FREQUENTLY ASKED QUESTIONS & ANSWERS
We have provided answers to many commonly asked questions about our policies below. If you would like any more information, please call us on 1800 043 552.
With Pet Insurance Australia Pet Insurance we will cover up to 80% of eligible vet expenses, subject to any excess and annual benefit limits associated with your policy. Any applicable excess will be subtracted from your benefit amount.
Excess is the amount (your choice of $0 or $100 or $200) that is deducted from your benefit only once for each unrelated condition claimed in a policy year. For example, if your pet has an ongoing stomach complaint and requires follow-up treatments, only one Excess will apply to the treatment of this complaint.
Pets can be insured from 8 weeks of age. For Comprehensive and Major Medical cover your pet must have joined before its 9th birthday. There is no upper age limit for our Accident plan, so any pet can join no matter how old. Don’t delay, as pet insurance is the one thing you cannot buy when you need it most; plan ahead!
With Accidental Injury Cover, you can cover your pet at any age from 8 weeks old. With Comprehensive and Major Medical Cover, pets need to be aged between 8 weeks and younger than 9 years of age when you purchase your policy.
Your policy will commence at midnight on the day that your proposal has been accepted by us and a policy has been issued. Please note that acceptance of your application is not guaranteed, so you should always check to see whether a policy has been issued before claiming. You may make a claim for an accident as soon as your policy is effective. A 30-day waiting period applies for illness condition claims.
Note: There is a 6 month waiting period for cruciate ligament (or related) conditions. However, you may request to have this period waived by having your pet examined by your vet and submitting the completed prescribed Cruciate Ligament Exam Form in support of this request. Please download form here. Waiver of this waiting period is at the sole discretion of the insurer.
Like most insurance policies, we have a few exclusions to keep your premiums affordable. These include, but are not limited to, pregnancy, elective procedures, foods/diet, grooming, behavioural problems, and pre-existing conditions that showed clinical signs before taking out the insurance.
Yes, provided symptoms or clinical signs of these defects were not present prior to commencing cover.
Once we receive the documentation, your claim will be processed without delay and payment will be made either by cheque or directly into your nominated account.
Yes, you can use any vet who is licensed to practice in Australia.
Your premium is calculated using a combination of factors about you and your pet. These factors can affect the premium amount up or down depending upon whether we believe it increases or decreases the risk to us, such as the cover you have chosen, the excess selected, the benefit percentage applicable to the cover you have chosen, where you and your pet permanently live, your age and the species, breed, gender of your pet, the current age of your pet, the age you first insured your pet, and other factors related to our cost of doing business.
Factors that are taken into consideration for renewal premium calculation include your pet’s age, breed, location, duration for which your pet has been insured, claims history, as well as data relating to the health of pets that are a similar age and breed. Each year we review premiums based on these factors to ensure we can accommodate the costs of possible treatment up to your annual benefit limit, in the event that your pet becomes injured or ill.
Yes, your premium will increase each year. This is for two main reasons:
Reason #1: Just like humans, the older our pets get, the more likely they are to have health hiccups. Cats and dogs age faster than we do, which means that their likely veterinary treatment costs go up rapidly each year too. As a result, the cost of insuring your pet will also increase as they get older.
Reason #2: Advancements in Veterinary Treatments.
The overall cost of medical treatment for pets has increased in recent years due to the increased availability of medical treatments and technology-enabled services and ongoing demand for these services. The treatment options and advancements in technology are providing us with great opportunities to give our pets a great quality of life for longer.
While this is great news for the care of our pets, these treatments come at a significant cost. Year on year treatment costs increase, and this is factored into the cost of pet insurance.
Please see ‘How do you calculate my premium’ for more information about calculation of premiums.
Every year, we review the cost of everyone’s insurance with regards to a combination of factors as well as claims inflation across all our insured pets. Increases in our claims costs due to increases in the range of available veterinary procedures, or due to an increased take-up of those services, impacts everyone’s premiums.
Your premium takes into account the average cost of care for pets like yours. To provide an example of this, a pet parent with a three-year-old French Bulldog will be affected by the trends we see in our data from hundreds of three-year-old French Bulldogs that we insure, as well as the specific claims history of their own pet.
No. Pet insurance does not work like health insurance. Health insurance is ‘community rated’, which means that everyone pays the same premium for their health insurance regardless of their individual health status, age or claims history. This is not the case for pet insurance.
Health insurance providers are able to community rate health insurance because there are many other factors at play in the human health care system, such as Medicare and government rebates and subsidies, which is not the case with veterinary care and pet insurance.
Pet insurance claim reimbursements are paid for purely by the premiums received by those who insure their pets. In order for each person to pay a fair price for their pet insurance, premiums vary depending on your and your pet’s risk factors.