Claim Coverage

Explore detailed reviews about the claims process and coverage provided by pet insurance companies. See how quickly claims are approved, what’s actually covered, and how satisfied pet parents are with reimbursements.

59,211 total


September 09, 2023

Don't believe the posivie reviews

After submitted five claims over six months and having them all rejected, I realized that this was a premium-collection company, not an insurance company. I was conned and I accept that. However, two weeks after advising them I was cancelling the policy I received a notice that they were raising my monthly premium. Reason: dog is a "shepherd mix" and not a "mixed" breed, as i indicated when I signed up--of course, shepherd mix was not an option. I can't say if pet insurance is a scam generally, but if you're shopping for coverage, I'd pass on Embrace.

Insurer: Embrace

By: Lawrence

Useful
September 09, 2023

Wonderful pet insurance

I have had a few pet insurance companies previously. MetLife is by far the best! Easy to submit claims. Never a hassle processing claims. Claims are quickly processed and there are multiple choices for reimbursement! Great experience overall! I have been using them for the last 9 months and I am very pleased!

Insurer: MetLife

By: Karen

Useful
September 08, 2023

Useless customer service

My decision to get pet insurance weighed on any potential pre-existing conditions my cat may have, as she's had some urinary issues in the past and I don't want to be surprised if they won't cover future claims. I requested a medical review the day I started my policy, but they require you to wait 14 days. After giving them all the vet information, they say you won't hear anything during the 30 days it takes for them to do the review. After 30 days I follow up several times to see where the results are, to find out that they don't have records from one of the vets. It's now been 40 days and they have sent a single email to the vet, no follow up emails or call (and I didn't know we were waiting on this, not the review or I would've called). They send another request and I call the vet the same day and they say they've already sent the records and have no record of any other requests being sent! I ask the Embrace rep for proof of their first request and they relent--they did not send a request for 38 days. Apparently "We, unfortunately, cannot monitor each and every request sent daily but we try and make sure everything runs as smoothly as possible." means they send at best one email and do nothing else without your intervention. At my job, I would be expected to follow up and, if a customer is coming to me after a month of waiting, I would be calling, not emailing, to get a response ASAP. I assume this lack of tenacity extends to their claims processing. Only after sending another email do they promise to rush the actual review. Once I got the review, I noticed they had dates of lab work incorrect so the curable pre-existing conditions wouldn't be waived for an additional 2 months. I'm sure I could've fought this but I didn't see a point. I'd rather just pay vet bills than add this kind of back and forth to my workload. Of course when I asked for the 40 extra days they made me wait for the medical results to be added to my pro-rated refund when I cancelled, they said "we can't do a full refund" which was not what I was asking for. Their attention to detail is atrocious. This was a waste of my time and $100.

Insurer: Embrace

By: Kimberly

Useful
September 08, 2023

Happy customer

I signed up with MetLife Pet Insurance during my companies open enrollment Nov. 2022 with coverage going in effect Jan. 1, 2023. I have had nothing but positive experiences with MetLife and I have filed several claims. Keep up the good job MetLife.

Insurer: MetLife

By: Ann

Useful
September 07, 2023

SPOT is a fraudulent company

SPOT insurance is a fraudulent company that refuses to cover vet bills. My dog was seen for an ear infections related to wet ears. SPOT denied the claim because my dog had previously been seen at an emergency vet when she rolled in grass and had foxtails embedded in her ears. SPOT stated that my pet had a pre-existing condition of ear infections which is untrue because foxtail removal from ears is NOT related to allergies or infections. Spot then claims that my dog was diagnosed with allergies and allergies are a non-curable condition therefore SPOT will not cover any visit or prescription related to allergies. SPOT then continues to state that my dog's ear infection is related to allergies. My dog was NEVER diagnosed with allergies or seen by a vet for allergies until the visit when I submitted a claim. For each claim and each appeal I have filed I have been given a different excuse as to why my claim was denied. I was a customer for a few months which is why I believe my claim was denied because SPOT would not have received enough money in premiums to cover the cost of the claim reimbursement. If the excuses for denial were consistent I would be more likely to believe that SPOT was not a fraudulent company, however they know what to say and how to manipulate medical records to deny payment for a claim.

Insurer: Spot

By: Sarah

Useful
September 07, 2023

happy to have pet insurance

My dog had TPLO surgery and it was rather costly. I was lucky to have a good pet insurance company like Healthy Paws. They handled my claim promptly and within a few weeks, I received my reimbursement. Healthy Paws immediately contacted me that they received my claim...and upon reimbursement, reached out and inquired as to how my dog was doing. I was happy to have the personal touch. I am very pleased I chose Healthy Paws.

