denied coverage
[dɪˈnaɪd ˈkʌvərɪdʒ]
noun phrase / verb phrasepl: denied coverages
cobertura negada
1. A situation where an insurance company refuses to pay for a claimed medical procedure, treatment, or service
The patient received a letter stating that her surgery was denied coverage by the insurance company.
A paciente recebeu uma carta informando que sua cirurgia teve a cobertura negada pela companhia de seguros.
2. The rejection of a claim for reimbursement or payment under an insurance policy
Due to the pre-existing condition clause, his treatment was denied coverage.
Devido à cláusula de condição pré-existente, seu tratamento teve a cobertura negada.
3. Insurance company's determination that a service is not covered under the policy terms
The denied coverage forced the family to pay out of pocket for the medication.
A cobertura negada forçou a família a pagar do próprio bolso pelo medicamento.
In Brazil, denied coverage is a common and frustrating issue within the healthcare system, particularly with health insurance plans (planos de saúde). This phrase is frequently used in legal and administrative contexts. In the USA, especially in NYC, this is a critical consumer protection issue, with patients often hiring lawyers to appeal denials. The cultural significance differs: Brazil focuses on the bureaucratic aspect, while the US emphasizes consumer rights and litigation.
NYC Slang
insurance got rejected / claim got shot down
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