5
Resolved

AXA's Unfair Denial of Coverage Due to Preexisting Condition

August 22, 2023 12:09 PM49
Serdar's Thank You Message
Thank you for the solution that befits the size of your brand, but I would like to remind you that in such difficult situations, the process needs to be managed more effectively to avoid creating additional stress for your customers. Thank you.

For many years, my wife and I have been covered by an Axa supplementary health insurance policy. My spouse had to have emergency surgery this week due to a condition that had a cyst prior to the insurance policy. Unfortunately, they did not offer to pay for the surgery, citing the preexisting condition as their justification, which added to the stress. It is perplexing how a common condition, such as a simple cyst, which can naturally shrink or vanish over time, can be equated to an unrelated mass, resulting in a denial of coverage. Given that this issue has yet to be resolved, I want to make it abundantly clear that, if necessary, I will take it to court and file a complaint with the Consumer Arbitration Board.

August 22, 2023 2:25 PM (2 hours after complaint)

The complaint reflected through your website by Mr. A. has been taken into consideration by our Company. Further information on the matter will be provided. Best regards, AXA SİGORTA A.Ş. Customer Complaint Management

August 22, 2023 5:27 PM

As a result of the re-evaluation of the application directed to your site, approval for processing has been granted within the scope of customer satisfaction, and the approval form has been shared with the institution. We present this information for your attention. Best regards, AXA SİGORTA A.Ş. Customer Complaint Management

August 22, 2023 5:28 PM

As a result of the re-evaluation of the application directed to your site, approval has been granted for processing within the scope of customer satisfaction, and the approval form has been shared with the institution. We present the matter for your information. Sincerely, AXA SİGORTA A.Ş. Customer Complaint Management

Serdar
August 24, 2023 3:35 PM

Thank you for the solution that befits the size of your brand, but I would like to remind you that in such difficult situations, the process needs to be managed more effectively to avoid creating additional stress for your customers. Thank you.

Serdar
August 27, 2023 10:17 AM

Thanks for your quick response

Serdar
March 1, 2024 7:27 AM

Thank you for the quick solution.

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