Pet Insurance experience

mrsboz99

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Hi all,
I've been seeing a lot of posts about health insurance and thought I would post my experience, in case it is of any help to anyone. I just want to say here that I'm not against inurance, but I do think that the companies do NOT make people aware of what they REALLY cover. They seem to work well for simple accidents or illnesses...ones that can be quickly treated and won't recur down the road.
Where things get dicey is if your pet is injured badly enough to need multiple treatments over time, or if your pet contracts a disease, which would require ongoing treatments. The reason it gets dicey is that Insurance policies tend to only run ONE YEAR at a time, meaning they start over FROM SCRATCH each i.e. January. So even if you have paid for a policy for 4 years in a row, and your cat never had any health problems, that history may mean nothing. Your pet could come down with something 4 years into coverage and if a treament for it is required anytime after year 5 has started, it is considered a PRE-EXISTING condition. Now these companies may say that pre-existing conditions are covered so long as the animal is symptom free for 6 months...... but that means symptom free for the first 6 months of EVERY POLICY YEAR.

this is a real world example:
my cat had a back problem in May 2004. She was treated with steroid shots, which were covered by insurance, and was fine for an entire year. In May of 2005 she had another problem relating to her back (requiring a CAT scan, back surgery and bills totalling $4000). She'd been covered for 4 years with this company. They said her condition was pre-existing. I argued that since she was symptom free for a year (they only required it to be 6 months) she should be covered. They said that the policy restarts every January and so she was technically only symptom free in 2005 policy year for 4 months and so she was denied coverage. We appealed and lost. This is the very type of thing we bought insurance for, and we got nothing. They paid the $100 for the first incident she had and we were left with the $4000 bill the following year. Good deal for them I'd say.

So be careful to read the fine print. We cancelled the policies for all of our cats...since they are indoor only, in good health right now, and don't face many risks in their day to day life, the likely cause of high vet bills, for which we would need the help, would be things like kidney disease, hyperthyroidism, degenerative disc disease, cancer....things that require treatments that may span Coverage years...and so would not be covered unless you are lucky enough that the treatment would only be needed in the last six months of each year.

Hopefully this all makes sense! I just want to save people the shock and stress we experienced!
 

xdx

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Basically as with all insurance you need to read all the small print and check what is covered. We read all our policies and paid a little extra to make sure we had the correct amount of cover. As with our home insurance we dont want to be undercovered. You never know if a cat could get out and have an accident. You cannot assume that your cats will always be healthy. Personally I think insurance is a must. Its just a matter of finding the right coverage from the right company. Also dont assume the free 6 weeks cover your breeder gives you is the best possible cover.

Heres a link to a cat called Harry who is the first cat to survive Open Heart surgery this was all paid for by Insurance. HARRY They probably couldnt have afforded it otherwise.

Just my opinions Pet Insurance is like any other insurance and you need to check you have the correct amount of cover for your needs. Shop around thats the best thing. Personally we wouldnt be without it.
 

opilot

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Okay - so who has had good experiences and with which companies?

I too have heard horror stories of "not covered" after paying faithfully
for years on policies for "healthy" cats...

I now put away 15 dollars a month for each cat, starting when
I get them every year for as long as I have the cat.

That way, later on down the road as they age, I
have a "fund" for them to draw on for treatment.

and of course, I do not belive in putting animals through
extensive surgery, cancer treatments or otherwise difficult expensive
and painful proceedures to prolong life where quality of life
may be lessened. Pets cannot like people appreciate the need
for the treatment the pain etc. - and cannot consent to the treatment or
dissent.

In short - alleviate pain, treat symptoms as
you can - but no open heart, no cancer chemo and nothing "extreme"
for treatment of otherwise terminal disease(s) where quality
of life is going to be degraded due to treatment. (And oh BTW you
will have huge vet bills.)

Just my 2 cents.
 

marie-p

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I also looked at getting insurance at some point and the one I found was pretty cheap but they only covered "treatment" for diseases. In my experience, I have never had to pay much for treatment... it's usually the diagnosis that's expensive. Last time I had a problem with Joshua, it cost hundreds of dollars of tests and x-rays to find out he only had gas and I paid $10 for medication. Insurance wouldn't have helped much.

