LD
Lindy D
1 reviews | Active since May 2021
19 Oct 2021, 15:29
Complain
I joined affinity health for my parents since they did not have any medical aid Premium were paid up to date In November I lost my mom on a car accident they I informed them since I took combined plan(medical and funeral) Claim was paid for my mom with no problems Now In August I lost my dad called them to claim again they say it was taken away from January apparently a letter was sent to me which I don't recall receiving The premiums I was paying was still the same but the funeral benefit was taken away Can I please be refunded the extra premium I was paying since I joined a combined plan not only medical we struggled financially for the funeral yet we had ac policy
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Replies (2)
Affinity Health's replyOfficial
19 Oct 2021, 15:38Good Day Lindy,
Please accept our sincerest condolences in the passing of your loved ones.
Thank you for raising your concerns with us.
The matter has been referred to the Complaints Department for Investigation a Complaints Officer will be in contact with you in due course.
Kind Regards
Affinity Health Management Team
Please accept our sincerest condolences in the passing of your loved ones.
Thank you for raising your concerns with us.
The matter has been referred to the Complaints Department for Investigation a Complaints Officer will be in contact with you in due course.
Kind Regards
Affinity Health Management Team
Affinity Health's reply19 Oct 2021, 15:38
Official
Good Day Lindy,
Please accept our sincerest condolences in the passing of your loved ones.
Thank you for raising your concerns with us.
The matter has been referred to the Complaints Department for Investigation a Complaints Officer will be in contact with you in due course.
Kind Regards
Affinity Health Management Team
Please accept our sincerest condolences in the passing of your loved ones.
Thank you for raising your concerns with us.
The matter has been referred to the Complaints Department for Investigation a Complaints Officer will be in contact with you in due course.
Kind Regards
Affinity Health Management Team
Affinity Health's replyOfficial
21 Oct 2021, 09:46Good day Ms Dlamini,
Following our telephonic conversation, we can confirm that an annual increase letter was sent to you on the 4th of November 2020 at 11:27 to the e-mail address, ***. This letter confirms all relevant changes in pricing as well as amendments to the benefits.
Please refer to clause 8.7 of the Senior Policy Wording which states the following:
"The Assurer may alter the terms and conditions, Premiums, or Benefits of the Policy by providing the Policyholder with at least 31 (thirty-one days notice in writing."
As per the annual increase letter, we can confirm that you were made aware of the below extract relating to the removal of non-medical insurance benefits:
"The Council for Medical Schemes requires the industry to unbundle all non-medical insurance benefits from your health policy. As a result, the Family Funeral and the Accidental Permanent Disability Benefits must be removed from your Affinity Health Policy. You will still be able to purchase these products under a separate policy. Affinity Health will be offering free Funeral and Accidental Permanent Disability Benefits for all members affected by this change to 31 March 2021 to allow members time to assess and finalize any insurance-related changes. The initial waiting periods on the Funeral and Accidental Disability cover will be waived to ensure continuous cover."
The annual increase letter was resent to you via e-mail.
Should you require any further assistance, please feel free to contact us on ***.
Kind Regards,
Affinity Health Management Team
Following our telephonic conversation, we can confirm that an annual increase letter was sent to you on the 4th of November 2020 at 11:27 to the e-mail address, ***. This letter confirms all relevant changes in pricing as well as amendments to the benefits.
Please refer to clause 8.7 of the Senior Policy Wording which states the following:
"The Assurer may alter the terms and conditions, Premiums, or Benefits of the Policy by providing the Policyholder with at least 31 (thirty-one days notice in writing."
As per the annual increase letter, we can confirm that you were made aware of the below extract relating to the removal of non-medical insurance benefits:
"The Council for Medical Schemes requires the industry to unbundle all non-medical insurance benefits from your health policy. As a result, the Family Funeral and the Accidental Permanent Disability Benefits must be removed from your Affinity Health Policy. You will still be able to purchase these products under a separate policy. Affinity Health will be offering free Funeral and Accidental Permanent Disability Benefits for all members affected by this change to 31 March 2021 to allow members time to assess and finalize any insurance-related changes. The initial waiting periods on the Funeral and Accidental Disability cover will be waived to ensure continuous cover."
The annual increase letter was resent to you via e-mail.
Should you require any further assistance, please feel free to contact us on ***.
Kind Regards,
Affinity Health Management Team
Affinity Health's reply21 Oct 2021, 09:46
Official
Good day Ms Dlamini,
Following our telephonic conversation, we can confirm that an annual increase letter was sent to you on the 4th of November 2020 at 11:27 to the e-mail address, ***. This letter confirms all relevant changes in pricing as well as amendments to the benefits.
Please refer to clause 8.7 of the Senior Policy Wording which states the following:
"The Assurer may alter the terms and conditions, Premiums, or Benefits of the Policy by providing the Policyholder with at least 31 (thirty-one days notice in writing."
As per the annual increase letter, we can confirm that you were made aware of the below extract relating to the removal of non-medical insurance benefits:
"The Council for Medical Schemes requires the industry to unbundle all non-medical insurance benefits from your health policy. As a result, the Family Funeral and the Accidental Permanent Disability Benefits must be removed from your Affinity Health Policy. You will still be able to purchase these products under a separate policy. Affinity Health will be offering free Funeral and Accidental Permanent Disability Benefits for all members affected by this change to 31 March 2021 to allow members time to assess and finalize any insurance-related changes. The initial waiting periods on the Funeral and Accidental Disability cover will be waived to ensure continuous cover."
The annual increase letter was resent to you via e-mail.
Should you require any further assistance, please feel free to contact us on ***.
Kind Regards,
Affinity Health Management Team
Following our telephonic conversation, we can confirm that an annual increase letter was sent to you on the 4th of November 2020 at 11:27 to the e-mail address, ***. This letter confirms all relevant changes in pricing as well as amendments to the benefits.
Please refer to clause 8.7 of the Senior Policy Wording which states the following:
"The Assurer may alter the terms and conditions, Premiums, or Benefits of the Policy by providing the Policyholder with at least 31 (thirty-one days notice in writing."
As per the annual increase letter, we can confirm that you were made aware of the below extract relating to the removal of non-medical insurance benefits:
"The Council for Medical Schemes requires the industry to unbundle all non-medical insurance benefits from your health policy. As a result, the Family Funeral and the Accidental Permanent Disability Benefits must be removed from your Affinity Health Policy. You will still be able to purchase these products under a separate policy. Affinity Health will be offering free Funeral and Accidental Permanent Disability Benefits for all members affected by this change to 31 March 2021 to allow members time to assess and finalize any insurance-related changes. The initial waiting periods on the Funeral and Accidental Disability cover will be waived to ensure continuous cover."
The annual increase letter was resent to you via e-mail.
Should you require any further assistance, please feel free to contact us on ***.
Kind Regards,
Affinity Health Management Team