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Claim denial and appeal process
My policy includes preventative care coverage and my claim for anal gland expression was denied even though it is specifically listed under preventative care. The reason for denial is not clear on the EOB so I called customer service learn that I would first need to see the Vet and have the Vet recommend the procedure. I agree with that for standard policy coverage. The preventative care coverage does not state that I first need to see the Vet. The appeal process is complicated and designed so that customers will decide it is not worth the hassle. Poor customer support and service. If I could give you a negative 5 stars for this instance, I would
Insurer: MetLife
By: mcgeorgerp
Excellent all around
Excellent all around. Would highly recommend to any one with a pet!
Insurer: MetLife
By: SHERI ROBINSON
I normally don’t leave reviews
I normally don’t leave reviews, but I have been so pleased that I am. It is super easy to file a claim, and you are reimbursed quickly. Even when my dog had an emergency overnight, it was no hassle.
Insurer: MetLife
By: Emily Vosburgh
Always quick to answer any questions…
Always quick to answer any questions and rapid reimbursements.
Insurer: MetLife
By: Tia
Submitting a claim in the Mypets portal…
Submitting a claim in the Mypets portal is an easy process. Metlife's review of a claim is usually completed within a short time, and reimbursements are issued in a timely manner. Thank you!
Insurer: MetLife
By: Therese Bessette
The website is a nightmare
The website is a nightmare. If you upload claims, they get lost. Customer service is abysmal. I am constantly having to call to straighten out my claims. I have two dogs, they always go to vet together, and so I have to send all pages of claim forms for each dog, that’s Ok, but they constantly screw it up. I finally spoke with a claims manager about the mess. It says it will take 5 days to review claims, it’s more like 20-25. Problem is once you are with a company you can’t change because of pre existing conditions.
Insurer: MetLife
By: mary
I still never got answers on whether my…
I still never got answers on whether my issue was resolved!
Insurer: MetLife
By: TJones
An AMAZING Experience!
You had everything I was looking for. You were very attentive on what the next steps were and reminders to ensure I completed what was needed.
Insurer: Prudent Pet
By: kellyyedynakyahoo.com
Very easy to submit claims and always…
Very easy to submit claims and always get reply back in timely matter with all information needed for how claims are accepted.
Insurer: MetLife
By: YOLANDA