my sons birth
<p>We found out I am pregnant in March last year. I was with affinity Health for a year at that time. I wanted to go to Linmed hospital for his birth but they advised me that Affinity don't cover all there cost as I only got R30 000 from Affinity for his birth . (They asked me if I am going natually or C-section 4 weeks before my son was born I advised them I want to go normal but they day of his birth I was admitted for an emergency C-section now I dont know if this is why they don't pay for everything). I then went from hospital to hospital to find someone that works with Affinity ( as Affinity were not able to provide me with a list of hospitals that can assist me ). Eventually we were able to find a hospital that told us that we might have an outstanding bill of R5000 after Affinity paid for everything . Now almost 4 months later we keep getting outstanding bills. We are now up to R15000 that Affinity did not pay and no one can explain to me why . I was also advised that I have unlimited GP visits but go an outstanding bill of R2500 on my husbands first visit to the GP and 2 of my visits during my pregnancy. They also don't pay for my sons pediatric visits as we only get one specialist visit a year . So I also had to pay for all my gino visits out of my pocket. This is really bad service from affinity health. Why they only give you one specialist visit when you are pregnant knowing you have to go to the gino every 4 weeks blows my mind. </p>
Good morning Rochelle,
Thank you for sharing your concerns with us here on Hello Peter.
We have referred this matter to a Complaints officer will be in contact with you shortly to discuss this matter in more detail.
Kind regards
Affinity Health Management Team.
Good morning Rochelle,
Thank you for sharing your concerns with us here on Hello Peter.
We have referred this matter to a Complaints officer will be in contact with you shortly to discuss this matter in more detail.
Kind regards
Affinity Health Management Team.
Good morning Rochelle,
Kindly be advised that numerous attempts have been made to contact you telephonically, which deemed unsuccessful.
Kindly be advised that as a medical insurance, we have stated benefits with stated amounts which are set out to cover your basic medical needs. These are all set out in the policy documents which were sent to you along with your welcome pack and cards, delivered to you on 2015-04-01.
As per our maternity benefits, the stated amount for a natural birth is R20 000.00 and for a C-Section is R30 000.00. There is also a limit on specialist visits per member as set out in the policy wording.
Please also take note that should you visit a GP who is not on our network, payment will not be made directly to that GP. An upfront payment must be made to that GP and a reimbur*****t must be requested for amounts paid according to our formulary.
Kindly be advised that our network of hospitals change on a monthly basis and upon calling in for pre-authorization, a list of hospitals is available from the pre-auth team.
Please accept our humble apologies for any confusion with regards to the cover as discussed with the policy holder.
Kindest regards,
Affinity Health Management Team.
Good morning Rochelle,
Kindly be advised that numerous attempts have been made to contact you telephonically, which deemed unsuccessful.
Kindly be advised that as a medical insurance, we have stated benefits with stated amounts which are set out to cover your basic medical needs. These are all set out in the policy documents which were sent to you along with your welcome pack and cards, delivered to you on 2015-04-01.
As per our maternity benefits, the stated amount for a natural birth is R20 000.00 and for a C-Section is R30 000.00. There is also a limit on specialist visits per member as set out in the policy wording.
Please also take note that should you visit a GP who is not on our network, payment will not be made directly to that GP. An upfront payment must be made to that GP and a reimbur*****t must be requested for amounts paid according to our formulary.
Kindly be advised that our network of hospitals change on a monthly basis and upon calling in for pre-authorization, a list of hospitals is available from the pre-auth team.
Please accept our humble apologies for any confusion with regards to the cover as discussed with the policy holder.
Kindest regards,
Affinity Health Management Team.