AXA's Unfair Denial of Coverage Due to Preexisting Condition


About 20 days ago, I had a mammogram and an ultrasound, and a mass was detected. I made an appointment with the hospital for a biopsy of the mass 20 days later. I have supplementary Axa health insurance. I applied to the hospital with this insurance. I sent all my breast-related reports, etc., I have no previous negative diagnosis or any history of surgery. I sent documents as requested. I also sent all my radiology reports related to the breast. However, they created every possible difficulty to avoid payment. In the end, they refused the provisional payment. The problem is that no malignant nodules or harmful conditions have been detected in the breast area so far. As I mentioned, there are harmless benign cysts that appear in all women. There is no surgical procedure or malignant diagnosis in my old records. However, based on my previous screenings, the insurance company has refused payment, despite there being no malignant formation or surgical intervention in any of the reports. My latest report also does not show anything bad. My doctor just wanted to be sure and make a diagnosis. However, my insurance company has not made the payment based on unfounded reasons, and I am a victim. If I had not undergone my routine screenings (which are required for women over 35), but as a conscious woman, I had my screenings done, and thankfully, there has been no issue so far. Axa does not pay even for a simple diagnostic procedure. I am very dissatisfied with them. I am stressed and upset about having to undergo a biopsy, and now, I can't get the provision and payment for the service I paid for due to their unjust conditions. I will also file this complaint on the international platform of Axa. I need to have this biopsy done because I am 41 years old, and since I do not have a baby, I was about to start in vitro fertilization treatment. This is a significant expense, and I am distressed and aggrieved that my insurance company is not even covering a simple diagnostic procedure. This is unfair. Insurance companies have been filling their pockets for years. I have been having private health insurance for years. I am currently expecting payment for diagnosis, not treatment, and they are not even doing that. I am complaining about Axa. Axa is finished for me. I used to get my home insurance, health insurance, and car insurance from Axa. My father, mother, and spouse all had Axa, but that is over now. If they are not there for me today, they are an empty company.

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