What Is Pet Insurance Reimbursement?

How reimbursement percentages of 70%, 80% and 90% work, how they change your premium, and how to calculate your out-of-pocket cost.

By FurrChoice Editorial Team Last updated

How the percentage applies

If your reimbursement rate is 80%, the insurer pays 80% of the eligible amount and you pay the remaining 20%. What counts as eligible is defined by the policy, so non-covered items are subtracted first.

Choosing a level

A 90% rate leaves you with less to pay per claim but costs more monthly. A 70% rate does the reverse. If you rarely expect claims, a lower rate can be a reasonable trade for a smaller premium.

Actual-cost versus benefit-schedule payouts

Most plans reimburse a percentage of the actual invoice. Some pay according to a fixed schedule of maximum amounts per condition. Ask which method applies before comparing prices.

Sources and further reading

This guide explains general industry practice. For the terms that apply to you, rely on the policy documents from each insurer you consider and on the consumer resources published by your state insurance department.

Frequently asked questions

What is reimbursement?

Reimbursement is the percentage of an eligible vet bill the insurer pays back after your deductible is met. Common options are 70%, 80% and 90%. A higher percentage typically means a higher premium. Some insurers reimburse based on a benefit schedule rather than the actual bill, so read how the payout is calculated.

How do deductibles work?

Your deductible is the amount you pay toward covered care before the insurer starts reimbursing. Many plans use an annual deductible that resets each policy year. Others use a per-condition or lifetime deductible. A higher deductible generally lowers the monthly premium.

What is an annual coverage limit?

The annual limit is the most an insurer will reimburse in a policy year. Some plans offer fixed limits, such as a set dollar amount, and others offer unlimited annual coverage. Some policies also apply per-condition or lifetime limits, so check for those as well.

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