How is reimbursement calculated? | PetFirst

How is reimbursement calculated?

by PetFirst Pet Insurance
10 months ago

We calculate your reimbursement based on your veterinary bill. Once we receive all the paperwork, we’ll determine the total of the covered treatments and subtract your per-incident deductible, if applicable. This number is multiplied by your reimbursement rate.

For example, if your pet received $1,200 of covered treatments and you had a $100 incident deductible with a 90% reimbursement amount, you’ll receive a check for $990 from us.
(Vet Bill – Deductible) x Reimbursement Rate = Amount Reimbursed
($1,200 – $100) x 90% = $990

For claims related to a previous injury or illness, you’ll have to meet the per-incident deductible. The per-incident deductible applies to related illnesses and injuries regardless of when they occur, provided you haven’t had lapses in coverage and the problem isn’t a pre-existing one. Either way, this formula for reimbursement and our “no lifetime payout limit” policy helps you get more back over the lifespan of your pet.

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