TM
Tshepo M

1 reviews | Active since Mar 2022

28 Oct 2025, 11:02

Worst Service

Since I have been with affinity from 2021, i would normally go to my GP and they would pay the invoice for consultation without any hassles or requirement of pre-authorisation. Today my GP advised affinity is disputing claims for over 2 years as no pre-authorisation was received for those claims whereas previous claims were paid with the same GP before without any pre-authorisation. I'm appalled as now it seems I wil have to take on a debt but I'm paying premiums monthly and I just don't understand how I find myself here.. previous claims were assessed and paid without the requirement of pre-authorisation . How is it now that I'm the one in fault whereas no communication was received to advise of any changes. Please note I will also be cancelling as I believe I won't even receive an answer for this.

0
Replies (5)
Affinity Health
Affinity Health's reply28 Oct 2025, 11:19
Official
Dear Tshepo,

Thank you for sharing your concerns with us. We sincerely regret the experience you’ve had. Please be assured that a complaints officer will reach out to you shortly to address your concerns and provide the necessary assistance.

Kind regards,
Affinity Health Management Team
TM
Tshepo M's update28 Oct 2025, 11:25
Reviewer Update
I really hope so, I'm not happy at all. Imagine going to the doctor to find out you owe for claims but pay monthly without fail. Already health services are in crisis in this country , so the worst is to get such service when you pay..
Affinity Health
Affinity Health's reply28 Oct 2025, 11:29
Official
Good day Tshepo,

We can assure you that thorough investigation into your concerns will be conducted and a complaints officer will be in contact with you as soon as possible.

Regards,
Affinity Health Management Team
Affinity Health
Affinity Health's reply06 Nov 2025, 15:31
Official
Dear Tshepo,

Please note that our Complaints Officer has been trying to reach you in order to provide feedback on the complaint that was lodged. 

Kindly provide us with a convenient time to contact you.

Thank you,
Affinity Health Management Team
Affinity Health
Affinity Health's reply11 Nov 2025, 14:44
Official
Good day Tshepo. 

We hope you are well. We attempted to contact you telephonically to discuss the outcome of your complaint but were unfortunately unable to reach you. 

As a result, an email has been sent to your personal email address listed on your policy, providing full details of the outcome. Please note that your complaint is now considered closed based on the information provided and the outcome communicated. 

Should you wish to discuss the matter further or require any clarification, you are welcome to contact us.

Kind regards, 
Affinity Health Management Team