What are the most common claims for pet insurance?

Asked by: Jaqueline McGlynn  |  Last update: October 26, 2023
Score: 4.2/5 (15 votes)

In 2021, the five most common pet insurance claims included skin conditions, gastrointestinal issues, ear infections, seizures, and urinary tract infections.

Is it worth claiming on my pet insurance?

Claiming on your pet insurance is likely to raise your premium. You'll also need to take into account any excess and/or co-payment you need make. So, if it's a small bill, it might be worth paying for treatment yourself.

What are the different types of pet claims?

Different types of pet insurance
  • Lifetime. Covers your pet for their entire life providing you renew every year. ...
  • Time-limited. Allows you to make a claim for a medical condition up to a specified amount for a limited time. ...
  • Accident-only. Only covers vet fees for sudden, unexpected injuries. ...
  • Maximum benefit.

Does pet insurance cover existing problems?

Pet insurers generally don't cover pre-existing conditions. They also may require waiting periods before your pet is eligible for different types of coverages. It's best to get pet insurance early in your pet's life to help ensure any conditions they develop later in life will be covered.

What does accidental pet insurance cover?

It covers pet injuries and emergencies like bite wounds, broken bones, swallowed objects, and toxic ingestions. It also covers all sorts of diagnostic services and treatments prescribed for accidents, such as X-rays, MRI, ultrasounds, blood work, sutures, medications, hospitalization, and surgery.

The Top 5 Most Common Pet Insurance Claims and How to Avoid Them

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What is pet accidental damage?

Accidental damage sometimes comes as standard on premium policies, but it's often sold as an added extra on more basic policies. It may cover accidents like your dog's waggy tail knocking over an expensive vase, but many specifically exclude pet damage caused by chewing, scratching, tearing and fouling.

Does pet insurance cover CT scans?

Pet insurance policies may offer coverage for X-rays, imaging tests (such as MRI and CT scans), and other diagnostic procedures, depending on the specific policy and the circumstances surrounding the test.

What is a disadvantage of pet insurance?

Pet insurance reimburses you for veterinary expenses, meaning you have to pay them upfront. Pet insurance doesn't cover pre-existing conditions, meaning once your pet is sick, it's too late to sign up. Not all health issues are covered by pet insurance.

How does pet insurance know of pre-existing conditions?

While every pet insurance provider is distinct there are some ways of typically determining a pet's pre-existing conditions. "A pre-existing condition is determined by your pet's medical record," Lemonade explains.

What counts as a pre-existing condition?

A pre-existing condition is a medical issue you've experienced in the past. This includes chronic conditions like diabetes or asthma, and one-off symptoms like knee pain. With us, a pre-existing condition is when you've had symptoms, medication, advice, treatment, or tests for something before taking out health cover.

How are pet insurance claims processed?

You or your doctor sends a claim to your insurance company, which then pays expenses that fall under your coverage. You pay the remaining balance not covered by insurance. There are usually two ways to submit a pet insurance claim—by either requesting reimbursement or paying the vet directly.

What are the 3 types of insurance coverages for animals?

Pet insurance companies typically divide their products into 3 main categories: accident-only, accident and illness, and wellness coverages. Each level offers specific services that are covered and excluded and will vary by price. Insurance policies are usually broken down by the type of pet being insured.

What are deductibles in pet insurance?

A pet insurance deductible is an amount of money you must pay toward vet costs over a certain period of time (often a policy year) before your pet insurance plan will reimburse you for veterinary costs covered by the policy.

How long do you have to claim many pets insurance?

You have up to one year from the vet's diagnosis or the date an accident happened to make a claim. We'll not be able to pay claims submitted later. If you decide to cancel your policy, you'll have 12 months to let us know of any treatments that took place before the cancellation date.

How does pet insurance really work?

Pet insurance works mostly on a reimbursement basis. This simply means that you pay the vet up front and then file a claim for the reimbursement of eligible expenses.

How do I fight pet insurance denial?

If your claim is denied by the pet insurance provider, and you disagree with the decision, you have the option to appeal. To do so, contact the insurer's customer care department.

Is a limp a pre-existing condition?

If you wait to see Romeo limping before getting insured, you'll be out of luck. That limp would be noted in his medical record, and a luxating patella confirmed later would be considered a pre-existing condition. That means you won't be covered for any medicine or orthopedic surgery related to it.

Is urinary blockage a pre-existing condition?

Urinary blockages

If your pet has ever had a urinary blockage, it'll usually be classed as a pre-existing condition.

Does breed affect pet insurance?

Some dogs are simply riskier from an insurance carrier's perspective, meaning you'll often pay different pet insurance rates by breed.

Should I get pet insurance for my indoor dog?

Does my dog really need insurance? If you aren't worried about how to pay for a large vet bill, your dog doesn't need insurance. But the cost of a vet visit can add up quickly and pet insurance can reduce what you pay in veterinarian bills, which can give you peace of mind.

Do most people use pet insurance?

California Stands First in the US with 19.2% of All Insured Pets; New York Is Second at 8.7%; Florida Is Third at 5.8% Californians see no problem prioritizing their pets' health by taking on insurance. In fact, they're more than twice as likely as pet owners in New York—the runner-up—to purchase pet insurance.

Why would you want pet insurance?

Pet insurance helps cover the cost of medical care for your furry friend. It can reimburse you for expenses like cancer treatment, emergency care, prescription medications and surgery.

What diagnosis will cover a PET scan?

Your healthcare provider may order a PET scan to check for signs of: Cancer, including breast cancer, lung cancer and thyroid cancer. Coronary artery disease, heart attack or other heart problems. Brain disorders, such as brain tumors, epilepsy, dementia and Alzheimer's disease.

Why do insurance companies deny PET scans?

The insurance denial document states that “there are not enough medical studies showing that this test is better or safer than other tests that can be done for your problem. Other tests (which are typically considered standard of care) can be covered. These include chest CT and abdomen/pelvis CT.”

Does pet insurance cover flea medication?

In general, pet insurance plans are designed to provide you coverage for unexpected illnesses and accidents, such as a pet being hit by a car. Most standard plans do not, however, pay for routine or preventative care, such as annual exams, teeth cleaning, or flea and tick preventatives.