TE
Trevor E
1 reviews | Active since Aug 2011
11 Nov 2019, 16:15
Very bad experience over a potential Cancer incident - how can we avoid helping you !
my wife felt a lump in her breast and we thought it best that she goes for a mammogram. She has never been since we became members of Affinity Health many years ago. I phoned the Call Center and got shifted from one consultant to another and ended up having a terrible experience. The outcome of the last conversation was that the Consultant needs a referral from a Doctor and a quotation. I asked the consultant that surely they know what Paarl Medi-Clinic charges for the procedure and that a doctor’s consultation costs over R400. She then said that they need the information to consider what they would pay, if any, and remember that they are an Insurance and not a Medical aid.
Terribly disappointed !
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Replies (3)0
Replies (3)
Affinity Health's replyOfficial
11 Nov 2019, 16:26Good Day Trevor
Thank you for bringing this matter to our attention.
Please note that the costing for various procedures are different from one hospital to another and Affinity Health does not have access to their pricing. This is the reason as to why a quotation is required to determine the applicable benefit and advise the member accurately.
To review the request for authorisation, the requested documents are needed. We can confirm that Affinity Health has not declined benefits and await your documentation for assessment.
You may send your documents to ***.
Kind Regards
Affinity Health Management Team
Thank you for bringing this matter to our attention.
Please note that the costing for various procedures are different from one hospital to another and Affinity Health does not have access to their pricing. This is the reason as to why a quotation is required to determine the applicable benefit and advise the member accurately.
To review the request for authorisation, the requested documents are needed. We can confirm that Affinity Health has not declined benefits and await your documentation for assessment.
You may send your documents to ***.
Kind Regards
Affinity Health Management Team
Affinity Health's reply11 Nov 2019, 16:26
Official
Good Day Trevor
Thank you for bringing this matter to our attention.
Please note that the costing for various procedures are different from one hospital to another and Affinity Health does not have access to their pricing. This is the reason as to why a quotation is required to determine the applicable benefit and advise the member accurately.
To review the request for authorisation, the requested documents are needed. We can confirm that Affinity Health has not declined benefits and await your documentation for assessment.
You may send your documents to ***.
Kind Regards
Affinity Health Management Team
Thank you for bringing this matter to our attention.
Please note that the costing for various procedures are different from one hospital to another and Affinity Health does not have access to their pricing. This is the reason as to why a quotation is required to determine the applicable benefit and advise the member accurately.
To review the request for authorisation, the requested documents are needed. We can confirm that Affinity Health has not declined benefits and await your documentation for assessment.
You may send your documents to ***.
Kind Regards
Affinity Health Management Team
TE
Trevor E's updateReviewer Update
11 Nov 2019, 16:32why don't you make contact with Paarl Medic-Clinic and get to know their rates for a basic mammogram or tell me where to take my wife to get rates that you will pay and make your decision and contact me - Why aren't you there when we need you but yet you are quick to take the monthly contribution !
TE
Trevor E's update11 Nov 2019, 16:32
Reviewer Update
why don't you make contact with Paarl Medic-Clinic and get to know their rates for a basic mammogram or tell me where to take my wife to get rates that you will pay and make your decision and contact me - Why aren't you there when we need you but yet you are quick to take the monthly contribution !
Affinity Health's replyOfficial
11 Nov 2019, 16:36Good Day Trevor
Please not that the referral letter is required prior to assisting in obtaining any quotations.
May you please send the documentation through for further assistance.
Kind Regards
Affinity Health Management Team
Please not that the referral letter is required prior to assisting in obtaining any quotations.
May you please send the documentation through for further assistance.
Kind Regards
Affinity Health Management Team
Affinity Health's reply11 Nov 2019, 16:36
Official
Good Day Trevor
Please not that the referral letter is required prior to assisting in obtaining any quotations.
May you please send the documentation through for further assistance.
Kind Regards
Affinity Health Management Team
Please not that the referral letter is required prior to assisting in obtaining any quotations.
May you please send the documentation through for further assistance.
Kind Regards
Affinity Health Management Team