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Pet Insurance and Your Veterinary Practice


Pet Insurance Facts Less than 1% of Cats and Dogs are insured in the United States – about 800,000 pets insured in 2008 Packaged Facts estimates North American Pet Insurance sales will more than triple in the next five years from $248 million in 2007 to $1.1 billion in 2012


How Pet Insurance Works 1. 2. 3. 4. 5. 6.

Get quote & buy policy Waiting period Get treatment Pay veterinary invoice File a claim Receive check


Pet Insurance Has Matured  More companies selling pet insurance  A wider variety of conditions covered  The internet facilitates pet owner education and awareness “Not your grandfather’s pet insurance any more”


Not Managed Care Client can go to any veterinarian in US Veterinarian and client determine treatment protocol – not a third party No pre-authorization required


What Is Covered? Generally… Illnesses and injuries Prescription medications Surgeries and hospitalization Cancer treatments After-hour emergency & specialist visits Diagnostics, MRI, CAT scans and X-rays Wellness/routine care (optional)


What Is Not Covered? Generally… Pre-existing conditions (unless cured) Congenital conditions (present at birth) Preventative, elective and cosmetic procedures Boarding and grooming Food, including prescription food Supplements and vitamins


Major Differences Between Plans Are hereditary conditions covered? Are chronic conditions covered after 1st year? What is the reimbursement based on?  The vet bill; or  Usual, Customary, and Reasonable charges; or  A benefit schedule


Pet Insurance Plans


Why Consider Pet Insurance?  Veterinary costs continue to rise  Accidents and illnesses happen and are inevitable  Economic realities of treatment can cause conflict with the pet bond  Pet insurance gives pet owners the ability to afford needed veterinary care with a manageable monthly premium


Procedures (And Their Cost) Have Advanced


Stop Treatment Point 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% <$249 DVM Newsmagazine, 2006

$250-$499

$500-$749

$750-$1000 Over $1000


Insurance Raises the Stop Treatment Point Amount client can afford

$500

Deductible

$100

20% co-pay

$400

Insurance pays 80%

$1,600

Stop Treatment with Insurance

$2,100


Savings Account vs. Insurance Insurance vs. Savings Account

Amount Available

Savings Account

Insurance

$3,500 $3,000 $2,500 $2,000 $1,500 $1,000 $500 $0 1

2

3

4

5

6

Years

$35/month premium vs. savings account

7


Advantages of Pet Insurance ď&#x192;&#x2DC;Allows pet owners to budget for veterinary care ď&#x192;&#x2DC;Provides higher limits than most clients can afford ď&#x192;&#x2DC;Can be used for their regular veterinarian, emergency clinics, referral centers or when traveling


Advantages of Pet Insurance (continued) ď&#x192;&#x2DC;Reduces the need for available credit ď&#x192;&#x2DC;Offsets the rising cost of veterinary care due to better technologies and treatment options


Advantages for Pet Quicker Owner Response to Symptoms Increased Owner Compliance Eliminates Economic Euthanasia Overall Better Health of Pet

Rex Relinquished because his owner could not afford PU surgery


With Pet Insurance… The best possible treatment options are affordable Pets receive needed diagnostics and indepth care Better pet health results from greater care Euthanasia for economic reasons less likely Reduced need for veterinary financing


Should I Recommend Pet Insurance? Pet insurance is the one thing you cannot buy when you need it the most. Pet insurance can help your clients in their time of need.


Advantages To Your Practice  Increases client compliance with your recommendations  Provides clients a ready means of affording health treatments  Reduces your accounts receivable  Eliminates conflict between clients’ financial limitations and providing the best of care  Improves pet health and client satisfaction


Making Insurance Work  Pick a limited number of companies to support  Train the hospital staff  Actively educate clients  Mention pet insurance to every client  Exam room / lobby materials  News letters / client communication  Telephone recordings

 Promote to your clients  Staple brochures to invoices  Include brochures in puppy/kitten kits


Summary More companies offering comprehensive care Insurance removes the unpredictable financial strain caused by a large health expense Insurance provides opportunity for the best care Insurance allows you and your client to focus on care, not cost


NAPHIA For more information call Loran Hickton, Executive Director, NAPHIA (412) 319-7730


Glossary ď&#x192;&#x2DC;Coinsurance The percentage of the costs of services shared by the carrier & policy owner. ď&#x192;&#x2DC;Deductible A fixed amount of dollars that the policy owner must pay before the health benefits begin.


Glossary (continued) ď&#x192;&#x2DC;Benefit schedule An itemized list of available reimbursement amounts for specific medical diagnoses. ď&#x192;&#x2DC;Usual, Customary, & Reasonable Charges The charge for health care that is consistent with the average rate or charge for identical or similar services in a certain geographical area.

Pet Insurance and Your Veterinary Practice  

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