Pet Insurance Claims Process


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Updated: September 3, 2025

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Pet Insurance Claims Process: Key Takeaways

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Filing a pet insurance claim starts with contacting your insurer, gathering required documents like veterinary invoices and medical records, then submitting them through any of the available methods.

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Claims usually get denied for pre-existing conditions, non-covered treatments or missing documentation.

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If your claim gets denied, you can appeal through your insurer's internal review process or file a complaint with your state insurance department for external mediation.

How to File a Pet Insurance Claim

Pet insurance provides financial protection when your furry friend needs veterinary care for covered accidents or illnesses, reimbursing 60% to 90% of eligible medical expenses after you meet your deductible.

To receive reimbursement, you'll pay the veterinary bill upfront, then file a claim with your insurer. This straightforward process can be done online in five steps, as outlined below.

1. Contact Your Insurance Provider

Certain insurers need notification before or right after your vet visit to begin processing your claim. Review your policy documents or call customer service to understand what your specific plan requires. This simple step can save you from reimbursement delays later.

2. Gather Required Documents

Collecting the right documents upfront speeds up your claim processing and reduces the chance of delays or requests for additional information. Most pet insurance providers require similar documentation to verify your claim and calculate reimbursement. Here's what you'll usually need:

  • Itemized veterinary invoice showing the date of service, treatments performed and individual costs for each one
  • Proof of payment such as a receipt, canceled check or credit card statement showing the full amount paid
  • Complete medical records including diagnosis, treatment plan and any notes about your pet's condition
  • Diagnostic results including X-rays, blood work or lab reports that support the diagnosis and treatment
  • Additional insurer-specific forms such as incident reports or breed-specific health questionnaires your provider may require

3. Submit Your Pet Insurance Claim

Pet insurance companies offer various ways to submit your claim, from traditional paper forms to modern online portals and mobile apps. The table below shows how to submit a claim by provider.

AKC
ASPCA
Embrace
Fetch

Figo
Healthy Paws

Lemonade

Liberty Mutual

MetLife
Nationwide
Pets Best
Prudent Pet

Pumpkin

Rainwalk

Spot
Trupanion
Wagmo

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Provide as much detail as possible in your claim form, including your pet's symptoms, treatment timeline and any relevant medical history. Thorough information helps your insurer review your claim efficiently and reduces back-and-forth requests for missing documentation.

4. Track Your Claim Status

Most pet insurers let you check your claim status using online portals or mobile apps. Keeping tabs on your claim's status helps you identify issues quickly and know when to expect your reimbursement check. Processing generally moves through these phases:

  • Claim receipt in 1 to 2 business days
  • Initial review begins 1 to 3 business days after submission
  • Document verification lasts 3 to 7 business days for standard claims
  • Medical review spans 5 to 10 business days for complex cases requiring veterinary assessment
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Keep copies of all submitted documents until your reimbursement is processed and paid. This helps you prepare for and resolve any questions that may arise during review.

5. Receive Reimbursement

Once your claim is approved, you'll receive reimbursement based on your policy's specific terms, typically 60% to 90% of covered expenses after you meet your deductible. Most insurers offer direct deposit (fastest option at 2 to 5 business days) or paper checks (7 to 10 business days) for reimbursement payments.

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What You Need to Know After You File a Claim

Filing your pet insurance claim is just the beginning. Understanding the post-submission process helps you stay on top of your claim and handle any issues that arise.

  1. 1

    Follow-up etiquette

    Most insurers process claims within 7 to 15 business days, so contact your provider if you haven't heard anything after three weeks. Check your claim status online first, as many questions can be resolved through your account portal. If your claim requires additional documentation, respond promptly to avoid processing delays.

  2. 2

    Claim denial reasons

    Pet insurance claims get denied for several common reasons, including pre-existing conditions, treatments not covered by your policy or missing documentation. Your denial letter should explain the specific reason and reference the policy section that applies. Some denials result from simple documentation issues that you can easily fix and resubmit.

  3. 3

    Dispute resolution options

    If your pet insurance claim gets denied, you can appeal the decision. Insurers usually provide both internal appeal processes and external review options to ensure claims receive fair evaluation.

    • Internal appeals process: Begin by reaching out to your insurer's claims department to ask for a formal review of its denial. Provide any additional documentation or medical records that strengthen your case, such as detailed vet notes or specialist second opinions. Internal appeals are usually completed within 30 to 60 days, and companies may reverse their original decision when new evidence shows coverage applies.
    • External appeals process: If your internal appeal fails, you can file a complaint with your state's insurance department for an independent review. Many states offer free mediation services or formal complaint processes that investigate claim handling practices. Some policies also include binding arbitration clauses, which require disputes to be resolved through a neutral third-party arbitrator rather than court proceedings.

Pet Insurance Claims: Bottom Line

The pet insurance claims process involves notifying your insurer about the veterinary visit, collecting necessary paperwork and filing your claim through its preferred submission method, whether online, email, or fax. While most claims get approved, denials can happen due to pre-existing conditions, non-covered treatments or missing paperwork. If your claim gets denied, you can appeal the decision by requesting a formal review with your insurer or filing a complaint with your state insurance department.

How Do Pet Insurance Claims Work: FAQ

We’ve compiled some of the frequently asked questions you have about the pet insurance claims process:

How long does a pet insurance claim take to process?

What should I do if my pet insurance claim is denied?

What documents do I need to file a pet insurance claim?

Can I submit my pet insurance claim using my smartphone?

How do I manage claims for multiple pets with different insurance policies?

How much will I pay out-of-pocket before receiving reimbursement?

About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. With over five years of experience analyzing the insurance market, he conducts original research and creates tailored content for all types of buyers. His insights have been featured in publications like CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

Passionate about economics and insurance, he aims to promote transparency in financial topics and empower others to make confident money decisions.


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