FS
Frank S
1 reviews | Active since Jan 2010
18 Nov 2024, 15:29
Complaints please up your game!
I have been a claim free customer for 6 years and I sent an email complaint about the 20% increase in my premium asking if it was a mistake or if it could be re-assessed. I got a one liner saying that I must get my broker to explain the different options/plans available. Very unprofessional!
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Replies (3)0
Replies (3)
Total Risk Administrators's replyOfficial
19 Nov 2024, 12:14Good Day Mr Shaw.
Thank you for reaching out to us regarding the recent adjustment to your premium. We value the opportunity to clarify this matter and reassure you of the continued value of your policy with Total Risk Administrators (Pty) Ltd (TRA).
Why Premium Adjustments Are Necessary
South Africa is currently facing high health inflation, with medical costs increasing well beyond general inflation. This has widened the gap between healthcare providers’ charges and the amounts refunded by medical aid schemes. Our gap cover policies are specifically designed to bridge this gap, ensuring you are protected from unexpected out-of-pocket medical expenses.
To maintain this protection and comply with South African statutory requirements for policies to remain actuarially sound, we have made the necessary decision to adjust premiums. This adjustment ensures we can continue to provide comprehensive cover while maintaining the financial sustainability of our offerings.
We understand that a 20% premium adjustment may seem significant. However, the adjustment is from a relatively low base. For example:
Enhancements to Your Policy
To ensure your policy remains aligned with rising healthcare needs, we have introduced several significant improvements for 2025, including:
Our Commitment to You
At TRA, we take pride in being one of South Africa’s most trusted gap cover providers. We are dedicated to offering high-quality, affordable gap cover that addresses the realities of rising healthcare costs. By making these adjustments, we are ensuring that you continue to receive reliable protection along with improved benefits that keep pace with your healthcare needs.
If you have any further questions or concerns, please do not hesitate to contact our customer service team at [Contact Information]. We are here to assist you and provide any clarity you need.
Thank you for trusting TRA to protect you against unexpected medical expenses.
Thank you for reaching out to us regarding the recent adjustment to your premium. We value the opportunity to clarify this matter and reassure you of the continued value of your policy with Total Risk Administrators (Pty) Ltd (TRA).
Why Premium Adjustments Are Necessary
South Africa is currently facing high health inflation, with medical costs increasing well beyond general inflation. This has widened the gap between healthcare providers’ charges and the amounts refunded by medical aid schemes. Our gap cover policies are specifically designed to bridge this gap, ensuring you are protected from unexpected out-of-pocket medical expenses.
To maintain this protection and comply with South African statutory requirements for policies to remain actuarially sound, we have made the necessary decision to adjust premiums. This adjustment ensures we can continue to provide comprehensive cover while maintaining the financial sustainability of our offerings.
We understand that a 20% premium adjustment may seem significant. However, the adjustment is from a relatively low base. For example:
- Your Vital Cover Plus premium has increased from R300 to R360, which is a difference of R60 per month.
Enhancements to Your Policy
To ensure your policy remains aligned with rising healthcare needs, we have introduced several significant improvements for 2025, including:
- Increase to the Overall Annual Limit:
- The overall annual limit per insured person has increased from R198,660 to R210,580.
- Six New Benefits Added:
- Tariff Shortfalls: Cover for theatre and ward fees, consumables, and equipment related to in-hospital and in-lieu-of-hospital procedures.
- Shortfalls on Specialist Consultations: Expanded coverage for specialist consultations.
- Casualty Follow-Up Consultations: Cover for follow-up consultations after a casualty visit.
- Emergency Medical Services Shortfalls: Coverage for shortfalls in emergency medical services.
- Maternity Follow-Up Consultations: Added benefit for follow-up consultations related to maternity.
- Private Ward Benefit (Non-Maternity): New cover for private ward admissions outside of maternity cases.
Our Commitment to You
At TRA, we take pride in being one of South Africa’s most trusted gap cover providers. We are dedicated to offering high-quality, affordable gap cover that addresses the realities of rising healthcare costs. By making these adjustments, we are ensuring that you continue to receive reliable protection along with improved benefits that keep pace with your healthcare needs.
If you have any further questions or concerns, please do not hesitate to contact our customer service team at [Contact Information]. We are here to assist you and provide any clarity you need.
Thank you for trusting TRA to protect you against unexpected medical expenses.
Total Risk Administrators's reply19 Nov 2024, 12:14
Official
Good Day Mr Shaw.
Thank you for reaching out to us regarding the recent adjustment to your premium. We value the opportunity to clarify this matter and reassure you of the continued value of your policy with Total Risk Administrators (Pty) Ltd (TRA).
