All FAQs

People contact us with a range of complaints about medical insurance - whether their insurer is saying a condition isn't covered, or they're unhappy with the amount they've received for a claim.

When we look into complaints about medical insurance, we consider things like whether the insurer or broker asked clear questions - and whether terms and conditions have been applied fairly.

If we decide something's gone wrong, we'll consider whether someone's lost out as a result - and what the business needs to do to put things right. This could mean paying all or part of a claim.

There's more information about our approach to medical insurance on our website - and you can find case studies in our regular newsletter, Ombudsman News .

And if you've got any other questions, get in touch.