After giving the authorisation initially, the health insurance denied the authorisation two weeks before I need to have my surgery.

I have an insurance with AXA PPP which doesn’t cover for conditions prior you signing up with them. I broke my nose when I was 8 but in July I had another accident to my nose which made my condition worse. AXA told me they could authorise a Septorhinoplasty only if my GP signed a document which indicated that my condition relates to the accident I had in July 2021. My GP signed the form so they authorised the procedure. After seeing two surgeons (one ENT one Plastic) they both wrote in their report that I broke my nose when I was 8 without mentioning the second accident. Today AXA read the letters from these two doctors and they’re now saying they need to stick to what the reports say and they can’t authorise the surgery even though my GP confirmed my version. I’m getting in touch again with the plastic surgeon who was going to do my surgery in two weeks to let him write another letter to give AXA to explain that the reason why I need to have the surgery was caused by the accident I had in July 2021 instead of the one from when I was 8. Has anyone had a similar issue with their health insurance that can give me any advice in order to make them authorise my surgery ? Do you think I will be able to convince them to authorise my surgery ?

submitted by /u/itsmejuliee
[link] [comments]I have an insurance with AXA PPP which doesn’t cover for conditions prior you signing up with them. I broke my nose when I was 8 but in July I had another accident to my nose which made my condition worse. AXA told me they could authorise a Septorhinoplasty only if my GP signed a document which indicated that my condition relates to the accident I had in July 2021. My GP signed the form so they authorised the procedure. After seeing two surgeons (one ENT one Plastic) they both wrote in their report that I broke my nose when I was 8 without mentioning the second accident. Today AXA read the letters from these two doctors and they’re now saying they need to stick to what the reports say and they can’t authorise the surgery even though my GP confirmed my version. I’m getting in touch again with the plastic surgeon who was going to do my surgery in two weeks to let him write another letter to give AXA to explain that the reason why I need to have the surgery was caused by the accident I had in July 2021 instead of the one from when I was 8. Has anyone had a similar issue with their health insurance that can give me any advice in order to make them authorise my surgery ? Do you think I will be able to convince them to authorise my surgery ? submitted by /u/itsmejuliee [link] [comments]Read Morer/HealthInsurance

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