Anadolu Sigorta Fails to Honor Hospital Pre-Approval Coverage
On March 21, 2024, I had a colonoscopy at Medicana Bursa Hospital, which was approved by Anadolu Sigorta for pre-authorization. The procedure occurred on March 27, 2024. Unfortunately, my policy expired on March 23, 2024, so I had to get a new one. Surprisingly, the new policy has excluded Medicana Hospital from its coverage, leaving me, the customer, responsible for the payment. What is the point of granting pre-approval if the customer is ultimately responsible for payment? I kindly request the cancellation of my renewed policy due to my dissatisfaction and kindly ask for reimbursement for the expenses I have incurred.
A notification with the number 4985178 has been created regarding the topic you shared. The matter will be evaluated with care, and you will be informed as soon as possible. Best regards, ANADOLU SİGORTA Customer Communication Center
Regarding your application, you have been informed via email by our authorities concerning your notification numbered 4985178. Best regards, ANADOLU SİGORTA Customer Communication Center
You say the initial notification is valid, but while making the policy, you end the agreement with a contracted hospital without informing us. Moreover, I went to Medicana after the date you mentioned, and you gave approval. If you don't have an agreement, why did you approve the pre-authorization? This is unfair, and I find this behavior very unbecoming of Anadolu Sigorta. You couldn't find a solution, so I am filing a complaint.
Why did you give provision approval when you didn't have an agreement? You say there is no problem and that the provision is open and payment is pending when I call your customer service to ask if we can proceed with this patient. Please respond urgently.
Why do you prefer to reach your customers via SMS instead of calling them to listen to their problems and find a solution? You just publish a statement saying that a response was given via email, and people think the issue has been resolved. There is no solution, they don't care. I will go to court. I will give bad references to anyone, whether they are friends or family. The complaint team is absolutely not helpful; they just cut it short with a few words.
