JW
Jean W

1 reviews | Active since Jul 2018

01 Jul 2019, 13:55

NEVER trust Affinity Health's sales talk - They will LIE to get you to pay.

Well I have a mouth full... So we signed up with Affinity Health and how wonderful it was, we took all the bells and whistles, every extra they have to make sure we are covered in full for anything life may throw our way. I am paranoid, so I went into detail on about 10 different emergency situations I could think of, and made sure that it would be covered under the emergency/accident plan. I was assured that we would be covered up to R775,000 in case of an emergency, time and time again. There are waiting periods, but emergencies are covered from day one. So month 1 we had some personal things to take care of and we could not make the payment, I called accounts and made an arrangement to pay it before the next debit was to go off. Then an emergency happened, actually one of the specific things I mentioned and asked about, one of the things I was assured would be covered. What now, no there is NO COVER because we are in the waiting period, what bull****. When I asked for the recordings there was a lot of stories, and eventually I was told it is their property and they will not send it to me. Then they said but the account was not paid, but then I called the acc department and they confirmed that that is not an issue as an arrangement is in place. They then fell around story after story, refusing to accept that the recordings state exactly what was told and sold to us. Now an "investigation" is underway (note they still refuse me my own voice recordings). If I had not been **** to and deceived from the very start, if I had known that what I wanted would not be covered as an emergency I never would have gone with them. Affinity Health - you are disgusting.

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Replies (2)
Affinity Health
Affinity Health's reply01 Jul 2019, 14:17
Official
Good day Jean

Thank you for raising your concerns with us.

Please be advised that Daily Illness Hospitalisation cover may be claimed after a waiting period of 3 months, and Casualty Room Treatment for Illnesses may be claimed after a waiting period of 1 month.

Kindly note that immediate Accident Cover in hospital and in casualty could have been claimed until your policy commenced, which it did on 01.06.2019, from which your waiting periods began.

As such, you would have had Casualty Room Treatment cover in the event of an emergency for illness admissions in casualty after a waiting period of 1 month, and accident cover would have had no waiting period, had the payments of your premiums been up to date.

Furthermore, the medical condition remains to be confirmed, hence all details pertaining to the matter remain under investigation.

Please await feedback before close of business today.

Kind regards
Affinity Health Management Team
JW
Jean W's update01 Jul 2019, 14:45
Reviewer Update
I was told when agreeing to the plan that we are covered for "emergencies", not accidents only.
Also, you are *******ly refusing me the recordings of the conversations had with me, where it is recorded that I was told we would have cover in the case of an emergency from day one, not only an accident.
This matter will be referred to the Statutory Ombutsman as well.
I will update this post as well as the others I have posted once it has been resolved.