What to do if I have pet insurance on my dog but the insurer is denying a claim based on a pre-existing condition?

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What to do if I have pet insurance on my dog but the insurer is denying a claim based on a pre-existing condition?

At one point they define a pre-existing condition as anything that occurs during the 14 day waiting period. They later define pre-existing conditions as anything occurring prior to the end of the waiting period. Do they need to clearly define when the pre-existing condition period starts?

Asked on April 1, 2013 under Insurance Law, Pennsylvania

Answers:

FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney

Answered 8 years ago | Contributor

The carrier has the burden of establishing the pre-exisitng condition as to your pet to deny coverage. The condition must be stated and clearly defined. It seems that you may need to make a small claims court claim against the carrier.


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