Insurer: Healthy Paws

By: Gail

Useful
September 06, 2023

Paid over $140/month for 15 years

Dog in great shape, blood work great just can't see or hear. Wanted to give her at least her site. Rat Terriers can live to 22 years. Didn't cover meds, cataract surgery (was eligible) but won't confirm they would pay the bill, $2500/eye. Couldn't risk paying out of pocket. don't know if I would use them again.

Insurer: Nationwide

Veterinarian: The Pet Clinic

By: Peggy

Useful
September 06, 2023

Pet insurance

My vet software dropped comment on a visit back in 2022 which was not true! I worked with Met Life to provide details. My vet was finally able to provide a correct record and email saying he had a software issue. My claim was paid out at 90%! I will be finding a new vet for sure! Thank you to the customer service team!!!

Insurer: MetLife

By: Sheila

Useful
September 06, 2023

Thousands spent with no cosideration. Price gouge for seinor dogs that have been with Healthy Paws for years.

Almost 5 years,I have been with this company since January 2019 . I had 2 dogs covered paying over $300 monthly. I never made a claim and never missed a payment before a debit card change in July. My payments were on auto pay. I called as soon as I discovered an issue less than 3 weeks from cancellation. They canceled my policy 30 days later with no reinstatement option. They couldn't care less about the fact that we have been long term clients with no claims and now my dogs are older and it will be hard to get reasonable coverage for them .They are supposed to care about pets , they are part of a non-profit , but they are really just concerned about their bottom line and no concern at all for the fact that my dogs are older now 12yrs and 10yrs and more likely to be having a claim in the later years of their life with absolutely no consideration for the fact that they have made thousands of dollars off of my dogs youth and health.The new quote is double the payment amount with 30-40 percent less coverage with 4x the deductible - Total RIP OFF from a company that has made thousands off of these two dogs with 0 claims for so many years. The reps got real rude and defensive when I let them know I wanted to escalate a complaint.They would not give me a viable method to file a formal complaint.He first gave a PO Box to mail a complaint. I asked for other options and whether somone could contact me . He sarcastically suggested BBB so I have complained there as well. Don't subscribe to Healthy paws. If you love your dogs, keep researching and get coverage with a company that loves pets too!!!

Insurer: Healthy Paws

By: Othelia

Useful
Latest 1 comments
Posted: | By: The Healthy Paws Team

Othelia, We understand that there are times a policyholder's credit card used on the policy could be lost, compromised by fraud or that there may be a change in bank accounts, expiration date, etc. When an account goes into suspension due to the fact that we are unable to bill the card on file, we make every effort to keep policyholders up to date and informed about the status of their account. Multiple notices are sent via email, and a Notice of (upcoming) Cancellation is sent out via regular post as well. There is also an automatic grace period that is taken into account. However, if we do not hear back from the primary account holder (prior to the cancellation effective date) the account must be canceled. In order to be equitable to all enrolled pet parents, we cannot make any exceptions to this policy. Your email complaint has been provided to management and our customer service team member provided you with our address if you want to submit a written complaint.

September 05, 2023

Negative 5 stars - DO NOT RECOMMEND

the absolute worst insurance broker I have ever dealt with. Do NOT recommend them! Started our one and only claim after paying premiums they had no problem collecting for a year, in May 2023 for a basic vet visit, tests, anticiotics, and retest to confirm the issue was gone. It's Sept 5th, and we still don't have payment. It took them almost two months once they had documents from every vet our dog had ever seen since we had her to process our claim and approve it. Then they "apparently" entered banking information wrong so it didn't process, lied that they had submitted payment (but the bank confirmed they have never tried to submit) and promised they would deal with it last week, said it takes several days to process once it is submitted - which is a lie the bank confirmed this morning - as direct deposits when submitted are immediate, and the PPU team refuse to let you talk to anyone other than their entry-level customer service agents who can't help you at all, and when you ask to wait on hold until they resolve your issue, which would take 10-15 minutes, they hang up on you instead, and don't bother to call back. And their Ombudsman can't help you either. If you are bored and don't have a job already and want to work full time to get paid for a claim you carried insurance for, sign up. Otherwise - stay as far away from Pets Plus Us, Northbridge who is the underwriter, and the Ombudsman works for Independence Pet Group www.pethealthinc.com - worst waste of my time ever.

Insurer: Pets Plus Us

By: Traci

Useful

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