NA
Natasha A

1 reviews | Active since Sept 2022

07 Mar 2023, 11:34

Very dissappointed Client

Me and my husband join affinity Health insurance. about 12 months ago. 1st March 2022 My husband has underline condition (DIABETES) which he needs to look at. so last year November he had problems with his eyes. He went to his GP. Doctor revered him to an eye Specialist, that was in January 2023, doctor advised that a procedure needs to be done on both his eyes, medical insurance (Affinity) did not approve for the procedure to happened due to medical insurance policy have a waiting period on preexisting conditions which is my husband diabetes.so medical insurance disapproved for the procedure to happened in January which we fully understand due to the waiting period. my husband is suffering at the moment with his eyes a blood vessel burst, and it needs to have Lazer procedure. we pay every month a lot of money for this AFFINITY MEDICAL INSURANCE but every time they have a problem to approve the procedure for my husband. so, the waiting Period over now for the procedure to be done, but still the medical insurance does not approve. my husband can't even see through his one eye properly due to the blood that's in his eyes that needs to be Lazer out. today is the 7th of March 2023 and the procedure is still not approved by AFFINITY HEALTH. Waiting period is long time over which was the 1st of March. 2023. I need to speak to somebody high in Authority. In the Affinity brochure that the send us it states in room procedure 12 month Waiting period for PREEXISTING CONDITIONS.

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Replies (6)
Affinity Health
Affinity Health's reply07 Mar 2023, 12:25
Official
Good Day Natasha,

Thank you for taking the time to raise your concerns with us.

Please note that an investigation will be conducted and a Complaints Officer will be in contact to provide feedback in due course.

Warm regards,
Affinity Health Management Team.

Best regards,

NA
Natasha A's update07 Mar 2023, 12:44
Reviewer Update
Thank you very much for the feedback highly appreciated. Hope investigation will be seriously speed up. my husband urgently needs to have the procedure done; it is affecting his work situation also. hope Affinity will approve the procedure to be done asap.
Affinity Health
Affinity Health's reply07 Mar 2023, 13:08
Official
We do understand Natasha. 

The Complaints Department will conduct a thorough investigation and provide feedback accordingly. 

Warm Regards, 
Affinity Health Management Team. 

Best regards,

NA
Natasha A's update07 Mar 2023, 13:14
Reviewer Update
We are paying so a lot of money, everything month for our health which is very important, but this is the service that we get, please check the brochure that you guys send me its state in the hospital plan for in room procedure waiting period 12 months for preexisting. condition please advise? thank you. We have Combined plan.
Affinity Health
Affinity Health's reply07 Mar 2023, 14:06
Official
Hi Natasha, 

Once the Complaints Department has investigated your concerns, will you be contacted and provided with the relevant feedback. 

We are unable to provide feedback without the all information being looked at. 

Warm Regards, 
Affinity Health Management Team. 

Best regards,

Affinity Health
Affinity Health's reply14 Mar 2023, 15:22
Official
Good Afternoon Natasha, 

We can confirm that a Complaints Officer has been in contact with you in relation to your complaint. 

Warm Regards, 
 Affinity Health Management Team.  

Best regards,