CM
Carol M

1 reviews | Active since Apr 2023

02 Dec 2025, 14:18

EX-GRATIA COMMITTE COULD TAKE 14 DAYS TO REVIEW A MAJOR TRAUMA CASE

Initially confirmed they would pay the minimum benefit for hospitalisation, had to argue about this being an accident with major trauma. They agreed to increase the amount to the maximum accident cap. Declined Major Trauma benefit even though it could be paid in view of the wording. Now sitting at the ex-gratia committee who could take 14 days to review, in which time my husband could be paralysed. Surgeons also motivated the case for immediate surgery.

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Replies (1)
Affinity Health
Affinity Health's reply02 Dec 2025, 14:26
Official
Dear Carol,

Thank you for bringing your concerns to our attention. Please be assured that your concerns have been referred to our Complaints department. A Complaints Officer will investigate the matter thoroughly and contact you directly to discuss the next steps. 

We appreciate your patience while we review your case. 
 
 Kind regards,
 Affinity Health Management Team