How is reimbursement calculated? | PetFirst

How is reimbursement calculated?

by PetFirst Pet Insurance
2 years 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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