PMI complaints to FOS have 'risen sharply'

The Times reports

Adam Saville
clock • 2 min read

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...

To continue reading this article...

Join COVER for free

  • Unlimited access to real-time news, key trend analysis and industry insights.
  • Stay on top of the latest developments around health and wellbeing, diversity and inclusion and the cost of living crisis.
  • Receive breaking news stories straight to your inbox in the daily newsletter.
  • Members only access to monthly programme 'The COVER Review'
  • Be the first to hear about our CPD accredited events and awards programmes.

Join now

 

Already a Cover member?

Login

More on PMI

'The AI-enabled doctor will see you now' – How the latest tech is supporting mental healthcare
PMI

'The AI-enabled doctor will see you now' – How the latest tech is supporting mental healthcare

As mental health demand grows, PMI providers must adapt sustainably. Rob Harvey spoke to Vitality's Dr Rishi Patel about AI's role in delivering personalised care.

Rob Harvey, Vitality
clock 22 July 2026 • 2 min read
Four ways PMI is supporting mental health prevention and earlier intervention
PMI

Four ways PMI is supporting mental health prevention and earlier intervention

VitalityHealth CEO Dr Arun Thiyagaran explains how private medical insurance is evolving to help close that gap

Dr Arun Thiyagaran
clock 22 July 2026 • 2 min read
Third of UK adults unsure if the NHS could fully meet their needs
PMI

Third of UK adults unsure if the NHS could fully meet their needs

The Exeter research findings

Jaskeet Briah
clock 02 July 2026 • 2 min read