Does your pet insurer allow direct claims? - Vet Help Direct (2024)

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Claire Turner BVetMed MRCVS

July 14, 2021 • 29 Shares0 Comments

Owning a pet can be expensive. Dogs will cost their owners on average £21,000 over their lifetime and cats, around £17,000. Even rabbits don’t come cheap as they should be kept in pairs. Meaning the lifetime cost for two could amount to over £15,000. So it’s no surprise that many owners opt to take out pet insurance to help cover at least some of the veterinary fees. Many companies now will advertise ‘direct claims’ as a benefit of their policies. But what does this actually mean for you and your vet?

Table of contents

  • What is the difference between an indirect and a direct claim?
  • What do I need to do if my vet agrees to do a direct claim?
  • What happens if my direct claim is rejected?
  • You might also be interested in:

What is the difference between an indirect and a direct claim?

If you need to claim on your pet insurance, there are often two ways the insurance company can pay out. An indirect claim involves you settling the full bill with your vet. Then arranging to have the insurance company pay you back. A direct claim is where the insurance company will pay your vet directly. Though you will still have to pay your vet the excess amount on your policy and the cost of any treatments that aren’t covered. Some policies will also require you to pay a percentage of veterinary fees.

Each way has it’s pros and cons for both client and vet. For the client, often a direct claim is most appealing. As it means they don’t have to pay out potentially large amounts of money in one go to their vet. And they are not left out of pocket as they could be with an indirect claim. However, for the vet, direct claims can involve more paperwork, interrupt cash flow and end up being problematic if the claim is rejected. Because of this, not all vets will allow direct claims. Some may only allow direct claims from certain insurance companies. So even if your insurance company promotes direct claims, it is at the vets discretion whether they will permit a direct claim to be carried out – there is no guarantee!

If my vet agrees to do a direct claim, what do I need to do?

You will usually still need to complete a claim form, either on paper or online. Then pass the information to your vet so they are able to complete their section too. Then either yourself or your vet can send the claim to the insurance company. Your vet will likely request that you pay them your policy excess and any other known fees before submission of the claim. If accepted, the insurance company will usually pay your vet the rest of the claim amount within a few weeks. They should let you know when this has been done.

What happens if my direct claim is rejected?

If you have undertaken a direct claim but the insurance company have rejected it, you will be liable for full payment to your vet. The contract is between you and your insurance company though your vet may be able to provide evidence to help with any disputes. If a dispute is ongoing around a direct claim, it can leave your vet out of pocket. Although an outstanding bill of a few hundred or even a few thousand pounds may not sound like it would make a difference to the running of a veterinary clinic, serious cash flow problems can occur if multiple clients have either ongoing or rejected direct claims.

As with anything to do with insurance, it is worth reading those terms and conditions and being very clear on what your insurance policy covers and what it doesn’t so that you are not caught out. If you do need to make a claim, always speak with your vet who will be able to help you through the process.

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Claire Turner BVetMed MRCVS

July 14, 2021 • 29 Shares0 Comments

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Does your pet insurer allow direct claims? - Vet Help Direct (2024)

FAQs

What is a direct pet insurance claim? ›

A direct claim is when your insurance company pays us directly for the cost of your pet's treatment. Under certain circ*mstances, we may arrange to claim the treatment costs of your pet directly from your insurance company.

What does direct pay mean for pet insurance? ›

Pet insurance companies offer one of two methods to pay claims. Some pet insurance companies make full or partial payments directly to the veterinarian, as with vet direct pay, so you do not have to pay out of pocket or file a reimbursem*nt claim.

How does pet insurance work when you go to the vet? ›

After taking your pet to the vet for routine checkups, emergency treatment or other wellness visits, you pay the bill at the time of service. You then submit a claim, and if covered, you get reimbursed for the cost of the visit minus the deductible and co-pay.

Do PetPlan pay the vet direct? ›

Can Petplan pay my vet directly? If your vet permits it, we can cover the costs of your bills by making a direct payment to them, which would mean you only have to cover the excess charge (if one applies) and any other deductions at the time of your appointment.

What is a direct claim? ›

A litigation claim brought by a corporation itself against its former management, board of directors or controlling shareholders. Unlike a derivative action, a direct claim by the corporation does not require leave of the court.

Why would pet insurance deny a claim? ›

In some instances, a claim being denied isn't because your insurance provider doesn't want to help. Instead, it can be due to a minor error such as incorrect patient information or data that was inputted incorrectly.

How much of vet bills does pet insurance cover? ›

So, once you've covered your deductible for a condition, your pet insurance will typically reimburse a percentage of any additional cost. That percentage depends on the policy you sign up for. In most cases, you'll be able to choose 70%, 80% or 90% reimbursem*nt coverage.

Should pet insurance come before first vet visit? ›

I recommend getting pet insurance BEFORE ever bringing the pet in for an exam.

What do vets think of pet insurance? ›

Pet insurance can safeguard your finances against a large and unexpected veterinary bill if your pet suddenly requires care. Many veterinarians recommend pet insurance if the premiums are affordable. Consider shopping and comparing reputable pet insurance providers to find an affordable plan with your desired options.

Why do vets recommend PetPlan? ›

We pride ourselves on our breadth of cover, paying 97% of all the claims we receive and this is why thousands of vets partner with us. We can also pay vets directly.

Do many pets do direct claims? ›

Yes, we can liaise with your vet directly, as long as they're happy to do so.

How does reimbursem*nt work for pet insurance? ›

Reimbursem*nt rates

After you've met your deductible, the reimbursem*nt rate is the percentage of your vet bills that your insurance company will cover. These usually range between 70% and 90% of the cost of care, with some providers offering as low as 50% and others offering as much as 100%.

Do you get money from pet insurance? ›

Most pet insurance plans will reimburse you after you pay the vet bills, but some plans, like Trupanion, partner with veterinarians and will pay your vet directly.

How do reimbursem*nts work in pet insurance? ›

Once the claim is processed, you're reimbursed for a portion of the bill. How much you're reimbursed depends on your specific plan details, which you can choose during enrollment. Most plans pay 70% to 90% of the total bill minus any deductible or ineligible expenses, leaving you responsible for the remainder.

What is a payout in pet insurance? ›

The maximum payout per incident is the maximum amount of money that a pet insurance provider will reimburse you per incident. For example, Your pet could break a bone for one incident, then later have an unrelated infection that's considered a separate incident and requires a new insurance claim.

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