Absorptive lesion to tooth caused by trauma

1
Out of 10

During a routine dental cleaning (not covered by pet insurance) my veterinarian discovered trauma in the form of an absorptive lesion to one of blue's teeth requiring it to be removed. Since my vet determined it was caused by trauma and not the mild grade one dental disease which the cleaning was completely rectifying, they assured me that this would be something covered under pet insurance. Well trupanion decided that it wasn't and now I have to go through a lengthy appeal process to receive the reimbursement I know I deserve for the procedure, and to top it off my vet is on vacation adding to the length of time I'll have money tied up in something that was so obviously reimbursable according to Blue's doctor, not pleased

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Injury/illness
Absorptive lesion on tooth discovered during routine cleaning
Claim Amount
$500 - $1000
Breed

Basset Hound

Age of Pet
1 - 8

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Posted: 04/11/2014
By: Joe @Trupanion

Josh-
Thanks so much for taking the time to leave us this review. We strive to be the best and give our customers the best experience. That was obviously not your experience this time, and we're sorry that's been the case.

I took a look at your policy and Blue's claim. It looks like when we first received the claim, there was nothing to indicate that the resorptive lesion was connected to a trauma, so it appeared to be as a result of the dental disease that was being treated. Since that disease was pre-existing, we weren't able to cover it.

Through the appeal process we received additional documentation from your vet that demonstrated that the lesion was due to a trauma, so we were able to reverse the initial claim denial and cover the treatment for the lesion.

I hope that Blue has fully recovered from his procedure and is feeling good as new again. Thanks again for taking the time to give us feedback.