Pet insurance is designed to help with the cost of providing the best vet care for your furry family members. It functions much like human private health insurance. You pay regular premiums (typically monthly or annually) to a chosen provider in exchange for coverage for veterinary bills. However, most pet insurance policies won’t cover 100% of the cost of taking your pet to the vet.
Understanding excess amounts
When making a claim, you'll often encounter the term ‘excess.’ This is the portion of each claim that you're responsible for covering out of pocket. For example, if your excess is $100 and the vet bill is $500, you'll pay $100, and the insurer will cover the remaining $400. You’ll have to pay this $100 excess each time you make a claim on your insurance policy.
Annual policy limits
Every pet insurance policy comes with an annual policy limit, which is the maximum amount the insurer will reimburse you within a single policy year. This amount is often between $10,000 and $20,000, although you can choose a higher annual limit. A policy with a higher limit will cost you more in monthly premiums. It's important to choose a policy with an annual limit that aligns with your pet's potential healthcare needs.
Benefit percentages
Your policy's benefit percentage determines how much the insurer will reimburse for eligible expenses after you've paid the excess amount. For example, if your policy has an 80% benefit percentage and your eligible vet bill is $1,000, you'll receive $800 in reimbursement. It’s possible to get pet insurance policies which cover from 50% to 95% of the total cost of a claim, with the higher percentage policies costing more.
Annual condition limits
Certain policies may have condition-specific limits. These limits cap the amount you can claim for one specific health condition or treatment for that condition. For example, a policy may have an annual limit of $20,000 in total, but a condition limit of $2,000. It's essential to be aware of these limits, especially if your pet has an on-going condition that requires regular treatment.
Understanding these elements of a pet insurance policy will help you make an informed decision when comparing pet insurance policies.