Pet Health Insurance Reform: Transparency Needed

Published August 2, 2010
It's no secret that over the years the price of human health insurance has been sky-rocketing. And at the most crucial time, when people become seriously ill, health insurance coverage is often dropped, policies are denied due to pre-existing conditions, or lifetime caps prove insufficient. While the recently passed Health Insurance Reform Bill is far from perfect, it most certainly will help folks to purchase health insurance at a reasonable cost, far more easily. Additionally, with greater transparency required from insurance companies, folks will more intelligently be able to purchase policies that are appropriate and cost-effective. Perhaps inspired by increasing need for transparency in human health insurance, Assemblyman Dave Jones, (D), Sacramento, California - who is running for state insurance commissioner this coming November - announced the passage of his Assembly Bill 2411 by the California State Insurance Committee, in June. The bill would place pet insurance under the authority of the state Department of Insurance as a separate line of insurance which would also require pet health insurance companies to post on their websites a complete schedule of benefits offered and to clarify both the benefits and limitations included in any policy. A 2009-2010 survey conducted by the American Pet Products Association, revealed that pet ownership has risen 56% from 1998, with 62% of U.S. households owning a least one pet. Additionally, veterinary costs have risen over 70% since 2000, reaching an astronomical cost of $13 billion already this year. In response to the rising costs of pet care along with expensive life-saving advances in veterinary treatment, a growing number of pet owners are considering investing in pet health insurance. In a recent interview with the Associated Press, Mr. Jones said, "A number of pet owners have complained to me that they bought a policy, and they weren't told about preexisting conditions." Mr. Jones added, "The worst possible time to realize that the pet insurance that you have paid premiums on for years does not actually cover the full cost of veterinary care is when your beloved pet needs emergency or high-cost care. This bill will take important steps to allow transparency in the marketing of pet insurance so that consumers can be fully informed of the exact terms of coverage, as well as any exclusions or limitations." Sponsored by the Humane Society of the United States and supported by California's Political Action Committee for Animals (PawPac) along with many concerned pet owners, AB2411 has no opposition at this time. The bill will be next presented for hearing in the Assembly Appropriations Committee, on August 2. It would indeed be a boon to anyone who presently owns, or is considering the purchase of pet health insurance if the State Insurance Committees throughout the U.S. soon follow California's lead. Based on my personal experience with pet health insurance I am all too aware of the intricacies and difficult language that these policies can contain, and how confusing they can be, especially when involved with health care of a beloved pet that is seriously ill. What do you think about pet health care insurance? Leave a comment and share your opinions. Photo via.
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Jo Singer

Shortly after retiring as a social worker and psychotherapist, I discovered my "writer's voice"…

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Comments (7)

2pugsinapod (Unverified)
I have had great service with a pet insurance company. I read all the information, had my two dogs' records underwritten when I first got the policies so that I would know what would be covered and what would NOT be covered as a pre-existing condition. I pay $18.92 per month per dog. They both have hormone irregularities which cause allergies. The test is $648 every month, the treatment is $80. They are 3 years old and without this treatment would live 9 more years in misery. Do I put them down because they would be too itchy? Tell me again how I'm wasting my money. When I pay less than $40 a month and get back over $500? My insurance has already paid for itself 4 times over since March. And we have years to go. I have the cheapest version with a $200 deductible and 80% reimbursement. My pet insurance is actually better than my human insurance. But like all insurance products, you have to be educated and read all the material. Ask the questions. Until recently, human insurance didn't cover pre-existing conditions, either. And the premiums went up as a person got older. That's how it works. Remember, that illness is not the only thing insurance covers. What about accidents? Broken legs? Torn ligaments? Surgery to remove an eaten toy? Those expenses can easily top out at $1000 or more. If money is not an issue for you, then don't worry about insurance. But I never want money to decide whether my dog lives or dies.
R (Unverified)
I looked into several different insurance companies and read ALL of the fine print, terms and conditions, and all of that intentionally circular and complicated legal mumbo-jumbo. I wasn't pleased with anything. In a nutshell, besides the obvious things that wouldn't be covered, it came down to (just as in the quote from Mr. Jones), even if they did actually cover something, it would only be a percentage--and a small one at that. I calculated the total of supposed premiums and figured, what I'd save on those, I could use to cover expenses, and bypass all the red tape. I know I won't be popular for saying this, but I think pet insurance policies are as bad as those stupid extended warranties stores sell you on electronics. I forewent the insurance policy, and I put aside a percentage of my income each month in my own "insurance" fund. Transparency or not, these insurance companies still are worthless to me.
Skylark (Unverified)
In my opinion, the only time pet health insurance is worth the $$$ is if you buy it when you get your healthy pet at a very early age. I think it would be more cost effective if people started saving the cost of a pet health insurance policy in a special account for their pet. Then the funds would be readily available if and when needed, with no arbitrary questions asked as to whether the condition is covered under a so-called pet health insurance policy.
Anonymous
Wonderful article, Jo -- very informative and educational. PamH, my heart goes out to you, and you have some very valid comments in favor of insurance. But ultimately, I agree with Cindy, who said it far more eloquently than I could these days.
PamH (Unverified)
I've had two different vets since moving to CA three years ago. When I inquired about pet health insurance, the first handed me a form and said, "Here it is." The second took the time to explain that I'd be wasting my money to insure my then-19 year old cat because she already had health issues and wouldn't be covered; the other two were in excellent health and it would be a good idea since they were 12 and 14. So I did. A few months ago, my 14 YO cat developed a severe allergy to food she'd been eating all her life but it took a lot of tests and almost $1k to figure that out. I submitted the claim and got 80% back. (She's doing very well on her new food.) My point is that most of us use vets and I'm thankful that mine gave me good information. It'll also give you a good idea of why I changed vets. :) I'm now a firm believer in pet insurance. It would have saved me $0,000's in vet bills for my older cat, who passed away recently at 20. I disagree that it's a waste of money; I've already received back more than I've paid in pet health insurance this year and the next two years. As my cats get older and develop treatable conditions, my ROI will be even better. Not all illnesses are end-of-life. There are many as our pets get older that are treatable and add years to their lives. For instance, thyroid disease isn't uncommon and the tests, and pills, are expensive. I can't see writing off a pet for a very treatable condition.
Cindy
Like everything else in the 'free' market - there will be folks out there who think of ways to make money. My father used to call life insurance a bet against yourself. And if we were all smart, we would sock away some money each month for emergencies. But we don't - instead we pay it to someone else, who then looks for ways to not have to pay us when we need it. (as in medical insurance when they want to know if your heart attack made it medically necessary for you to be transported in an ambulance...) With pet insurance - they are betting on those of us who want to 'do everything' to keep our pets with us, even when we know their life spans are so short comparitively. It's not for them that we take these extraordinary measures - but because WE will miss them so much. We sign Do Not Resusitate (DNR) for ourselves - but we put our pets through all kinds of treatments prolonging their lives and our conscience - when we know it might be best to let them go while there is still dignity for them. It's a tough thing to do... Insurance is a waste of your money. Treat your dog/cat to your time and some extra treats - give them all the loving you can - and when it's time, let them cross the bridge before they suffer through any expensive treatments that will likely (maybe) give them another month - maybe more - but the end will be the same.
fourhorsegal
I looked into pet health insurance, but the cost was enormous. The insurance did not cover many things, and only a minimal of coverage for well visits. So with this information, we decided to pass on the pet health insurance.