Is it common for insurance to only pay for treatment? or do most pay for diagnosis as well?
I just keep having the impression that there's always a "catch" no matter what. I guess I just don't trust insurance companies.

Either way, I decided that I could not really afford insurance. If something comes up, I'll find the money (within reason) but if the treatment would cost thousands of dollars, I would have to consider other options
 

xdx

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We have never had any problems claiming for stuff from Xrays to lab tests. They have always paid with no qualms as I said earlier look at the small print and talk to people who have claimed to find out if they have had any problems. Just because its cheap doesnt mean its any good. We pay insurance on all our cats also we pay monthly to our vets for vaccinations and check ups. Also we have an emergency fund. I dont think you can rely on one thing and make sure all bases are covered. I know if i didnt have insurance and couldnt afford the treatment i would never forgive myself. My cats are our family and i wouldnt skimp on my insurance so I wont on theres either.
 

redsmom79

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goodness! thanks for the info. i've been looking into insurance since my cat seems to have a new problem every few months.
 

yosemite

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I also think that sometimes you buy a "cheaper" policy you get what you pay for - cheaper coverage. Cheap isn't always better - in fact IMO you get what you pay for. With insurance it's the same thing - cheap rates, cheap coverage usually.

I had a lady run into my car just before Christmas - my insurance company got me a rental car (no cost to me) and waived my deductible. Yes, my auto insurance costs me a bit more than some folks I know who have minimum coverage and lower rates at less reputable companies. Would I change my insurance for lower rates with one of them? No way.

If I'm buying something that I know I'll be tired of after a short time I don't pay a lot for it, but if I want something to last I buy more expensive - depending on what I'm buying of course.

Our daughter used to spend all kinds of money on cheap clothes and useless garbage. Thankfully she now spends her money more wisely.
 

hareting

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Originally Posted by mrsboz99

Hi all,
I've been seeing a lot of posts about health insurance and thought I would post my experience, in case it is of any help to anyone. I just want to say here that I'm not against inurance, but I do think that the companies do NOT make people aware of what they REALLY cover. They seem to work well for simple accidents or illnesses...ones that can be quickly treated and won't recur down the road.
Where things get dicey is if your pet is injured badly enough to need multiple treatments over time, or if your pet contracts a disease, which would require ongoing treatments. The reason it gets dicey is that Insurance policies tend to only run ONE YEAR at a time, meaning they start over FROM SCRATCH each i.e. January. So even if you have paid for a policy for 4 years in a row, and your cat never had any health problems, that history may mean nothing. Your pet could come down with something 4 years into coverage and if a treament for it is required anytime after year 5 has started, it is considered a PRE-EXISTING condition. Now these companies may say that pre-existing conditions are covered so long as the animal is symptom free for 6 months...... but that means symptom free for the first 6 months of EVERY POLICY YEAR.

this is a real world example:
my cat had a back problem in May 2004. She was treated with steroid shots, which were covered by insurance, and was fine for an entire year. In May of 2005 she had another problem relating to her back (requiring a CAT scan, back surgery and bills totalling $4000). She'd been covered for 4 years with this company. They said her condition was pre-existing. I argued that since she was symptom free for a year (they only required it to be 6 months) she should be covered. They said that the policy restarts every January and so she was technically only symptom free in 2005 policy year for 4 months and so she was denied coverage. We appealed and lost. This is the very type of thing we bought insurance for, and we got nothing. They paid the $100 for the first incident she had and we were left with the $4000 bill the following year. Good deal for them I'd say.

So be careful to read the fine print. We cancelled the policies for all of our cats...since they are indoor only, in good health right now, and don't face many risks in their day to day life, the likely cause of high vet bills, for which we would need the help, would be things like kidney disease, hyperthyroidism, degenerative disc disease, cancer....things that require treatments that may span Coverage years...and so would not be covered unless you are lucky enough that the treatment would only be needed in the last six months of each year.

Hopefully this all makes sense! I just want to save people the shock and stress we experienced!
which company do u use? do u mean http://www.petinsurance.com/ this one -veterinary pet insurance?
 
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  • #11

mrsboz99

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Hi all
Just to clarify some points, I was not saying that everyone should avoid Pet Insurance. By all means, it has its uses. I just wanted to put our experience out there so that people can see what kind of things insurance may NOT help with, and so that folks won't be taken by surprise like we were. Hopefully it will also give folks some good questions to ask any insurance companies they already have or are looking into.

