to day I do not accept as this needs to go under accidental, so my husband now has to wait so we can get ANOTHER letter from the specialist and possibly an MRI so the delay of the surgery continues.

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Replies (2)
Affinity Health
Affinity Health's reply02 Sept 2023, 16:58
Official
Good Day Kim,

Thank you for taking the time to voice your concerns with us, here, on Hello Peter.

Please note that your complaint will be relayed to our Complaints Department for further investigation. 

Kind regards,
Affinity Health Management Team.
Affinity Health
Affinity Health's reply05 Oct 2023, 10:48
Official
Good Day Kim,

We can confirm that a Complaints Officer was in contact with you to provide you with further clarity on your benefits and how the plan works.

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

Best regards,
Affinity Health Management Team