1
out of 5
POSTED: | BY: Nancy Ciborowski
Claim Denial Experience
I recently submitted a dental claim for my cat. My vet had inadvertently put the wrong date on a record in my cat's file.( I took my cat to the vet on January 2, right after the turn of the year, the vet posted the wrong year)
It was at that visit that the vet said her bad breath could indicate a dental problem. I made an appointment for the dental work, which was a few months out. The vet suggested waiting until dental health month because they gave a discount for the service then. My cat ended up having two teeth removed at that visit. I submitted the claim expecting to have some coverage on the nearly $1000.00 claim.
My claim was denied because they called it a pre-existing condition because of the misdated file from the vet. I tried to explain to ASPCA, that if they reviewed the information I submitted when I signed up, I had not even gotten my cat until after the date on that record. In addition, I did not start seeing that vet with my cat until 9 months after the date on that record. I called the vet and they acknowledged the mistake, corrected the mistake and resubmitted the document to ASPCA insurance. They would not reevaluate my claim. I tried to submit a new claim since they said the original was closed, they said that incident was denied and would not consider the update from the vet. I have now cancelled my pet insurance (for all three cats I adopted from a rescue at the same time) with ASPCA, and frankly am disheartened by the experience. I don't think I will buy pet insurance again.
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