bradiston Posted December 7, 2024 Posted December 7, 2024 Brian Thompson seems to have paid the price for his company's perceived refusal to pay out on numerous occasions. Anger is finally boiling over. "Deny", "Defend", "Depose", "Prior authorisation". https://www.bbc.com/news/articles/cm2eeeep0npo 1
rwill Posted December 7, 2024 Posted December 7, 2024 PC have certain exclusions that kick in based on your age too. The first time you make a claim they will ask for permission to check your medical records and look for anything they can add as a preexisting condition for exclusions. 1 1
jacko45k Posted December 7, 2024 Posted December 7, 2024 5 hours ago, rwill said: PC have certain exclusions that kick in based on your age too. The first time you make a claim they will ask for permission to check your medical records and look for anything they can add as a preexisting condition for exclusions. Yes, that is what happened to me after a rather minor claim...... and perhaps even things with tentative links to some prior ailments may become exclusions. My thought were, if this is how they act in a minor situation, how would it be if it was some serious and expensive health incident!
JimHuaHin Posted December 8, 2024 Posted December 8, 2024 I had a number of similar types of exclusions, ranging from 1 to 3 years, for memory, when I first took out Pacific Cross health insurance almost 6 years ago. When it came to policy renewal time and I applied for an extension of the policy, I attached the medical reports from my 6-monthly comprehensive health check-ups. Over time, most of the exclusions have been removed. As I am rapidly approaching 70, I have also increased the "deductibles" limit to reduce the premium costs. I have not complaints about Pacific Cross. 1
Pattaya57 Posted December 8, 2024 Author Posted December 8, 2024 As an update, I formally rejected the Pacific Cross offer complaining if you make all those exclusions I don't know what is left that I'm covered for. PC came back confirming exclusions were only listed due to me stating amount of alcohol per week (15-20 light beers). They said this can be adjusted if I clarify amount and size of drinks I have (It's funny they asked size of bottles in ml or litres lol) I've clarified 15-18 330 ml bottles of 3.2% alcohol beer per week and said I think that's equivalent to 6-8 red wines per week. PC already responded they'll send me a new offer. 1 1
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