Friday, August 28, 2020

Should I Consider Pet Insurance?    ~ Trisha, Patient Care Advocate

What is Pet Insurance?  It is a policy that helps protect against the unexpected costs associated with owning a pet.  It is available for cats & dogs, and even some exotic pets.  It will sometimes cover some wellness or preventative care services, but that’s usually an additional component of the policy that generally costs extra.

What does it cover?  Pet insurance is there mostly for the unexpected costs.  Most pet insurance plans view wellness services as an expected expense that pet owners can plan for.  The sick visits which involve injuries or illnesses are where it’s really beneficial.  Whether your pet gets an ear infection, is diagnosed with diabetes, or breaks a leg, those are all things you can be reimbursed for (plus obviously lots more!).


What doesn’t it cover?  All pet insurance policies have specific exclusions for pre-existing conditions.  This means that anything the pet has experienced prior to signing up for the policy will not be paid out.  So if your dog has allergies, and then you sign up for the policy, they will not pay out anything further for allergies but could pay for anything/everything else.   If you signed up before any signs, symptoms, or diagnosis, then you could expect payout moving forward.  [Note: Some policies can actually have pre-existing conditions “fall off”.  This means if after a determined length of time, the pet doesn’t show any further signs of that condition, it may no longer be pre-existing.  For example, if the pet had diarrhea 1 time, maybe due to something it ate, it could be removed as pre-existing.  But if the pet kept having diarrhea due to IBD, then that would still be pre-existing since it continued to be a concern.]


Other things the policy will not cover are explicitly written into the policy and can vary pretty widely by policy.  Some policies will not cover conditions that are considered congenital or hereditary, even if the pet isn’t showing signs for it at the time of the policy.  Some policies will not cover a “mirror”  injury, such as a Cranial Cruciate Ligament tear(similar to an ACL ligament in people) rupture to 1 leg if the other leg had the injury prior to policy sign-up.  A few policies have specific exclusions for periodontal disease unless further trauma is noted (such as breaking a tooth).  And as stated previously, wellness services are not typically covered unless the policy allows for an additional add-on for that service.


It’s also worth checking what the policy says about prescriptions, pet food, and supplements.  Sometimes they specify that you need to get the products from a veterinarian, so the products from the local pharmacy or online-store may not be covered.  Prescription pet food and supplements are pretty hit-or-miss; it is definitely worth it to read the fine print.


Are there any waiting periods?  Depends on the policy.  For some of the policies, it could be from 5 to 30 days, and it may also depend on if the condition is for an illness or injury related claim.


How does it work?
  You enroll your pet for the policy of your choosing.  For most programs, this can be done online at the company’s website.  For Trupanion, we can actually send an Exam Day Offer where we can email you a link for a 30-day free trial; it actually waives the waiting period since the exam will identify any pre-existing conditions that the waiting period is normally trying to identify.  You must sign up for the trial within 24 hours of the exam though!  Most of the insurance policies will allow you to do a medical history review immediately after signing up.  I HIGHLY recommend doing this, as it allows you to submit all medical records known for that pet, and the policy can immediately identify what conditions would be considered pre-existing.  This is super helpful to know what to expect moving forward rather than being surprised that something isn’t covered down the road. 


Each month you will pay a monthly premium which can vary from $25-75 per month.  That’s a huge range, and it depends on the terms of your policy (such as if you can choose your deductible or your pay out percentage), your pet’s age, pet’s breed, your zip code, etc.  My experience is that most people pay closer to $50 per month.  Trupanion & Companion Protect will lock you into a price so that it won’t increase except for cost-of-living, but won’t increase based on the pet’s age, which is definitely an incentive to start the policy while they’re young.


Your deductible is the amount of money you’d be expected to pay before the insurance policy will help cover anything further.  It is very important to pay attention if the deductible is per-visit, per-incident or annual.  Per-incident is nice for pets with a chronic condition, versus annual is better for pets who may have a few isolated incidents.  Example 1: A pet who gets diarrhea and is then diagnosed with IBD. Per-visit deductible: you would pay for each visit, so each recheck is it’s own visit.  Per-incident deductible: you would only pay the deductible once, and then rechecks would fall under the first deductible.  Annual deductible: you’d still pay the deductible each year, even if the pet didn’t have any other conditions, and regardless of how many rechecks you had in a single year.  Example 2: A pet who gets diarrhea, an ear infection, a broken toe-nail in the same year.  Per-visit: you would pay the deductible for each visit (and also if there were follow-ups for any of those visits).  Per-incident: you would pay for 3 different deductibles in the per-incident model, but rechecks would fall under the prior visit’s deductible.  Annual deductible: only pay the deductible once, as long as they all happened in the same year.


