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AAHA Seal of Acceptance Pet Insurance Buyer’s Guide

(please note: additional policies will be added to the list as they earn the seal)


General Info

  Trupanion PurinaCare Petsecure
Name of Policy Trupanion Plan PurinaCare without Preventive Care Petsecure Pet Health Insurance
Address P.O. Box 3306
Lynnwood, WA 98043-3306
PO Box 599500, San Antonio, TX 78258 200-1200 Portage Ave., Winnipeg, MB R3G OT5
Phone number 800/569-7913 877/878-7462 1-800/581-0508
Website www.trupanionpet
insurance.com
www.purinacare.com www.petsecure.com
Licensed in AZ, CA, CO, FL, GA, IL, MA, MD, MI, MN, KY, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA AL, AR, AZ, CA, CO, CT, DE, GA, ID, IL, IN, IA, KS, KY, MA, ME, MD, MI, MN, MO, MS, NE, NM, NC, ND, NJ, NV, OH, OR, PA, RI, SD, TN, TX, UT, VA, VT, WV, WI, WY All Canadian Provinces and Territories
Years selling policies 0-5 years 0-5 Years Over 10 years

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Costs & Limits

  Trupanion PurinaCare Petsecure
Deductible Per incident $0-$1,000; see website for details $500, $1000 $100-$900 depending on pet's age and plan
Copay 10% 20% Up to 80%
Payout caps/limits Lifetime limits $20,000 per year Annual (calendar year) limits; Per-ailment limits, including chronic or recurring conditions and genetic or hereditary conditions
Premium Depends on breed, geographic location and deductible Varies by species, breed, deductible, age, and location Based on postal code, breed, coverage level and deductible

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Getting Started & Renewing

  Trupanion PurinaCare Petsecure
Age limits for eligible pets Yes, new policies only Over 8 weeks - no maximum age No
Ineligibility factors Species; Pre-existing conditions; Pet's activity level or occupation Pets with some chronic conditions are ineligible for coverage Dogs and Cats Only
Apply online Yes Yes Yes
Application review timeframe 1 day - instant Immediate if no pre-existing conditions 1 day
Pay premiums online Yes Yes No
Eligibility determined prior to first payment Yes Yes Yes
Waiting period before coverage begins 5 days for accidents, 30 days for illnesses 48 hours for accidents and 14 days for illness - from effective date and time of the policy 30 Days
Waiting period applies to Accidents or injuries;
Chronic conditions;
Genetic conditions;
Illnesses
Accidents and Illnesses Accidents or injuries, chronic conditions, genetic conditions, illnesses, holistic care, medications
Penalties for revising the policy prior to renewal No No No
Penalties for canceling the policy prior to renewal No No No
Company may cancel or deny renewal Yes, Non-payment only; see website for details Failure to pay premium owed by due date, concealment or failure to disclose “Pre-Existing Conditions” during enrollment, or “Our” subsequent finding that “Your” pet has an “Uninsurable Condition” or “Non-enrollable Condition” that was present at enrollment, misrepresentation or fraud in securing coverage in the application process or in the claims process, failure to cooperate in “Our” attempt to investigate a claim. Can cancel due to failure to pay premium or fraud

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Policy Process

  Trupanion PurinaCare Petsecure
Payment for services rendered Pet owners pay in full for veterinary service when it is rendered and submit claims directly to the insurance company Yes, no claim schedule or per incident limit  
Submit claims online No No No
Claim submission timeframe Within 90 days of incident Within 60 days of end of policy More than 45 days
Reimbursement timeframe Fewer than 30 days Estimated to be within 14 days of receipt of a complete claim Fewer than 30 days
Customer service Live customer service via telephone; Online help page and FAQ 877/878-7462 Live customer service via telephone and online chat; Online help page and FAQs at www.petsecure.com
Appeals process for disputed claims Yes Yes, if appeal request is submitted in writing within 60 days Yes
Reimbursement based on actual cost or schedule of usual and customary fees Actual cost 80% of eligible expenses after deductible is met. U&C shall mean fees or costs that would be considered reasonable for like veterinarians to charge in the region for which the services were performed. Actual Cost
Schedule of usual and customary fees available N/A N/A No

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Coverage

  Trupanion PurinaCare Petsecure
Species covered Dogs; Cats Canine, Feline Dogs and Cats
Preventive and wellness care in excess of the deductible covered No No Yes, deductible is applied to preventive care, then we pay 80%
Ill or injured pets covered While traveling in the U.S.; While traveling outside the U.S.; While being boarded; While being groomed Yes, subject to underwriting While traveling in Canada and United States; While being boarded or groomed
Conditions subject to limits or exclusions Pre-existing conditions; see website for details Pre-existing conditions excluded, along with Breeding, Fertility and Pregnancy, Alternative Care, Cosmetic and Elective Procedures, Training, Pet Foods, Nutritional Supplements, Grooming, bathing for any reason and Dipping, Boarding, Preventable Conditions, Intentional Accidents or Injuries, animals under 8 weeks of age and anything subject to waiting periods per the policy. Pre-existing conditions
Services covered All diagnostic tests, surgeries and medications if pet is sick or injured. Eligible services shall mean services performed by a licensed veterinarian and covered by this policy deemed medically necessary and arising out of an accident or illness and not specifically excluded on the Declarations Page or generally excluded under the Exclusion Section of the policy. Anesthesia; Diagnostics - Blood work, laboratory tests, radiographs, ultrasounds, other diagnostic imaging; Prescribed medications; Rehabilitation and physical therapy; Specialty care; Surgery - nonelective, pre/post ICU, follow-up care

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Specialty Care

  Trupanion PurinaCare Petsecure
Referral required to claim specialist services No No No
Emergency or critical care service limits or exclusions No No, subject to deductible, copay and annual limit No
Specialists or referral practice limits or exclusions No No, subject to deductible, copay and annual limit Yes, alternative treatments, behaviour therapy, medical devices and dental coverage
Repeated services for the same incident/ailment limits or exclusions No No, subject to deductible, copay and annual limit No
Reimbursement based on actual cost or schedule of usual and customary fees for specialty care Acutal Cost 80% of eligible expenses after deductible is met. U&C shall mean fees or costs that would be considered reasonable for like veterinarians to charge in the region for which the services were performed. Actual Cost

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