ComplaintsforAffinity Health Plan
Need to file a complaint?
BBB is here to help. We'll guide you through the process.
Complaint Details
Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.
Initial Complaint
02/22/2023
- Complaint Type:
- Product Issues
- Status:
- Unanswered
In January 2023, my daughter found out she was no longer insured by Affinity ****** when she was at a doctor's ************ due to her turning 19 years old in October 2022. Affinity NEVER sent a letter or email or a courtesy phone call letting us know, and I continued to electronically pay $203.37 in November and December 2022 because I was not formally informed that she had been "dropped" due to her age. On 5 separate occasions, 1/17/23, 2/2/23, 2/7/23, 2/13/23, and 2/21/23, GETTING THE RUNAROUND, and speaking with several people including "Schalise", "****", "********", and finally the Supervisor, "****", I have been told 5 different stories that I would receive a refund with it only taking about 2 weeks. Then I was told the "turnaround time" would take up to 30 days". Then I was told by **** that my "refund has not been processed yet" and "it takes about a week for the ticket to be completed." He then suggested and sent it to the Appeals and ********************** I was told at first on my 1/17/23 phone call that I would receive a check in the mail for the $406 refund. Then on my 2/7/23 call, **** said no that was not correct and that the refund will get sent back to the original form of payment back to my bank electronically. I asked and wanted to make sure that my grievance would not delay my refund. I was assured it wasn't. I have been told there is a refund process time, and turnaround process time, no one could tell me exactly when or if someone is working on the refund or grievance. According to their website, "Affinity will send an acknowledgement letter within 5 days of receiving your grievance." I have NEVER received that letter. The supervisotr, Yami, was of NO HELP. She had nothing new to offer me, and as of today, they are holding onto my $406 with no good explanation and nothing new to tell me other than SOMEONE is working on it. They have not tried to resolve the issue.Reference ID#***********Customer response
03/19/2023
At this time, I have been contacted directly by Affinity Health Plan regarding complaint ID ********, however my complaint has NOT been resolved because:]
I finally received a letter from the ******************** and it appears I will get a full refund within the month although their letter is worded in purposeful confusing language wherein Im questioning if I will get full amount returned April 7 is when I should get the refund and will know then if right amount
In order for the BBB to appropriately process your response, you MUST answer the question above.
Sincerely,
*********************
Customer response
04/20/2023
Better Business Bureau:
At this time, I have not been contacted by Affinity Health Plan regarding complaint ID ********.
Sincerely,
*********************Initial Complaint
03/07/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Affinity was purchased by ****** and my sons child health plus plan is now under ****** by Affinity. However, both ****** and Affinity are pulling monthly precious from my account. I got through to ****** and they said the payments should be going through them. They gave me a number for Affinity. I called today and spent 40 min on hold on one call, only to have someone pick up and not speak but I could hear them shuffling papers. I called again and spent 54 minutes on hold and somebody finally picked up and disconnected my call. I was billed $203.37 on 2/7/22 and 3/6/22 by Affinity. These charges should have never taken place.Customer response
04/17/2022
At this time, I have been contacted directly by Affinity Health Plan regarding complaint ID ********, however my complaint has NOT been resolved because:
[Your Answer Here]
I called in and spoke with the business and they are supposed to issue a refund to my account. My bank has already credited the money to me as a courtesy. So I will not know when the back receives the funds.
In order for the BBB to appropriately process your response, you MUST answer the question above.
Sincerely,
***************************
*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩
BBB Business Profiles may not be reproduced for sales or promotional purposes.
BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.
When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.
BBB Business Profiles generally cover a three-year reporting period. BBB Business Profiles are subject to change at any time. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile.
As a matter of policy, BBB does not endorse any product, service or business.
BBB Rating & Accreditation
This business is not BBB Accredited
Customer Reviews are not used in the calculation of BBB Rating
Customer Complaints Summary
3 total complaints in the last 3 years.
0 complaints closed in the last 12 months.