As I said, our company (PetsHealth) DID cover all small expenses faithfully. That isn't what we needed help with though. For us, we decided to end coverage with the specific company we were dealing with because we weren't happy with how we were treated and it is clear that how they set up their policies means that the big health issues our specific cats will face (kidney failure, cancer, hyperthyroidism, which would require long term treatment), since they are indoor only, we have no kids etc, will not be covered to the extent that it is worthwhile to us.

And sure, I did read the policies front to end when we first got them but the paperwork does NOT make it clear that the policies COMPLETELY start over every January and that when they say that a cat has to be symptom free for 6 months, they mean from the beginning of each policy period, not from the time they last had symptoms. There were other details that there isn't time to go into, that made it clear to us that the company was looking for ANY possible excuse, no matter how thin, to avoid paying for the surgery.

Also, someone mentioned that you get what you pay for and sure that can be true. That is not relevant to our case though. I take my responsibilities to our three cats very seriously and I chose very comprehensive coverage for all three of them. We picked a well known company and picked solid coverage. And still we were left with $4000 in bills that we got no help for.

I'll be doing research now to see whether any other companies offer a better program and if so, I will definitely think about getting coverage for our cats. In the meantime we'll just be taking care of our cats on our own.
 
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mrsboz99

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Yeah, we'll be starting an emergency fund now, and continue with it even if we do find a new insurance company down the road. We've learned our lesson, not to rely on one thing exclusively.

I do want to say that some extensive surgeries can be worthwhile, if it won't put you in the poor house to do it of course. Not everyone is lucky enough to be able to choose whether to have a procedure or not. Our Cali had scar tissue encircling her spinal cord, causing her hind limbs to have partial paralysis. It was heartbreaking to watch her dragging her back legs around
She was still herself though, still wanted to play, eat, snuggle and interact with everyone around her and so I just couldn't put her down, especially when her prognosis was complete recovery. If they told us she would just keep getting worse and that she'd be in constant pain, then that is a whole other story. If she was going to be her old self though, and we would be able to pull it off financially, I just felt like I'd be killing her for no reason if we didn't go ahead with it.

As for putting her through all that, animals can surprise you with how much they will tolerate when they know you are doing it to help them. Cali is normally a very jumpy cat, easily stressed out. I was so worried about how she would handle everything, but she was remarkable. It is like she knew that this was serious and that she needed to go through it. Where she'd normally throw up from stress in the car, she just put her head on my hand (where I had it in her cage) and purred. And in the hosipital, while in recovery, everyone said she was a real doll and handled everything like a trooper. She got a lot of TLC from the staff. She was so good when I'd come visit her and bring her treats. I'd never have believed she would hold up under such extreme circumstances so well, but she did it, and with a strength and grace that took my breath away. She had to go through 3 months of seclusion in a room with no furniture afterwards (so she couldn't jump and hurt her back) and even that went well. She never cried to get out and we created an even stronger bond between us from all the one-on-one time we got together (normally all three cats battle for attention hehe). I spent hours in there with her every day snuggling and playing (gently). Now she is a happy healthy kitty running around the house with the other two. She is back to her old self and for us, every penny we spent was worth it. I'm just thankful that we were able to choose to have the surgery...a year or two ago we might not have been so lucky.

Originally Posted by opilot

Okay - so who has had good experiences and with which companies?

I too have heard horror stories of "not covered" after paying faithfully
for years on policies for "healthy" cats...

I now put away 15 dollars a month for each cat, starting when
I get them every year for as long as I have the cat.

That way, later on down the road as they age, I
have a "fund" for them to draw on for treatment.

and of course, I do not belive in putting animals through
extensive surgery, cancer treatments or otherwise difficult expensive
and painful proceedures to prolong life where quality of life
may be lessened. Pets cannot like people appreciate the need
for the treatment the pain etc. - and cannot consent to the treatment or
dissent.

In short - alleviate pain, treat symptoms as
you can - but no open heart, no cancer chemo and nothing "extreme"
for treatment of otherwise terminal disease(s) where quality
of life is going to be degraded due to treatment. (And oh BTW you
will have huge vet bills.)

Just my 2 cents.
 
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