MM
Mimmy M

1 reviews | Active since Dec 2021

24 Dec 2021, 10:24

****

HelloPeter My company took out the Affinity health medical aid for us early this year. They debit around R700 a month but every evetime when i want to consult i have to pay cash as they always tell me that they require the authorizing from the company and when i talk to my company they say everything is fine.so i don't know if this is **** as they they always provide me with different memberships i have 3 already.so please help me. Thank you

0
Replies (2)
Affinity Health
Affinity Health's reply24 Dec 2021, 10:29
Official
Good Day Mimmy M,
 
Thank you for bringing your concerns to our attention.

We will ensure that your complaint is escalated to our Complaints Department for further investigation and  contact will be made with you. 
 
Kind Regards,
Affinity Health Management Team 
Affinity Health
Affinity Health's reply28 Dec 2021, 13:13
Official
Good Day Mimmy M,

Thank you for taking the time to speak with a consultant regarding your concerns.

Kindly note that Affinity Health covers medication according to our medicine formulary.

We can confirm that the pharmacy changed the medication prescribed to non-formulary medication and the practice number used to submit the claim was also captured incorrectly, which is why you were not able to obtain the medication.

Should you encounter a problem like this in future, please make urgent contact with us so we can advise the pharmacy on how to submit the claim for the medication.

For further clarification regarding your benefits, please do not hesitate to contact us. 
Kind regards,Affinity Health Management Team