NS
Nqwadi S

1 reviews | Active since Feb 2018

04 Feb 2025, 14:52

Unsatisfactory Treatment

Okay, so I am really frustrated with Affinity Health. I had a good experience before, but things went downhill when I tried to get a refund. On November, I requested prior authorization to consult a specialist, which Affinity Health approved. I paid cash for the consultation, as instructed The provider issued an invoice instead, which i submitted to Affinity Health on November Affinity Health rejected this, claiming an invoice was insufficient and demanding a receipt (proof of payment). I obtained and submitted the receipt on January Despite this, Affinity Health has not processed the refund till to date. instead they questioned my integrity by repeatedly contacting the specialist’s office to verify my claim. They failed to clarify upfront that a receipt (not an invoice) was required, Gaslighting behavior (implying dishonesty). Ghosting after submission of correct documents.

This caused Financial Harm on my side: I am out of pocket for a service they pre-authorized. people have to be careful when choosing Medical Insurance providers, because they dont do what they promised to do. I have even decided to cancel my subscription.

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Replies (2)
Affinity Health
Affinity Health's reply04 Feb 2025, 15:09
Official
Good day Nqwadi,

Thank you for bringing your concerns to our attention.

We sincerely apologize for the delay in service that you experienced and can assure you that this is not the standard of service we are known for. 
  We will ensure that your complaint is escalated to our Complaints Department for further investigation and a Complaints Officer will be in contact with you. 

Kind regards,
Affinity Health Management Team 
Affinity Health
Affinity Health's reply14 Feb 2025, 15:38
Official
Dear Nqwadi, 

We can confirm that you were contacted by a Complaints Officer and the concerns raised above were discussed.

Warm regards,
Affinity Health Management Team.