Unlike human health insurance, pet health insurance is a reimbursement model, so you’ll pay your vet bill first and then get reimbursed. Here's how we calculate your reimbursement amount.
When you signed up, you chose three specific numbers: your annual coverage amount, reimbursement level (up to 90%) and annual deductible. Those three numbers determined your premium, and that’s where we start when we review your claim submissions.
We’ll first look at your reimbursement level. For instance, if your policy has a 90% reimbursement amount, that 90% is applied to the approved cost of your treatment. Then, your deductible comes into play, subtracting any remaining deductible (the annual amount you’re responsible for before insurance kicks in) to be met from the cost.
Here’s an example for a policy with a 90% reimbursement amount and a $200 deductible:
- After taking your pup to the vet for an illness, you pay a $600 bill.
- A 90% reimbursement level brings the bill to $540 reimbursement.
- A $200 deductible, with the full amount remaining, would bring your reimbursement to $340. But, if the deductible was already met, the reimbursement would be $540.
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