 

Once you’ve met the deductible, most plans today will pay out a percentage of all costs after that.  This can vary from 70%-90% (Trupanion typically will also not cover exam fees, as they consider it as part of their co-pay).  Most policies will also typically not cover administrative fees or taxes.


Lastly most plans have a limit, but not all.  This means that there may be a maximum that you can expect to receive as a payout per year or per the lifetime of your pet.  Hopefully you never bump into those numbers; but it’s possible, and worth looking at if you have “that” pet.


What veterinarians accept pet insurance?  All pet insurance plans will allow pet owners to choose the veterinarian they prefer within the United States.  Because the model is typically that you (the pet owner) will pay your bill in full and then the pet insurance company will reimburse you after you submit the claim, any vet will work for that purpose.  However, Shiloh Animal Hospital is partnered with both Trupanion Express and in the Companion Protect Vetwork partnership.   We offer a system where we can submit the claim while you are still here, determine the amount due that day, and then the insurance company will reimburse us rather than you.  It adds a few minutes to the checkout process, but can certainly be nice when you can skip the reimbursement step and get to the bottom line quicker.  Even if you have another insurance policy and you leave a claim form for your pet’s policy on file with our hospital, we will submit any invoices from our hospital on your behalf.  We typically submit claims about every other week, which takes the work out of it for you.  You can of course submit it yourself if you prefer, but it’s a perk we offer to encourage pet owners to have coverage :)


Parting thoughts: We hear a lot of people who say “I wish I had pet insurance.”  By the time you’re saying that, there’s likely already pre-existing conditions that may make it more difficult to justify.  Getting pet insurance after that point may help cover the things that are still not identified, but won’t cover whatever prompted you to make that statement.  So that’s why we try to plant the seed of at least thinking about it on your pet’s first puppy/ kitten visit to our hospital.  However anyone can do it at any point.  If you ever want the Trupanion exam-day offer, just let us know!


If your animal is just “a pet”, then this probably isn’t worth your while.  If your pet is more like a “fur-baby”, then this is something to consider if it’s right for you.  It doesn’t mean you have to get it, but at least think about it before the list of pre-existing conditions makes it too much to stomach.


It would be great if you signed up for a policy that you never needed.  Think of it like having good car insurance, but never needing to pay out.  It’ll seem like a waste of money to have had it, but if it means that your pet was healthy enough to not need it, then what a great silver lining!  I also firmly believe that “if you bring an umbrella, it won’t rain”, so if you take the time to get insurance, it’ll likely never get used.  But if you don’t have it, you’ll wish you did.


My last dog (Ruby) was a 4-year old, rescue, boxer/pittie mix.  She came with a mammary tumor, heartworm disease, mast cell tumors, and a fractured tooth.  When we signed her up for pet insurance and got the list of exclusions after the medical history review, we decided that the list of what they didn’t want to cover didn’t make financial sense for us moving forward.  But my current dog (Holley) is a 2-year old, rescue, pointer,   and although she had heartworm disease, everything else was clear.  So we’ve insured her since I have a sneaky suspicion that she’ll run into a tree or do something else equally stupid and/or horrifying that I want to be prepared for.





Friday, July 3, 2020

If you can, take a chance on a “work-in progress” rescue ~ Alex, Receptionist



My whole life I have always loved dogs. I hounded my parents for years until they gave in and let us adopt a sweet little puppy from a broken down animal shelter in the middle of nowhere. When she unfortunately passed away from old age a little over a year ago, I knew I would not be able to be dog-less for long.

Like some sort of cosmic event, I had been looking at Kodiak’s picture on the rescue website for almost a year at that point. I was sure he would be snatched up quickly because he was so darn cute to me. Since I wasn’t in a place where I could adopt him at the moment (our family dog was very dog aggressive, which meant she ruled the roost her whole life) I hoped someone else would welcome him into their home in the meantime.

However, lo and behold, right when I was still aching from the loss of my childhood dog, Kodi’s picture swam back on my radar on PetFinder.com. I couldn’t believe that he was still up for adoption, considering he was a young dog, happy, and friendly looking. Regardless, I applied to four different rescues, trying to keep my options open but the rescue I adopted Kodiak from reached out first and seemed incredibly overjoyed to see interest in hi
m finally. We scheduled a meeting for the next weekend and it was love at first sight.

I learned quickly that the reason Kodi was up for adoption so long (3 YEARS!) was because he has some nervousness issues. Because of that the rescue had spent ages trying to get him adopted with little success. I was undaunted. Kodiak ran up to me immediately when I went to greet him, and I just knew it was going to have to be me to give him the chance to flourish like he has always been meant to.

