Can I visit any veterinarian with Petplan pet insurance?

Yes. Petplan insurance allows you to use any licensed veterinarian anywhere in the USA. To get a quick no obligation quote click here.

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What is a Deductible?

A deductible is the fixed amount per illness or injury per policy period that will be deducted from any benefit payment made to you after any coinsurance amount has been deducted for which you are liable prior to receiving any claims settlement

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How do I file a claim?

Pay your veterinarian for any treatment your pet has received Download a claim form, or Call Customer Care on 1.866.GoPetplan to have one sent out to you. Complete the claim form Ask the vet that treated your pet to complete their part of the form Send the form + original vet invoice + supporting documentation to:
Claims Department, Petplan,1 International Plaza, Suite 140, Philadelphia, PA 19113
Receive your Petplan reimbursement shortly after. Remember to make copies of the completed claim form and itemized veterinarian's bill for your own records. Click here to download a Claims Form

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Why do I have to pay the Veterinarian when Petplan is going to reimburse me anyway?

Petplan has investigated various methods of reimbursement over the years. What we found was that the majority of veterinarians would prefer it if clients paid them first for their services and were reimbursed later. This method has the benefit of ensuring that you can use any licensed veterinarian of your choice anywhere in the USA as there is no requirement for veterinarians to belong to any particular program or network of providers.

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Can my pet insurance claim be paid directly to the veterinarian?

If your veterinarian is happy for Petplan to pay them directly then that can be arranged on a case-by-case basis. To arrange for Petplan to pay your veterinarian directly, please call the Claims Department on 1.866.GoPetplan. (1.866.467.3875)

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How long does it take to process a claim?

Provided you have submitted all the necessary information required we will process your claim within 5 working days. To file a claim with Petplan: Pay your veterinarian for any treatment your pet has received Download a claim form, or Call Customer Care on 1.866.GoPetplan to have one sent out to you. Complete the claim form Ask the vet that treated your pet to complete their part of the form Send the form + original vet invoice + supporting documentation to:
Claims Department, Petplan, 1 International Plaza, Suite 140, Philadelphia, PA 19113
Receive your Petplan reimbursement shortly after. Remember to make copies of the completed claim form and itemized veterinarian's bill for your own records. Click here to download a Claims Form.

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How does the deductible work?

Petplan policies feature a "deductible" for each unrelated accident, illness or injury per year. An unrelated incident is defined as a condition or set of conditions, which have no connection with each other. For example, if a pet suffered from a fractured leg at the beginning of the policy term and then developed allergies in the middle of the term, two separate deductibles would apply, one for each condition/incident.

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Is coinsurance mandatory?

No. All Petplan policies offer the policyholder a choice of whether to accept a coinsurance option or not. If you do choose to add coinsurance to your policy you will be given the option of a 10% or a 20% coinsurance which will reduce your premium accordingly.

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How does the coinsurance work?

If you choose to accept a coinsurance option for your policy (which reduces the premium charged) you will be required to pay a percentage of each claim yourself before the deductible is taken off. For example if you were insured with a Silver Petplan policy and had selected a $50 deductible and 10% coinsurance and you submitted a claim for $1000 you would be reimbursed $850 after the 10% coinsurance and $50 dollar deductible has been removed.

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Where should I mail my claims form?

Please send all claims to:
Claims Department, Petplan, 1 International Plaza, Suite 140, Philadelphia, PA, 19113

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Can I submit a claim by fax?

Yes you can submit your claim by fax on 610.980.8840. However we do advise policyholders to mail us their claims as the claims adjusters prefer original documentation to work from and this can expedite the process.

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How can I get a new claims form?

There are three ways to obtain a claim form:

• 1. You can download and print a claim form from the website
• 2. You can call one of our customer sales representatives on 1.866.GoPetplan (1.866.467.3875) and we can mail you a claim form
• 3. Alternatively you can submit a request for a claim form by clicking here

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How long after the date of treatment do I have to file a claim?

We appreciate that with a sick pet the last thing you want to be thinking about is filing a claim and that is why we allow 90 days from the date of treatment shown on the itemized bill for submitting a claim If multiple visits are being submitted for reimbursement, each visit must be received in our office, within 90 days of that specific treatment date. Click here to download a claim form.

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Can I submit a claim for multiple visits for the same medical condition?

Yes, you can submit a claim for multiple visits for the same condition. Filing a claim with Petplan is simple, just follow the process outlined below: To file a claim with Petplan:

• Pay your veterinarian for any treatment your pet has received
• Download a claim form, or
• Call Customer Care on 1.866.GoPetplan to have one sent out to you.
• Complete the claim form
• Ask the vet that treated your pet to complete their part of the form
• Send the form + original vet invoice + supporting documentation to Claims Department, Petplan, 1 International Plaza, Suite 140, Philadelphia, PA 19113
• Receive your Petplan reimbursement shortly after

Remember to make copies of the completed claim form and itemized veterinarian's bill for your own records.

If you are submitting your first medical claim under the veterinary fee coverage part of your policy, please include your pet's complete medical records including all the records from every veterinarian that has ever seen your pet. Click here to download a Claims Form.

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What is a pre authorization form?

You do not need pre approval from Petplan for your pet to be treated. However if you want a guarantee that the treatment your pet will be receiving will be covered you can request a pre authorization form. By filling out the pre authorization form completely and getting it approved by Petplan you are guaranteeing that the treatment will be covered. To request a preauthorization form please call Customer care on 1.866.GoPetplan (1.866.467.3875).

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What documentation do you require to assess a claim?

To assess your claim in a timely and efficient manner we require the following documentation from you:

• A fully completed claim form signed by both you and your veterinarian
• The original invoice for the treatment your pet received
• A fully completed medical history record release form

Please make sure that all of the documentation has been completed thoroughly and that you have not missed out any sections on the form. If we receive partially completed forms that are missing information critical to assessing the claim we will return all the documentation back to you which will delay reimbursement.

Once you have completed the claim form and got your veterinarian to complete and sign their part, please attach the original invoice and send all documentation to:
Claims Department, Petplan, 1 International Plaza, Suite 140, Philadelphia, PA, 19113.

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Can I make the claim payable to a third party?

We can only reimburse the Named Insured as listed on the policy declaration page.

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