Why Premium Adjustments Are Necessary
South Africa is currently facing high health inflation, with medical costs increasing well beyond general inflation. This has widened the gap between healthcare providers’ charges and the amounts refunded by medical aid schemes. Our gap cover policies are specifically designed to bridge this gap, ensuring you are protected from unexpected out-of-pocket medical expenses.
To maintain this protection and comply with South African statutory requirements for policies to remain actuarially sound, we have made the necessary decision to adjust premiums. This adjustment ensures we can continue to provide comprehensive cover while maintaining the financial sustainability of our offerings.
We understand that a 20% premium adjustment may seem significant. However, the adjustment is from a relatively low base. For example:
Enhancements to Your Policy
To ensure your policy remains aligned with rising healthcare needs, we have introduced several significant improvements for 2025, including:
Our Commitment to You
At TRA, we take pride in being one of South Africa’s most trusted gap cover providers. We are dedicated to offering high-quality, affordable gap cover that addresses the realities of rising healthcare costs. By making these adjustments, we are ensuring that you continue to receive reliable protection along with improved benefits that keep pace with your healthcare needs.
If you have any further questions or concerns, please do not hesitate to contact our customer service team at [Contact Information]. We are here to assist you and provide any clarity you need.
Thank you for trusting TRA to protect you against unexpected medical expenses.
Thank you for reaching out to us regarding the recent adjustment to your premium. We value the opportunity to clarify this matter and reassure you of the continued value of your policy with Total Risk Administrators (Pty) Ltd (TRA).
Why Premium Adjustments Are Necessary
South Africa is currently facing high health inflation, with medical costs increasing well beyond general inflation. This has widened the gap between healthcare providers’ charges and the amounts refunded by medical aid schemes. Our gap cover policies are specifically designed to bridge this gap, ensuring you are protected from unexpected out-of-pocket medical expenses.
To maintain this protection and comply with South African statutory requirements for policies to remain actuarially sound, we have made the necessary decision to adjust premiums. This adjustment ensures we can continue to provide comprehensive cover while maintaining the financial sustainability of our offerings.
We understand that a 20% premium adjustment may seem significant. However, the adjustment is from a relatively low base. For example:
- Your Vital Cover Plus premium has increased from R300 to R360, which is a difference of R60 per month.
Enhancements to Your Policy
To ensure your policy remains aligned with rising healthcare needs, we have introduced several significant improvements for 2025, including:
- Increase to the Overall Annual Limit:
- The overall annual limit per insured person has increased from R198,660 to R210,580.
- Six New Benefits Added:
- Tariff Shortfalls: Cover for theatre and ward fees, consumables, and equipment related to in-hospital and in-lieu-of-hospital procedures.
- Shortfalls on Specialist Consultations: Expanded coverage for specialist consultations.
- Casualty Follow-Up Consultations: Cover for follow-up consultations after a casualty visit.
- Emergency Medical Services Shortfalls: Coverage for shortfalls in emergency medical services.
- Maternity Follow-Up Consultations: Added benefit for follow-up consultations related to maternity.
- Private Ward Benefit (Non-Maternity): New cover for private ward admissions outside of maternity cases.
Our Commitment to You
At TRA, we take pride in being one of South Africa’s most trusted gap cover providers. We are dedicated to offering high-quality, affordable gap cover that addresses the realities of rising healthcare costs. By making these adjustments, we are ensuring that you continue to receive reliable protection along with improved benefits that keep pace with your healthcare needs.
If you have any further questions or concerns, please do not hesitate to contact our customer service team at [Contact Information]. We are here to assist you and provide any clarity you need.
Thank you for trusting TRA to protect you against unexpected medical expenses.
FS
Frank S's updateReviewer Update
19 Nov 2024, 21:26This response is simply not true: ' Your Vital Cover Plus premium has increased from R300 to R360, which is a difference of R60 per month. '
The proposed increase is from R450 to R540, a R90 increase!
The proposed increase is from R450 to R540, a R90 increase!
FS
Frank S's update19 Nov 2024, 21:26
Reviewer Update
This response is simply not true: ' Your Vital Cover Plus premium has increased from R300 to R360, which is a difference of R60 per month. '
The proposed increase is from R450 to R540, a R90 increase!
The proposed increase is from R450 to R540, a R90 increase!
Total Risk Administrators's replyOfficial
20 Nov 2024, 07:30Good Morning Mr Shaw. Thank you for your reply. Without you confirming your product option, we made the assumption that you were on the under 65 premium table. The R450 - R540 increase is for the over 65 premium table. We apologize for any misunderstanding. TRA Management.
Total Risk Administrators's reply20 Nov 2024, 07:30
Official
Good Morning Mr Shaw. Thank you for your reply. Without you confirming your product option, we made the assumption that you were on the under 65 premium table. The R450 - R540 increase is for the over 65 premium table. We apologize for any misunderstanding. TRA Management.