- Does my insurance company have an after hours emergency service?
- Does the Major Medical cover treatment for lameness?
- When is it necessary to report a claim?
- Is there a time limit for sending bills in?
- Does the policy cover all medications?
- Does coverage apply for medication administered by anyone other than a licensed veterinarian?
- Should my veterinarian bill me or the insurance company directly for services rendered?
- Are alternative therapies covered by my policy?
- If my policy is due to renew in the near future and my horse is still treating for a medical/surgical condition. Does my coverage for related treatment end when the policy expires?
Yes. Both Markel Insurance and Great American are available after hours for emergency situations. Markel can be reached by calling 800-446-7925 and Great American 800-331-0211. The answering service will page the on-call representative, who will contact you shortly thereafter.
Most companies will cover lameness issues sometimes subject to a co-insurance for diagnostics and treatment related to lameness. That does not include, pre-existing issues, intramuscular, intra-articular and/or intravenous injections of synovial fluid stimulators and/or replacers including, but not limited to, corticosteroids, Adequan, Hyaluronic Acid, Legend and any associated/related treatments.
It is necessary to report a medical or surgical claim as soon as possible and a mortality claim immediately. If the horse is hospitalized, the policy requires we be notified within 24 hours of admission. This is very important, as the sooner we get the information, the better we can serve you. Our Claims Examiners will guide you through the claims process and explain your coverage so you can fully understand the policy benefits. The policy does not cover veterinary fees and expenses incurred more than 60 days prior to your notice to us.
The policy requires that you file the vet report and the invoices within 90 days after the onset of the medical treatment.
The policy does cover most medications, however certain medications and/or treatments must have certain veterinary diagnostic tests done in order to be eligible for coverage (Ex. Gastrogard, Marquis). Please contact us if you have any specific questions about the condition for which your horse may be tested or treated.
Yes, as long as it is done under the direction of the treating veterinarian.
Since you are the customer, the bills should be directed to you. You may have a deductible or co-pay that is your responsibility, or the bill may include charges that the policy does not cover (i.e. report fees). Payments for covered charges will be issued promptly in the name of the policyholder.
Some alternative therapies may be considered for coverage, if performed at the direction of the treating veterinarian. Please contact us if you have a specific treatment you are considering.
In most cases, it does not. Your Medical/Surgical coverage extends for a period of 90 days past the policy’s expiration date for conditions that onset during the policy period AND that are reported as required by the policy. Therefore, coverage for related treatment will extend for an additional 90 days. Any covered charges will be paid up to the limits of the expiring policy. Your underwriter will review your horse’s current condition and his/her history and Medical/Surgical coverage for further treatment of the current condition, as it is considered pre-existing to the renewal policy.