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Anadolu Sigorta Failed to Cover My Daughter's Hospital Examination Fee

May 20, 2024 8:04 PM20

On 05/11/2024, I took my daughter to see an orthopedic doctor at the private Gebze Dogha Hospital Healthcare Corp. Anadolu Insurance denied the TSS claim and refused to cover the examination fee. We had to pay out-of-pocket for the doctor's visit.
I am requesting that Anadolu Insurance reimburse me for the examination fee that I had to pay upfront to the hospital. As a customer with an active supplemental health policy (#1087916423), I expected this routine doctor's visit to be covered under my plan benefits. Please process the reimbursement promptly. Having to cover medical costs unexpectedly has been a financial burden.

Progress

July 9, 2024 12:36 PM

There has been no progress, I want to write a new complaint about Anadolu Sigorta.

May 21, 2024 11:24 AM (15 hours after complaint)

A notification with the number 4981103 has been created regarding the topic you shared. The matter will be evaluated with care and you will be informed as soon as possible. Sincerely, ANADOLU SİGORTA Customer Communication Center

Regarding your application, an email notification has been sent by our authorities concerning your notification number 4981103. Sincerely, ANADOLU SİGORTA Customer Communication Center

Tenzile
May 22, 2024 7:09 PM

When taking out a health insurance policy, only the conditions listed below are mentioned in the explanation of the exclusions in the policy. Special conditions excluded from the policy coverage: - Skin diseases - Hypertension and its complications (such as heart failure) as well as expenses related to heart and brain vessel diseases and their complications. I kindly request the reimbursement of the amount I paid to the hospital for the 10 examinations specified in the policy.

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