1
out of 5
POSTED: | BY: Kelli Lien
Healthy Paws is Messing With Us/Not Paying Claims/Not Responding to Phone Calls
We purchased Healthy Paws insurance when our dog was less than a year old. She is now 11 and has had health problems in the past couple of years. She has a degenerative heart valve. She went blind a year ago from SARDS. She has had extremely high liver enzymes, which consistently climb. We see a cardiologist for her heart (twice a a year for an exam and an echo). We order her heart meds from Chewy and never submit for reimbursement. We have been seeing an IM vet w/regard to her liver and recently they did an abdominal ultrasound and did a fine needle aspirate. We submitted the above mentioned claims in early July (more than a month ago). To make a long story short: They are messing with us. We check on the website to see if they have processed the claim .... "in process" .... "need more information".
We ask, what information? We've been doing the same thing we've been doing for years, which is to send the copy of the invoice and send the copy of the discharge summary. We submitted everything all over again. Still "in process" and "need more information". Early on, their message said they were "unable to read the invoice." I looked at what we sent them. Nope, it was a perfect image. I took the photo over (another good photo) and re-sent it. Time keeps going by. Husband calls them -- they say -- well, it's in process and we have to process them in order and if one is in "process" we cannot move on with the others that you submitted. I called yesterday. Got a claim rep that didn't have great English speaking skills. I told her that I wanted to speak to a Customer Service rep because I had a complaint. She tried to be that person. No, I said -- I want a Customer Service rep. She puts me on hold. A song comes on, that repeats itself, every 30 seconds. About every 5 minutes or so, she comes back on the line to say, "I'm reaching out to a Customer Service representative" and then in a mini-second, it's back to that 30 second repetitive recording. I stayed on hold, like that, for a half an hour. The next time she got on the line, I said, "Wait a minute, wait a minute. You don't actually have anyone on the other line, do you?" She didn't. I vented to her a bit. She said I would get a phone call by the end of the day from a Customer Service rep. I didn't. At this point, we are paying a lot for our monthly premium (which goes up significantly each year now). So we're paying for a big premium and they aren't paying the claims. They advertize that claims are processed in 2-3 days. This is the first time it's been over 30 days. This bill is for $1500. It feels as though they are purposely straggling things out, so they don't have to reimburse us in a timely manner. Our dog is a senior dog with health issues. What insurance company would take her now? None. It reminds me of when my elderly mother (in her mid 90's) was in a nursing home in our small town. Mom ended up getting cancer (during those four years she was in the nursing home). The head nurse and the head of the nursing home said to me, "You're not going to do anything about that, are you? If your family decides you are going to treat that, we're going to have to have a family meeting!" They were mad. They wanted my mom dead. I feel a similarity with Healthy Paws right now. I feel like they are pushing our hand ... to not be able to afford care for our elderly dog ... and force us to euthanize her. We aren't going to do that. But it's really awful that they behave this way toward the end of our dog's life. And it IS hard to pay for big premiums when they are not reimbursing our claims in the 2-3 days that they advertise. Our dog was actually the best thing that ever happened to our family. We've been married 40 years. We have two sons in their 30's. We all agree that Stella was the best thing that happened to our family. Shame on you, Healthy Paws. A word of wise to people looking for pet insurance: Find a different insurer.
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