Pet
Insurance Shopping Tips
Pet
Insurance Shopping Tips - Shopping for health insurance, whether for humans or
pets, is confusing. So many options. So many exclusions. We can't predict the
future -- what plan will best suit our needs and grow with us? Asking questions
is the first step to ruling out plans that won't work and finding plans that
will. Assistance with finding a health plan that offers the best coverage and
fits within the budget is the goal of this article. The following tips and
information have been provided by (VPI). Objective questions such as these are
what consumers should be asking when shopping for any insurance policy. Your
veterinarian may also be able to offer information or recommendations specific
to your pet's health care needs.
1)
Company Stability
Pet
health insurance has been available in the United States for more than 25 years
and over the last decade has grown to become a strong, viable industry - but
very few companies have longevity in the market. When researching a pet
insurance company, it is important to know how long it has been in business,
and if it is
financially
stable. What is the rating of the company's underwriter, and how long has it
been with that underwriter? Ensure that the statements the company is making
regarding strength and longevity apply to its business in the United States.
Some companies are franchise operations from Europe and other parts of the
world, and thus, have far less actual experience doing business in the United
States.
2)
Certified and Trained Professionals
Does the
company have in-depth veterinary knowledge? A quality pet health insurance
provider should have thorough knowledge of the veterinary and insurance
industries, and it should have trained veterinary professionals on staff.
3)
Veterinary Recognition
Is your
veterinarian familiar with the pet health insurance company he/she recommends,
and does your veterinary office staff recommend it? Inquire if the person
making the recommendation is receiving financial incentives for suggesting a
particular company.
4) No
Provider Networks
Policies
should allow pet owners to visit any licensed veterinarian and not require them
to visit a specific network of hospitals or practitioners.
5)
Immediate Coverage on Effective Date
All
policy coverage should be available on the effective date of the policy. Some
companies delay coverage of illnesses and wellness procedures for an additional
amount of time beyond the effective date.
6)
Wellness Coverage
Preventive
care is critical to the long-term health of a pet. In order to encourage and
remind pet owners to take their pet to the veterinarian on a regular basis, the
company should offer coverage for common preventive treatments and procedures:
wellness exams, vaccinations, heartworm protection, spay/neuter, teeth
cleaning, prescription flea control, etc.
7) Broad
Coverage for Illnesses
Policies
should include coverage for prescription drugs, dental illness and chronic
conditions such as allergies and diabetes.
8)
Continued Coverage for Chronic Conditions
Does the
company consider conditions treated during your pet's policy term to be
"pre-existing" upon renewal? Do benefit allowances renew with each
new incident throughout the lifetime of your pet's policy? Is there a lifetime
maximum benefit? Companies should continue to cover conditions as long as the
policy remains continuously current, without charging you additional premium.
9)
Coverage Away from Home
If your
pet is injured while straying away from your home, or is treated by a
veterinarian while you are traveling, is this covered? A pet insurance policy
should be effective whether your pet is in your home, at the neighbor's house
or accidentally lost. Also, as previously noted, you should be able to visit
any licensed veterinarian anywhere while traveling.
10) Full
Transparency Regarding Reimbursements
Does the
company use a schedule of payments, such as a benefit schedule, or does it use
a usual and customary fee list? It should be clearly communicated to
policyholders which of the two payment programs is being used, what is covered,
what benefits are available and how the list is developed.
11)
Transparency in Coverage
If the
company claims to cover hereditary and congenital conditions, are the benefit
limits for these conditions enough to cover treatment? For example, a company
may claim to cover hereditary conditions, but then only offer a $200 lifetime
maximum benefit.
12)
Physical Exams
How
often does the company require physical exams? Some companies, for example,
require a physical exam every year in order to maintain coverage.
13)
Preauthorization for Treatment
If a
condition or treatment is covered under the policy terms, no preauthorization
for treatment should be required.
14)
Claims Submission
Companies
should allow policyholders to fax or mail claims, and there should be a
reasonable time limit on submitting claims. If a claim is denied, there should
be a review process in place available to the policyholder.
15)
Premium Increases
Premium
increases should be based on your pet's age and not on the amount or number of
claims filed.
16)
Policy Cancellation Penalties
There
should be no penalty for canceling your policy, whether because of choice or
loss of the pet. Companies should reimburse the policyholder all unearned
premium
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