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Pet Insurance – Is It Right For You

What can you do if your pet has a serious illness or accident? Veterinarian medical technology has paralleled that of human medical technology in terms of increasing sophistication over the past 10 years. But how can you pay the bills? It's no cheaper for your dog to get medical treatment than it is for you. Pet insurance may be a good option for you. It became available in the United States in 1982, with the formation of a California-based company called Veterinary Pet Insurance (VPI).

It's been a bumpy road since then; about 30 different pet insurers came and went between 1982 and 1998. Other companies sprang up that still survive today, VPI included, offering a multitude of plans and prices to protect your dog's health and well-being and your peace of mind.

Even though the United States is a nation of animal lovers, pet insurance hasn't caught on in a big way. According to the most recent statistics only about one percent of pet owners in the United States insure their animals, compared to about 19 percent in England and 49 percent in Sweden. But given the advances in medical technology, including everything from magnetic-resonance imaging scans (MRIs) to bone-grafts and advanced cancer treatments that are now available for dogs, it's worth looking into -- especially in case of catastrophic accident or illness.

How Does It Work?

Pet insurance works a lot like people insurance does. There are traditional Blue Cross/Blue Shield-type plans where you pick the veterinarian of your choice for services, pet HMOs and even discount clubs, where for an annual fee you get a discount on veterinarian services and animal health and grooming products.

Unfortunately, like people insurance, most pet insurance policies involve a lot of fine print, including coverage levels, waiting periods for policies to take effect, exclusions, deductibles, payout caps per incident, per year and per ailment, and extremely limited coverage for older dogs, so do your homework before you buy. Ask your veterinarian. He or she may offer a locally-based discount plan for pets, which might be better for you than one of the bigger plans, depending on both your financial situation and the kind of dog you own.

Watch Out For Pre-Existing Conditions

Frequently, congenital and hereditary illnesses, as well as pre-existing conditions, are not covered by pet insurance. So if you have a large dog and it develops hip dysplasia, you might be out of luck. Talk to several companies before you buy. Some will insure shar-peis, which are notorious for hereditary problems, with accident-only coverage. Sometimes a 20 percent surcharge is added for large-breed dogs. Ask about their pre-existing condtions as there are some questions as to what constitutes a pre-existing condition.

Make sure you find out what the waiting period is for your pet's insurance coverage; also ask if a telephone call to a vet before the policy takes effect would count as a diagnosis.

Nearly all companies' premiums are based on your dog's age, and some policies will insure dogs for accident-only coverage after they reach the age of 8 or 10 years. Find out before you buy. Elderly dogs are far more likely to be stricken by cancer than young ones, and this is one situation where insurance can make the difference between life and death for your pet.

Some Other Questions to Ask

Will the insurer cover routine wellness care, such as inoculations against distemper, rabies and other diseases? What about testing and treatment for heartworms? Dental and eye care? Does the policy cover neutering or spaying costs? Cesearean sections? Nail trimming and grooming? Flea and tick control? Does it pay for prescriptions?

Some insurance companies will do these things, but only if you add on a"wellness rider" to your existing policy. The cost for this additional protection generally runs about $100 per year.

What are the deductible levels on the policy? Is there a lifetime limit on payouts? What are the annual caps on payment? What are the caps for specific illnesses and specific incidents? For example, if the vet charges $1,000 for mending Rover's broken leg, and the insurer's cap on bone fractures is $500, you'll have to pay that extra $500 out of your own pocket.

Can you pay for the policy on a monthly basis? Will you get a discount for insuring extra pets? Are you limited to the insurer's choice of veterinarians, or can you choose your own? How long does it take, on average, for a claim to be processed?

Costs for Traditional Plans

Let's look at two of the larger U.S. traditional-style insurance plans -- where you go to the veterinarian of your choice -- available in most states, VPI and Ohio-based Petshealth Insurance Co. Each offers three levels of insurance coverage for your dog.

The first, called Basic by Petshealth and Gold by VPI, includes coverage for accident, illness, non-elective surgery and hospitalization, less deductible. Depending on the age and sometimes the size of your dog, VPI charges USD $101 - $146 for this plan; PetsHealth charges $120 - $144. The mid-range plans, called Value by PetsHealth and Advantage PLUS by VPI, cost $230 -$276 and $171 - $251, respectively.

The mid-range plans offer some preventive health care screening services like testing for heartworms, as well as basic accident and illness coverage. PetsHealth has a top-level plan called Choice, costing from $362 - $434. VPI has a wellness rider that can be added on to either of its other plans for $99.

Both PetsHealth Choice plan and VPI's wellness rider offer more in the way of coverage for routine veterinary services, such as inoculations, testing and treatment for heartworms, discounts for flea control and the like. Deductible levels may also vary depending on the plan you choose.

HMOs for Dogs?

What if you want to insure your pet, but the breed is known to have congenital or hereditary problems? Pet Assure isn't exactly an HMO, but it offers its members discounts on all veterinary bills and services as well as on many pet health and grooming products, even if the condition your dog is being treated for is hereditary or pre-existing.

The membership fees for these plans are fairly modest, running about $100 per year, with discounts usually averaging 25 percent for veterinarian visits and treatments. The only catch is that you can only go to a veterinarian who is involved in the program, the equivalent of a "preferred provider physician." And there may not be one in your area. But depending on your finances and the type of dog you have, one of these plans may be worth checking out. Maybe your local veterinarian has this kind of plan in place. Ask.

Is Pet Insurance Right For You?

Pet health insurance has its problems, but is well worth looking into for most dog owners. In cases of catastrophic accident and illness, it can and has been a lifesaver for pets without draining the owners financially, or forcing them to make a decision to have a pet put down because they couldn't afford its medical treatment. But be an intelligent consumer, and check out all your options before you buy.

 
 
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