1 reviews | Active since Jan 2013
What does an accident mean in Affinities book???
<br> What is the definition of an accident? An unfortunate incident that happens unexpectedly and unintentionally, typically resulting in damage or injury. I was very impressed with the sale person who sold Affinity Health to me. He made out as if this is the best thing under the sun and that I cannot go wrong. This is the insurance to have. I signed up on the 9th of March 2016. I only get salary on the 25th of each month. On the 18th of March I had a work function. We ran out of glasses and I decided to wash a few. ACCIDENTALLY the glass broke and I cut my little finger badly. I phone Affinity. My answer back was - your first instalment is not paid. Sorry we cannot help you. I was devastate with blood everywhere. Went to the doctor, got stitches paid out of my own pocket money I do not really have. On the 29th I phoned affinity again. My first payment was paid. Explaining my whole story and that there was complication with the finger I lost all feeling in it and need to see a specialist. According to Affinity this is no longer seen as an accident. I need to wait three months before my insurance kicks in to see a specialist. This is unacceptable. Affinity - Health Insurance?
Thank you for bringing this to our attention. You are correct in stating that you app**** for insurance with our Company on 9 March 2016, however the inception date of your policy is 01 April 2016. We can unfortunately not provide you with cover of an incident that occurred prior to the commencement of your policy.
With regard to the Specialist visit, there is a standard three month waiting period for this benefit on all policies. All benefits as well as waiting periods are included in your policy wording.
Kind regards,
Affinity Health Management Team
Thank you for bringing this to our attention. You are correct in stating that you app**** for insurance with our Company on 9 March 2016, however the inception date of your policy is 01 April 2016. We can unfortunately not provide you with cover of an incident that occurred prior to the commencement of your policy.
With regard to the Specialist visit, there is a standard three month waiting period for this benefit on all policies. All benefits as well as waiting periods are included in your policy wording.
Kind regards,
Affinity Health Management Team