HOW WELL DO YOU UNDERSTAND YOUR PET INSURANCE?
A Basic Guide to Insurance For Vet Fees
There are many different companies offering pet insurance. Each company
and each policy will have its own Terms and Conditions. It is essential
that when you take out a policy you have read these and understand exactly
what your policy will do for you in the event of a claim. We do not know
the exact details of your individual policy, but the guide below may help
you to understand exactly what your policy offers.
Basic Terms
Policy year
This goes from a start date to an end date which will be detailed clearly
on your policy schedule. Every year you will get documents confirming
you policy renewal. Even if you pay monthly and have done for a long time,
the policy is officially renewed every year and regarded as such by the
insurers.
Premium
This is the amount you pay for your policy each year. Even if you renew
with the same company each year, this amount will change (at your insurer’s
discretion) depending on your pet’s age and whether or not you have
made any claims.
Excess
This is the amount you pay your vet towards treatment should a claim be
necessary. This amount will be clearly indicated on your policy documentation.
Sometimes it will be a fixed sum, sometimes a percentage and sometimes
a combination of the 2. An excess is payable per condition per insurance
year. (E.g. if your pet has arthritis and a skin complaint, that will
entail 2 excesses every year).
Exclusions
There may be specific exclusions on your policy for your individual pet.
These will be clearly indicated on your schedule. But, bear in mind that
all policies exclude pre existing conditions. Some companies automatically
exclude all dentistry...... Read the small print.
Pre existing conditions
If an animal has suffered from a similar or related condition before this
may well be excluded on your policy. It does not matter if that condition
was claimed for or not, if it is documented on your pet’s record
then the insurance company will note it. You are obliged to provide the
insurance company with the details of all veterinary practices your pet
has attended. All veterinary practices are obliged to provide a full clinical
history to the insurance company when they request it.
Life policies vs. annual policies
With a ‘cover for life’ policy, you pet’s insurance
will be renewed each year, but any conditions that you have needed to
claim for should still be covered in the new insurance year. The policy
excess and premium may well change, but your policy should still pay out
for your pet’s treatment (as long as no financial limits have been
reached. See below). Be aware that if your pet’s treatment falls
over the policy renewal date then another excess will need to be paid.
With an ‘annual’ policy any illness recorded or claim made
in 1 insurance year, will be excluded in the next, even if you continuing
paying your premium as normal. Be aware that if your pet’s treatment
falls over the renewal date the company may only pay costs for the first
year not the total sum of treatment. New conditions should still be claimable
and the appropriate excess will be applied.
Some policies have a financial limit rather than, or as well as, a time
limit.
Financial limits
There are 3 common variations.
A limit on the amount the insurance will pay per condition per year, this
usually applies to life long policies and the amount is ‘refreshed’
in each insurance year. E.g. £4000 per condition per year every
year you are insured.
A limit on the total amount you can claim for a condition without a fixed
time frame. E.g. £4000 per condition. Once this limit is reached,
the condition is excluded. An excess is usually payable per insurance
year.
A limit on the total amount per condition within 1 insurance year e.g.
£1000 for 1 condition within 1 year after which point the condition
is excluded.
Further advice
If you have any questions regarding your insurance, your insurer should
be able to assist you. We will help you whenever we can, but are unable
to comment on individual policies due to the laws that regulate insurance.
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