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Health Insurance Claim Rejected After Hip Replacement

Ukrainian ↔ EnglishInsurance12 segments ≈261 wordsSegments of 35 words or fewer

Insurance Claims Officer (speaking English) and Client (speaking Ukrainian) talk through “Health Insurance Claim Rejected After Hip Replacement”. You interpret both ways — English into Ukrainian, and Ukrainian into English — one segment at a time, exactly as in the CCL test.

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Full transcript

SEGMENT 1 · ENGLISH · 24 WORDS
Officer

Mrs. Kovalenko, your claim for the hip replacement at St George Private Hospital was rejected. Can you explain what reason the insurer gave you?

SEGMENT 2 · UKRAINIAN · 32 WORDS
Client

У листі написали, що це «пов'язано з наявним захворюванням» і що діє дванадцятимісячний період очікування. Але операцію мені зробили терміново, і я не розуміла, що це стосується саме стегна.

SEGMENT 3 · ENGLISH · 24 WORDS
Officer

Hip replacement falls under hospital cover, not extras. A twelve-month waiting period applies to pre-existing conditions. When did you upgrade to this hospital policy?

SEGMENT 4 · UKRAINIAN · 24 WORDS
Client

Я підвищила рівень страхування вісім місяців тому. До цього в мене була лише базова страховка, без покриття операцій у лікарні.

SEGMENT 5 · ENGLISH · 27 WORDS
Officer

Since you upgraded only eight months ago, the surgery was assessed as pre-existing. If you disagree, you can lodge an appeal through the Private Health Insurance Ombudsman.

SEGMENT 6 · UKRAINIAN · 10 WORDS
Client

Зрозуміло. А які документи мені потрібно подати для апеляції?

SEGMENT 7 · ENGLISH · 24 WORDS
Officer

You'll need a letter from your orthopaedic specialist confirming the condition wasn't diagnosed before the upgrade, plus any GP records from that earlier period.

SEGMENT 8 · UKRAINIAN · 30 WORDS
Client

Так, у мене є лист від сімейного лікаря ще з минулого року, до підвищення страховки. Там написано, що про стегно тоді ще не було мови.

SEGMENT 9 · ENGLISH · 21 WORDS
Officer

Good. Without that specialist letter, the rejection will stand, so make sure it clearly states the diagnosis date and treatment history.

SEGMENT 10 · UKRAINIAN · 10 WORDS
Client

Дякую. А до якого числа мені потрібно все подати?

SEGMENT 11 · ENGLISH · 23 WORDS
Officer

There's no strict cutoff, but submitting within the next four weeks helps avoid delays, since Bupa reviews appeals in the order they're received.

SEGMENT 12 · UKRAINIAN · 12 WORDS
Client

Зрозуміло, дякую. Я зберу документи і подам апеляцію протягом місяця.

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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 Ukrainian dialogues · All languages