NM
Nonkanyiso M
1 reviews | Active since Nov 2019
23 Sept 2021, 15:44
Owing the doctors R20 000 for 2 and a half days
Never have i been so hurt with this Affinity 💔😪😞😕😢. I have been ****med by Affinity and i have to pay huge amounts for hospital i was admitted in. I just wish i never new this scheme. I do not wish anyone close to me to go through this scheme cause wow you will die of heart attack. DO NOT TAKE THIS SCHEME. They promised to pay 60 000 and wow they did not pay the agreed amount they have excuses now. I have been in tears for about 5 hours now. They telling me i stayed for 2 and half days so they not paying the agreed amount. I wish i can just die now where am i expected to get R20k to settle this kind of mess.
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Replies (3)
Affinity Health's replyOfficial
23 Sept 2021, 15:59Good Day Nonkanyiso,
Thank you for taking the time to raise your concerns with us.
Kindly note that admissions under the Daily Illness benefit are covered according to benefit protocol. The Guarantee of payment provided advised that admission is based on the information provided at the time of the request and authorisation is subject to change.
The final authorisation is based on the applicable benefit as per the actual length of stay which is received from the treating facility once the member has been discharged.
Kindly note that the final claim amount was paid according to the length of stay provided by the treating facility and therefore the shortfall will, unfortunately, be for your own account.
Kind Regards
Affinity Health Management Team
Thank you for taking the time to raise your concerns with us.
Kindly note that admissions under the Daily Illness benefit are covered according to benefit protocol. The Guarantee of payment provided advised that admission is based on the information provided at the time of the request and authorisation is subject to change.
The final authorisation is based on the applicable benefit as per the actual length of stay which is received from the treating facility once the member has been discharged.
Kindly note that the final claim amount was paid according to the length of stay provided by the treating facility and therefore the shortfall will, unfortunately, be for your own account.
Kind Regards
Affinity Health Management Team
Affinity Health's reply23 Sept 2021, 15:59
Official
Good Day Nonkanyiso,
Thank you for taking the time to raise your concerns with us.
Kindly note that admissions under the Daily Illness benefit are covered according to benefit protocol. The Guarantee of payment provided advised that admission is based on the information provided at the time of the request and authorisation is subject to change.
The final authorisation is based on the applicable benefit as per the actual length of stay which is received from the treating facility once the member has been discharged.
Kindly note that the final claim amount was paid according to the length of stay provided by the treating facility and therefore the shortfall will, unfortunately, be for your own account.
Kind Regards
Affinity Health Management Team
Thank you for taking the time to raise your concerns with us.
Kindly note that admissions under the Daily Illness benefit are covered according to benefit protocol. The Guarantee of payment provided advised that admission is based on the information provided at the time of the request and authorisation is subject to change.
The final authorisation is based on the applicable benefit as per the actual length of stay which is received from the treating facility once the member has been discharged.
Kindly note that the final claim amount was paid according to the length of stay provided by the treating facility and therefore the shortfall will, unfortunately, be for your own account.
Kind Regards
Affinity Health Management Team
NM
Nonkanyiso M's updateReviewer Update
23 Sept 2021, 16:05I do not care about the stay. I am talking about the money that wasn't paid yo the doctors. If that was the case then i should have been told. You guys asked for the bill i sent it to you and you told me you will settle 60 000 i spoke to tne doctor about tne amount you guys were going to pay. So it was taken to tne financial department and adjustments were made and now this i came in Thursday and was discharged Saturday so are you guys telling me i should have stayed whole Saturday when i got in hospital on Thursday at 6am and discharged Saturday 10am with my calculations i count 3 full dayz and extra hours
NM
Nonkanyiso M's update23 Sept 2021, 16:05
Reviewer Update
I do not care about the stay. I am talking about the money that wasn't paid yo the doctors. If that was the case then i should have been told. You guys asked for the bill i sent it to you and you told me you will settle 60 000 i spoke to tne doctor about tne amount you guys were going to pay. So it was taken to tne financial department and adjustments were made and now this i came in Thursday and was discharged Saturday so are you guys telling me i should have stayed whole Saturday when i got in hospital on Thursday at 6am and discharged Saturday 10am with my calculations i count 3 full dayz and extra hours
Affinity Health's replyOfficial
23 Sept 2021, 16:44Good Day Nonkanyiso,
We can confirm that a Complains Officer was in contact with you and provided clarity regarding the matter in question.
We apologise for the distress this caused you and we wish you a speedy recovery.
Kind Regards
Affinity Health Management Team
We can confirm that a Complains Officer was in contact with you and provided clarity regarding the matter in question.
We apologise for the distress this caused you and we wish you a speedy recovery.
Kind Regards
Affinity Health Management Team
Affinity Health's reply23 Sept 2021, 16:44
Official
Good Day Nonkanyiso,
We can confirm that a Complains Officer was in contact with you and provided clarity regarding the matter in question.
We apologise for the distress this caused you and we wish you a speedy recovery.
Kind Regards
Affinity Health Management Team
We can confirm that a Complains Officer was in contact with you and provided clarity regarding the matter in question.
We apologise for the distress this caused you and we wish you a speedy recovery.
Kind Regards
Affinity Health Management Team