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Health Insurance Claim for Knee Surgery

Czech ↔ EnglishInsurance12 segments ≈284 wordsSegments of 35 words or fewer

Insurance Claims Officer (speaking English) and Client (speaking Czech) talk through “Health Insurance Claim for Knee Surgery”. You interpret both ways — English into Czech, and Czech into English — one segment at a time, exactly as in the CCL test.

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Full transcript

SEGMENT 1 · ENGLISH · 26 WORDS
Officer

Thanks for calling Bupa claims team. I have your file open — you're following up on the hospital claim from Barwon Health for your knee surgery, correct?

SEGMENT 2 · CZECH · 26 WORDS
Client

Ano, přesně tak. Poslala jsem ten nárok asi před třemi týdny, po operaci kolena v nemocnici Barwon Health, a chtěla jsem vědět, jak to pokročilo.

SEGMENT 3 · ENGLISH · 23 WORDS
Officer

I can see the claim was submitted three weeks ago, but it's been declined because a twelve-month waiting period applies to pre-existing conditions.

SEGMENT 4 · CZECH · 28 WORDS
Client

To mě překvapuje, protože jsem si myslela, že operace je pokrytá hned. K Bupě jsem se připojila teprve před šesti měsíci, o žádné čekací době mi nikdo neřekl.

SEGMENT 5 · ENGLISH · 22 WORDS
Officer

That's right — since you joined Bupa only six months ago, the knee condition isn't covered yet, unless it required emergency hospital treatment.

SEGMENT 6 · CZECH · 23 WORDS
Client

Takže mi nezaplatíte vůbec nic za operaci? A co ten převoz sanitkou do nemocnice, ten aspoň proplatíte?

SEGMENT 7 · ENGLISH · 23 WORDS
Officer

Unfortunately not — only the ambulance component is payable now. Once the waiting period ends, you can claim the surgery, minus the $750 excess.

SEGMENT 8 · CZECH · 19 WORDS
Client

Rozumím. Existuje nějaký způsob, jak se proti tomuto rozhodnutí odvolat, kdyby operace nesouvisela s žádným předchozím problémem?

SEGMENT 9 · ENGLISH · 22 WORDS
Officer

You can lodge a formal appeal with a letter from your GP confirming the knee surgery wasn't related to any pre-existing condition.

SEGMENT 10 · CZECH · 27 WORDS
Client

Dobře, to zkusím. Jak dlouho takové odvolání obvykle trvá a stačí jen ten dopis od lékaře, nebo potřebujete i něco z nemocnice?

SEGMENT 11 · ENGLISH · 23 WORDS
Officer

Appeals usually take four to six weeks. Upload the GP letter and any hospital reports through the Bupa member portal, not by email.

SEGMENT 12 · CZECH · 22 WORDS
Client

Děkuju za vysvětlení. Zítra zajdu za doktorkou pro potvrzení a nahraju všechno přes ten portál, jak jste říkala.

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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 Czech dialogues · All languages