Rating based on 10 reviews

Affinity Health

Updated
  • Medical Aid starting from R719
  • Leading Medical Aid
  • Budget Friendly Plans

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Affinity Health homepage
Author Affinity Health. Screenshot of Affinity Health website.
[Accessed June 9, 2023]

About Affinity Health

Affinity Health is one of South Africa's fastest-growing suppliers of hospital plans and health insurance and provides you with an affordable hospital plan that allows you access to a variety of features and benefits just when you need them.

They’re a specialised provider of long-term health insurance products. It was founded in 2011 with the intention of seizing market opportunities in the health insurance sector and providing all South Africans with access to affordable private health care.

They provide all South Africans with premium medical insurance at competitive prices. These affordable healthcare plans are created to meet your health and financial needs.

They want to make quality healthcare that is easy to use, affordable, reliable, and accessible to all.

The leading provider of cost-effective health insurance in South Africa

They recognise the significance of having health insurance that fits your requirements, spending capacity, and way of life. Your access to affordable health insurance has just improved.

Their healthcare products and services are made to safeguard you and your loved ones when it counts. They take an economical approach to health insurance in South Africa by offering solid protection without breaking the bank.

Their main goal as the top health insurance provider in South Africa is to offer South Africans dependable, cheap health insurance.

Do you require a hospital plan, a day-to-day plan, or both?

You get to pick the cover that best fits your requirements. Options for boosters are also available to you, providing complete peace of mind.

Their passion is for high-quality medical aid. They have created a variety of alternatives to choose from, giving you an option of either a day-to-day plan, a hospital plan option, or a combined option.

When you have an accident or experience illness, they work to provide you with the best level of service and peace of mind.

Their insurance is designed to ensure that you receive exactly what you require because they strive to give solutions that are straightforward, affordable, and tested.

More than just a medical scheme: empowering members with choices

They offer a variety of packages, which offer a selection of eight affordable healthcare solutions.

This wide range of service providers, hospitals, medical professionals, and specialists give their more than 350 000 members choices, dependable cover solutions, and help to meet employees' medical needs.

Affinity Health Services

They have a daily health plan for the prevention, diagnosis, and treatment of common ailments, injuries, and critical medical needs.

You get unlimited phone consultations with a nurse, doctor, or mental health professional and managed GP consultations that are limitless.

Their day-to-day plan has been created to assist you in paying for the regular expenses associated with maintaining your health, such as

  • seeing the dentist or doctor
  • getting prescription acute medicine
  • getting a pair of reading glasses
  • recommended unlimited basic pathology and radiography
  • hospital emergency room care

Even the healthiest among us are susceptible to illness and accidents, which can strike at any time. So, if you are hospitalized due to an accident, illness, or medical emergency, their hospital plan offers you a wide range of benefits.

Benefits of their hospital plans

  • hospitalization for accidents, severe injuries, and illness
  • private home nursing after hospitalization
  • casualty room and 24-Hour EMS
  • procedures in subacute hospitals and day clinics
  • cover for mothers
  • serious Illness and diagnostic procedures
  • entry to exclusive medical facilities
  • permanent disability benefits due to accidents.
  • 24-hour emergency coverage

The benefit of having a hospital plan is that you have access to a considerably wider range of medical facilities and practitioners than you would as a public patient.

You can combine all the benefits offered by the day-to-day and hospital plans and enjoy the additional advantage of the casualty room treatment benefit increase. Additionally, your entire premium is reduced.

Make informed decisions

Their website gives you access to a resources portal where you can search for a medical facility or medical practitioner in your area.

You also have access to your full benefits guide and a procedures guide which gives you valuable information about the plan you have and how each benefit in your plan works.

The procedure guide also gives you important tips on what is covered, what can be claimed for, and which procedure(s) requires pre-authorization.

Additionally, they have a range of specific benefits guides that can assist you in making decisions about emergency medical care, chronic care, and management as well as preventative and maintenance health care programs.

All these guides are easily downloadable and give you the most relevant and current information available.

Affinity Health – Medical aid scheme

  • Product Medical Aid
  • Premium from R719
  • Day to day and Hospital cover
    Affordable combined cover for just R1629 a month
  • Hospital
    You can get Hospital Cover from just R1109 a month
  • Day to day cover
    With Affinity Health you can get day to day cover from just R719 a month

Benefits of Affinity Health

  • Wide-ranging network - Affinity Health has a wide-ranging network of physicians and medical facilities with which they have negotiated the best care at the lowest costs for you.
  • Dentistry and optometry are included in the daily advantages so you can meet all of your demands.
  • Service representatives: Affinity Health offers a committed team of specialists who can advise you on the coverage that would be most appropriate for you. They can also help you with pre-authorizations or claims.

Experience Hassle-free enrollment with their simplified application

Their application is diagrammatic and easy to follow. You start with basic demographic information followed by a plan selection and the payment option. It doesn’t get easier than this.

They have an extensively detailed contact page where you can contact them on a range of platforms including WhatsApp which is very convenient.

Affinity's role as secondary and primary insurance carrier and claims submission process

Interestingly Affinity encourages practitioners to submit claims on behalf of their clients. Therefore, there is no automatic claims submission readily available on their website. However, this can be set up with assistance from their customer service team.

They prefer electronic claims to come directly from the medical service provider because they use a clearing house platform for this purpose. Affinity is a secondary and primary insurance carrier and therefore medical practitioners in their network are aware of the requirements for the submission of claims for patients.

Plan with confidence: detailed cost breakdowns for dependents

Their live chatbot gives you instant access to answers to queries you may have. There are also three quick-find icons on their website that help you to find a medical practitioner or service provider quickly or get access to their 24ht emergency facility and /or authorization platform.

So, in an emergency, you never have to remember where to find or search for any of these. It is quick, easy and intuitive to do especially when your focus is on caring for a loved one in need of medical assistance.

Each one of their plans gives you a detailed breakdown of the estimated costs for dependants the main member wishes to include in the cover.  Plans also include the option of including additional coverage for accidents or similar.

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Affinity Health is a trusted & reliable provider of medical aid

In our review, we found Affinity Health to be a company licensed to provide medical aid products and services, and is regulated under the Financial Sector Conduct Authority.

✅ Affinity Health is a registered and licensed insurance provider in South Africa: FSP47132

Affinity Health Contact

Contact Number

E-Mail

Website

Physical Address


Postal Address

  • Posnet Suite 124, Private Bag x101, Farramere, Benoni, 1518, South Africa

Opening Hours

  • Monday 08:30 – 16:30
  • Tuesday 08:30 – 16:30
  • Wednesday 08:30 – 16:30
  • Thursday 08:30 – 16:30
  • Friday 08:30 – 16:30
  • Saturday – Closed
  • Sunday – Closed