I’ll be honest, Kodiak is not the easiest dog, he can take anywhere from ten minutes to an hour to warm up to people. He is not the immediately lovable dog that most people are overjoyed at meeting, he’s picky and likes to get to know people first before he graces them with his attention. He used to be averse to any dog coming up to him and would sometimes snarl or snap if they tried to sniff his mouth in a normal dog greeting. He didn’t know what beds, toys, stairs, cars—honestly, I could go on and on with the list of things I have now desensitized him to.

However, despite these initial flaws I wouldn’t change a second of the last year and a half that I brought Kodiak into my family. He came with me when I moved states, started new jobs, started graduate school, and is always there at my side to take on life. I have been shocked and amazed at the progress I have achieved over the last year. I have watched Kodi come out of his shell and trust in more people than just me for once. I have finally taken him to some dog parks and watched him run around and enjoy himself to his fullest recently. He wouldn’t even let my mom pet him when I first got him and would run away and growl and hide behind a table. Now, he still takes a little bit to warm back up to her but he is actively looking for pets and love. Kodiak rarely growls from nerves or fear anymore and seems overall more confident and happy as every day passes.

It hurts my heart to think that Kodiak sat in a rescue for three years before I happened upon him. I’ll be the first one to tell you that it hasn’t been easy working with a dog who was literally afraid of everything and would only trust me to do anything for him. However, if you have the ability to take that chance, to accept a work-in-progress dog into your life, please do. Kodiak has become the love of my family, friends, and people I have met. He is so caring and smart. The effort I have put into him has been resolutely paid back in kind and I know I cannot wait to see what the rest of life holds for him and us.

Friday, June 5, 2020

Cows are Wonderful Creatures ~ Meg, Veterinary Nurse



            I grew up in suburban Minnesota, very close to the Twin Cities. As you can imagine, that meant that I had little experience with the farming community. How I managed to end up as a Dairy Cattle Research Intern at the rural University of Minnesota Morris campus is as much your guess as mine. I spent the summer after my freshman year of college chasing after dairy cattle in wide open fields, all in the name of research. There were several life lessons that I learned that summer, mostly taught to me by cows.

            Now, you might be wondering what on Earth a cow can teach you. They are stigmatized as being unintelligent, and sometimes scary, creatures. But boy, is that wrong! Everything I learned about cows and farming I learned the hard way (the first thing that comes to mind is experiencing just how much electric fences hurt, especially when you think they’re turned off but aren’t). Here are some valuable lessons I learned during that wonderful and exhausting summer:

            1) Calves are cute, but the diseases they can carry are not.

As part of a pain mediation study for dehorning procedures, we spent a lot of time working with calves. Placing jugular catheters, administering medication, dehorning, and observation meant many hours of close contact were spent with adorable calves. When I developed bad GI symptoms I was surprised to discover that I had contracted E. coli (likely from the close contact with the calves). After sitting in agony with horrific stomach cramps for a week, I quickly learned that while calves are cute, snuggling with them is probably a bad idea.



             2) Patience is a virtue.

This lesson is something that everyone realizes at some point in life. Mine came while trying to catch a nervous heifer that had gotten through some feeble fencing. She had become a bit nervous while we were moving her group’s grazing area to ensure that they didn’t over-graze any part of the pasture. This is a routine event, but young heifers are obviously a bit more nervous and inexperienced. She made a break through the fencing and so I quickly ran over to try and tempt her to go back through to where her other heifer friends were happily munching away. She started enjoying herself immensely and thought that we were playing a game…. I’m not sure how much time I spent chasing that heifer (they’re faster than you’d think), but I know I definitely have never been more exhausted in my life. I believe that it was purely her decision to go back to her group. Once she’d had enough fun, and realized that I looked about ready to pass out, she unceremoniously trotted back over to her friends. Cows can be stubborn animals, but it just takes a bit of patience to achieve the end goal.


               3) All the long days and hard work were worth it.

12, 13, and sometimes even 14, hour days were the norm that summer. I have never worked harder in my life. The work was very physical, but it also challenged me intellectually as well. I learned how to create my own research project and worked throughout the summer to gather data and troubleshoot complications. I quickly grew fond of dairy cows, a sentence that I never thought I’d say. They each have their own individual personalities, and it was a privilege to get to work with them every day. Everyone has their own opinions regarding things such as “organic” products, use of antibiotics and other medications in food animals, and food animal welfare. While I only saw a small portion of the dairy industry, I was able to formulate my opinions based on my experiences. I learned so much that summer and it has shaped my opinions and thoughts on all of those issues since.


Farm work isn’t for everyone, but I think everyone should take the opportunity to experience the fresh air and beautiful creatures. It’s hard work, but so worth it.