JR
Jenine R
1 reviews | Active since Jul 2024
11 Jul 2024, 10:42
Poor Service
Poor Response.
I joined Affinity Health in March 2024. Affinity Health did not request my GP billing history to ascertain any pre-exisiting conditions which would require a 12 month waiting period.
In July 2024 when I requested hospital authorization for a tonsillectomy for my 5yr old, the claim was denied saying that this is a pre-exisiting condition. This rejection came after a week of unqualified call centre agents requesting one document per day. A viral infection cannot be deemed a pre-existing condition. I have since cancelled my membership
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Replies (3)
Affinity Health's replyOfficial
11 Jul 2024, 11:12Good Day Jenine R,
Thank you for bringing your concerns to our attention regarding your recent experience with our medical cover. This is certainly not the experience we aim to provide our members.
Please know that we take your feedback seriously and are committed to addressing your concerns promptly.
We would like to investigate the specific issues you encountered so that any misunderstandings are clarified for you. Contact will be made with you in due course.
Kind regards,
Affinity Health Management Team
Thank you for bringing your concerns to our attention regarding your recent experience with our medical cover. This is certainly not the experience we aim to provide our members.
Please know that we take your feedback seriously and are committed to addressing your concerns promptly.
We would like to investigate the specific issues you encountered so that any misunderstandings are clarified for you. Contact will be made with you in due course.
Kind regards,
Affinity Health Management Team
Affinity Health's reply11 Jul 2024, 11:12
Official
Good Day Jenine R,
Thank you for bringing your concerns to our attention regarding your recent experience with our medical cover. This is certainly not the experience we aim to provide our members.
Please know that we take your feedback seriously and are committed to addressing your concerns promptly.
We would like to investigate the specific issues you encountered so that any misunderstandings are clarified for you. Contact will be made with you in due course.
Kind regards,
Affinity Health Management Team
Thank you for bringing your concerns to our attention regarding your recent experience with our medical cover. This is certainly not the experience we aim to provide our members.
Please know that we take your feedback seriously and are committed to addressing your concerns promptly.
We would like to investigate the specific issues you encountered so that any misunderstandings are clarified for you. Contact will be made with you in due course.
Kind regards,
Affinity Health Management Team
JR
Jenine R's updateReviewer Update
11 Jul 2024, 11:46You can assist by explaining how a viral infection is a pre-existing condition?
JR
Jenine R's update11 Jul 2024, 11:46
Reviewer Update
You can assist by explaining how a viral infection is a pre-existing condition?
Affinity Health's replyOfficial
11 Jul 2024, 12:29Good Day Jenine R,
A Complaints Officer will contact you to provide feedback once the investigation has been concluded.
Kind regards,
Affinity Health Management Team
A Complaints Officer will contact you to provide feedback once the investigation has been concluded.
Kind regards,
Affinity Health Management Team
Affinity Health's reply11 Jul 2024, 12:29
Official
Good Day Jenine R,
A Complaints Officer will contact you to provide feedback once the investigation has been concluded.
Kind regards,
Affinity Health Management Team
A Complaints Officer will contact you to provide feedback once the investigation has been concluded.
Kind regards,
Affinity Health Management Team