AS
Amir S

1 reviews | Active since Jan 2013

26 Mar 2018, 08:58

Pathetic, *********** service! Doesn't pay claims!

Dont join this medical aid!

Poor service, We chose the comprehensive plan which STATED that they cover medical emergencies, only to find out at the emergency room they do not cover emergencies

We had to pay R5000 Cash, upon sending this invoice to this useless medical aid, the consultant Courtney Durber takes her time to respond!! Apparently it will take 30 days to process this claim that was on the 23/03.2018

I want my money, i am going to go to the CMS and the ombudsman .

0
Replies (4)
Affinity Health
Affinity Health's reply26 Mar 2018, 09:14
Official

Good day Amir

Thank you for sharing your concerns with us.

Please note that the relevant account is currently being processed for payment.

Kindly ensure to contact our pre-authorisation department on ***prior to hospital or casualty admission, and we will assist you accordingly.

Kind regards

Affinity Health Management Team

Affinity Health
Affinity Health's reply29 Mar 2018, 11:04
Official

Good day Amir

Thank you for sharing your concerns with us.

Please note that the relevant account is currently being processed and the funds should reflect in your account in due course.

Kindly ensure to contact our pre-authorisation department on ***prior to hospital or casualty admission, and we will assist you accordingly.

Kind regards

Affinity Health Management Team

Affinity Health
Affinity Health's reply29 Mar 2018, 11:09
Official

Good day Amir

Thank you for sharing your concerns with us.

Please note that the relevant account is currently being processed for payment and the funds should reflect in your account in due course.

Kindly ensure to contact our pre-authorisation department on ***prior to hospital or casualty admission, and we will assist you accordingly.

Kind regards

Affinity Health Management Team

AS
Amir S's update29 Mar 2018, 11:44
Reviewer Update
They did contact you for before the casualty admission, Its hospital procedure. Be realistic