MS
Michelle S
1 reviews | Active since Sept 2017
07 Feb 2022, 16:02
No cover, no explanation!
I joined the comprehensive plan to have full cover but have been declined twice now due to pre-existing condition. How is being born with wisdom teeth a pre-existing condition? I have never had problems in the past but developed pain in the last month and was discovered that I needed an extraction of all 4. I am in pain 24/7 and the longer I wait the greater the chance of serious complications regarding the nerves in my face but they feel I have to wait 6 months. If I knew they would not cover any serious issues I would have never signed up. I don’t trust their great reviews anymore
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Replies (4)
Affinity Health's replyOfficial
07 Feb 2022, 16:32Good day Michelle S,
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Kindly note that the matter will be investigated and a Complaints Officer will contact you to provide clarity and feedback.
Kind Regards
Affinity Health Management Team.
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Kindly note that the matter will be investigated and a Complaints Officer will contact you to provide clarity and feedback.
Kind Regards
Affinity Health Management Team.
Affinity Health's reply07 Feb 2022, 16:32
Official
Good day Michelle S,
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Kindly note that the matter will be investigated and a Complaints Officer will contact you to provide clarity and feedback.
Kind Regards
Affinity Health Management Team.
Thank you for taking the time to raise your concerns with us here on Hello Peter.
Kindly note that the matter will be investigated and a Complaints Officer will contact you to provide clarity and feedback.
Kind Regards
Affinity Health Management Team.
MS
Michelle S's updateReviewer Update
15 Feb 2022, 15:10So they looked into the matter and found that I had wisdom teeth before I joins the plan… who would have know… this being born with wisdom teeth makes it pre-existing and thus NO Cover! I have hear a lot in my livetime but this bowls me out! Not happy at all!
MS
Michelle S's update15 Feb 2022, 15:10
Reviewer Update
So they looked into the matter and found that I had wisdom teeth before I joins the plan… who would have know… this being born with wisdom teeth makes it pre-existing and thus NO Cover! I have hear a lot in my livetime but this bowls me out! Not happy at all!
Affinity Health's replyOfficial
15 Feb 2022, 15:21Good day Michelle S,
Kindly be advised that that a Complaints Officer was in contact with you to discuss your concerns and provide clarity on your plan.
It is important for our members to be aware of all waiting periods applicable to their policies. Unfortunately, the procedures that you and your child require is related to a pre-existing condition, which carries a 12-month waiting period.
Should you require any further clarification regarding your benefits or waiting periods, please do not hesitate to contact us.
Kind regards,
Affinity Health Management Team
Kindly be advised that that a Complaints Officer was in contact with you to discuss your concerns and provide clarity on your plan.
It is important for our members to be aware of all waiting periods applicable to their policies. Unfortunately, the procedures that you and your child require is related to a pre-existing condition, which carries a 12-month waiting period.
Should you require any further clarification regarding your benefits or waiting periods, please do not hesitate to contact us.
Kind regards,
Affinity Health Management Team
Affinity Health's reply15 Feb 2022, 15:21
Official
Good day Michelle S,
Kindly be advised that that a Complaints Officer was in contact with you to discuss your concerns and provide clarity on your plan.
It is important for our members to be aware of all waiting periods applicable to their policies. Unfortunately, the procedures that you and your child require is related to a pre-existing condition, which carries a 12-month waiting period.
Should you require any further clarification regarding your benefits or waiting periods, please do not hesitate to contact us.
Kind regards,
Affinity Health Management Team
Kindly be advised that that a Complaints Officer was in contact with you to discuss your concerns and provide clarity on your plan.
It is important for our members to be aware of all waiting periods applicable to their policies. Unfortunately, the procedures that you and your child require is related to a pre-existing condition, which carries a 12-month waiting period.
Should you require any further clarification regarding your benefits or waiting periods, please do not hesitate to contact us.
Kind regards,
Affinity Health Management Team
MS
Michelle S's updateReviewer Update
17 Feb 2022, 08:45I DO NOT agree that being born with wisdom teeth is a pre-existing condition. The doctor gave supporting doc’s that I never in my life had problems until now but you still use the excuse of pre-existing! I will not accept it!
MS
Michelle S's update17 Feb 2022, 08:45
Reviewer Update
I DO NOT agree that being born with wisdom teeth is a pre-existing condition. The doctor gave supporting doc’s that I never in my life had problems until now but you still use the excuse of pre-existing! I will not accept it!