Compensation paid to policyholders after operations refused despite consultant recommendations
Complaints about AXA PPP have almost doubled since 2015 and those against Bupa have risen 10%, The Times reported yesterday. The article also outlined a case in which AXA refused to pay the full cost of a knee operation despite a consultant recommending it and clinical studies showing that it is effective. Bupa, meanwhile, refused to fund a heart operation involving an implantable cardioverter defibrillator - also recommended by a consultant - despite it fitting Nice guidelines, according to the broadsheet. The Financial Ombudsman Service (FOS) ruled in favour of both policyholders...
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