1
Murat is completely dissatisfied with the result

AXA Insurance Rejection for A Life-Saving Surgery

Murat
July 04, 11:07 am
52

I have been paying for Axa Supplementary Health Insurance for 3 years, but when I finally needed it for a serious, life-threatening condition, they rejected my claim. My doctor confirmed that one side of my nose is 90% blocked, causing shortness of breath and constant fatigue, which could lead to heart failure and other organ damage if untreated. The only solution is surgery to remove the tissue. Axa refused to cover it, claiming it’s “outside the policy,” even though this is exactly what health insurance is supposed to be for. So far, every approved claim has cost them less than what I paid in premiums — but now, when the cost is higher, they just find excuses. Apparently, they only want to pay for minor issues while collecting money for years. Axa’s so-called “supplementary health insurance” is useless when you actually need real medical support. If you’re thinking about buying it, think twice — or you might end up paying out of pocket anyway.

July 04, 12:36 pm (1 hour after complaint)

The complaint reflected through your website by Mr./Ms. A. has been taken into consideration by our Company. Additional information regarding the matter will be provided. Sincerely, AXA SİGORTA A.Ş. Customer Complaint Management

July 07, 5:17 pm

We would like to inform you that, upon review of the application directed to your site, the matter in question is excluded from coverage due to the specific terms and conditions of the policy. Kind regards, AXA SİGORTA A.Ş. Customer Complaint Management

Murat
July 08, 1:08 pm

Hello, I spoke with my insurance agent. You informed them that the reason for rejection was that the hospital applied to the insurance company without specifying the procedure code. Which one is correct? Is it not covered, or is it incomplete information from the hospital? I hope you are aware of each other's actions?! You are doing a serious job related to health, but no one is giving a correct answer!

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