1
out of 5
POSTED: | BY: Anna
Hard to get claims paid
My cat had surgery to remove two teeth that were receding into the jaw bone. This is common with cats and results from damage to the root of the tooth after the gums recede for any reason. My cat also had her teeth cleaned along with the tooth removal. Embrace initially denied my claim because they said it was wellness only as a teeth cleaning. I appealed and didn't receive a response within the time frame they gave me so I called them to check on it. The representative I spoke to said that they had the response ready and it was sending soon. She said the response was a denial of my appeal because it was dental related and thus excluded. So I reduced my coverage to the minimums so o didn't forfeit my wellness balance. I got a notice the next day that they had someone review the outcome of my appeal and that they would cover the surgery, but now my deductible was $1000 because I reduced my coverage the day before so they only covered a small portion. It seems clear to me that they have a policy of denying or delaying large claims until the customer really pushes back.