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Health Insurance Claim Rejected Over Waiting Period

Cantonese ↔ EnglishInsurance12 segments ≈246 wordsSegments of 35 words or fewer

Insurance Claims Officer (speaking English) and 客戶 (speaking Cantonese) talk through “Health Insurance Claim Rejected Over Waiting Period”. You interpret both ways — English into Cantonese, and Cantonese into English — one segment at a time, exactly as in the CCL test.

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Full transcript

SEGMENT 1 · ENGLISH · 27 WORDS
Officer

Thanks for coming in, Mr. Nguyen. I've reviewed your claim for the knee reconstruction at Royal Melbourne Hospital, and I need to explain why it's been declined.

SEGMENT 2 · CANTONESE · 20 WORDS
Client

吓?即係話唔賠喫?點解會拒絕呀,我做手術嗰陣已經將所有資料交晒俾你哋喇喎。

SEGMENT 3 · ENGLISH · 28 WORDS
Officer

Under the Private Health Insurance Act, pre-existing conditions carry a mandatory twelve-month waiting period before any benefit can be paid, and you've only held cover for eight months.

SEGMENT 4 · CANTONESE · 20 WORDS
Client

咁即係話因為我張保單未夠十二個月,所以就唔賠得?咁我可唔可以就住呢個決定上訴呀?

SEGMENT 5 · ENGLISH · 27 WORDS
Officer

You can lodge a written appeal with our claims review team, and they'll reassess it once your treating doctor confirms whether the condition existed before you joined.

SEGMENT 6 · CANTONESE · 15 WORDS
Client

好呀,咁如果我上訴嘅話,大概要等幾耐先有結果呀?

SEGMENT 7 · ENGLISH · 20 WORDS
Officer

There's no fixed turnaround time, but reviews typically take a few weeks if your doctor provides the medical report promptly.

SEGMENT 8 · CANTONESE · 16 WORDS
Client

咁喺等結果嘅呢段時間,啲物理治療嘅費用係咪都要我自己俾先呀?

SEGMENT 9 · ENGLISH · 22 WORDS
Officer

In the meantime, you'll need to cover the surgery cost yourself, though extras cover may reimburse some of your physiotherapy sessions afterward.

SEGMENT 10 · CANTONESE · 14 WORDS
Client

咁额外保障嗰部分,一年可以賠幾多次物理治療呀?

SEGMENT 11 · ENGLISH · 17 WORDS
Officer

Your extras policy allows twelve physiotherapy visits each calendar year, but that's separate from this hospital claim.

SEGMENT 12 · CANTONESE · 20 WORDS
Client

明白喇,噉我即刻去搵醫生攞封信,證明個情況係之後先出現嘅,多謝你解釋得咁清楚。

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How the test works

Practice dialogue written to the CCL specification (two speakers, segments of 35 words or fewer, about 300 words). It is a practice text, not a NAATI test paper, and the AI score is this site's estimate, not a NAATI result. All Cantonese dialogues · All languages