Letter to Complain about a Surgery not being covered by Insurance

Disputes between the insurer and policyholders are something very commonly heard. The most common among them is when the company reimburses and the policyholder does not find the reimbursement satisfactory. This could happen because of a mistake on the part of the company or the policyholder might have failed to understand the actual clauses and conditions of the policy etc. Nonetheless, it is the due right of the policyholder to submit a complaint if he is not satisfied with what he is reimbursed.

Letter to Complain about a Surgery not being Covered by Insurance


[Your Name]


[Letter Date]


[Recipient’s Name]



[Subject: Subject of Letter] -Optional-

Dear [Recipient’s name]

I am writing to you regarding my health insurance with you the policy number of which is #123456. After an accident last month, I had claimed for insurance. The accident was severe and I remained admit in the hospital for almost three weeks. Since my legs were badly hurt and some metallic pieces went into some parts of my body during the accident I also had to go through a surgery of my legs for that purpose. All the essential documents and details were provided when I made the insurance claim. The mention of surgery and its expenses was also made clearly. I received the settlement letter yesterday and I am astonished to see that the expenses of surgery are not included in the letter. I am uncertain if this is done mistakenly or according to some policy. As far as I know, my policy says that the company is responsible for reimbursing 100% in case a health issue arises. Since no exceptions were mentioned in the policy, I thereby, am complaining to you regarding this injustice. I expect 100% reimbursement and therefore, request you to contact me at the earliest to resolve this dissatisfaction. I am otherwise thinking to cancel my insurance with you.  Thanks!


[Your Name]

[Your Title] -Optional-


Download Details:


Letter to Complain about a Surgery not being covered by InsuranceLetter to Complain about a Surgery not being covered by Insurance

Size: 25 KB Word .doc File 2003 & later

Size: 167 KB PDF File

[personal use only: Not for Resale & Distribution]



Hi, everyone. I am a high school teacher by profession and I have always seen people need help in terms of writing formal or professional documents. My goal is to help the public by providing user-friendly, high-quality formal, professional and official letter samples. By doing so, I hope to help people save their time, work quickly and efficiently and improve word processing and documentation in their education, career, and personal life. Hope my effort will help you a lot. I am always available to answer your questions. For any queries or suggestions please contact or write to me at the email address given at contact us page. I will be very happy to see your response to improve my effort. Thank you! *Please write to me at Contact Us for anything for which you were here on my website and could not find it. Your required stuff will be updated within 24 hours at maximum.

You may also like...

8 Responses

  1. Jack says:

    It’s very effortless to find out any matter on web as compared to books, as I found this paragraph at this site.

  2. Debby H Rasole says:

    I am just in reality pleased to read this weblog posts which contains plenty of valuable facts, thanks for providing these data.

  3. BethanyKJahn says:

    What’s Heading down i’m unfamiliar with this, I have discovered It absolutely useful and contains helped me out loads. I am hoping to contribute to help different customers like its aided me. Good job. Keep it up!

  4. Rosann E Nocum says:

    Hello! I could have sworn I’ve gone to your site before but after checking
    out several of the articles I realized it’s unfamiliar with me.
    Nonetheless, I’m certainly delighted I came across it and I’ll be book-marking it and checking back frequently!

  5. Russell C Diop says:

    Great article, just what I wanted to find.

  6. Aadi says:

    We are happy that you served well. Have a good day!

  7. Adah D Gaudett says:

    Hi, this weekend is fastidious in favor of me, for the reason that this occasion i am reading this
    enormous educational piece of writing here at my residence.

  8. Rosita OIsacs says:

    Which is a good tip particularly to people a new comer to the blogosphere.
    Simple but very accurate info Thanks a lot for sharing this
    one. Absolutely essential read post!

Leave a Reply

Your email address will not be published. Required fields are marked *