3
out of 5
POSTED: | BY: Stacy
Usually have to appeal in order to get anything out of the ordinary covered
Embrace has all of my dogs' medical records; every last vet visit they have had. Yet, they consistently deny my claims based on pre-existing conditions, for which the claim at hand is not related. My dog has a diagnosed food allergy; medical records show that this is an allergy to chicken, which presents as intense skin/paw licking and chewing. I brought her in for veterinary evaluation and treatment after she had been lethargic and had vomited multiple times over the course of 24 hours. A decent $600+ visit after exam, x-rays, bloodwork, fluids and cerenia. Diagnostics were within normal limits and the vet attributed the symptoms to a bug of some sorts. She resolved within a week. Upon submitting my claim, it was denied based on food allergies. This dog has not vomited a single time in the 6 years she's been with us --- how can they claim gastritis is related to food allergies? Now my vet has to spend her limited time writing a letter of rebuttal.
Embrace does not have veterinary professionals reviewing claims from the get go and this causes problems all down the line. I personally have a working history in vet medicine and I know when things do not make sense. I feel badly for any other customers with policies who don't understand the nuances and take denials at face value, not knowing that they are entitled to reimbursement for certain services.