Petsy Pet Insurance Explained

What is pet insurance?

According to Animal Medicines Australia, about 61% of Aussie households own pets and as many as 90% of households have had pets at some point in time. We are a pet-loving nation! Dogs and cats are by far the most popular pets. They enrich our lives, and they are great companions. Yet the cost of pet ownership can add up fast. It’s not just the food, toys and treats, but also the cost of veterinary treatment that can take many pet owners by surprise. And that is where pet insurance may help.

Petsy Pet Insurance is designed to help you manage those vet costs for treatment when your dog or cat suffers from unexpected illness or injury.

Why might you want pet insurance?

No matter how good a pet parent you are, pets have a way of getting themselves in tricky situations, for example, eating things they shouldn’t, or simply getting sick.

If you’re unsure if pet insurance is worth purchasing, consider how you might deal with an unexpected bill for vet costs. Vet costs vary depending on the extent of an injury or illness, the required treatment, as well as where you live, and these costs can often run into thousands of dollars.

Not everyone is in a position to cover these unanticipated costs on their own and therefore you might want to consider whether you need pet insurance in your own circumstances. Pet insurance doesn’t cover everything, and there are limits, conditions and exclusions, but knowing you have cover for the unexpected can be reassuring.

What’s covered and what’s not covered, when it comes to Petsy Pet Insurance?

A Petsy Pet Insurance policy is designed to provide cover for a portion (80% or 90%) of the cost of necessary treatment provided to your pet by, or under the supervision of a vet to relieve or cure an illness or injury. This may include, but is not limited to, hospitalisation, surgery, x-rays, medication, diagnostic tests, nursing and other care and procedures.

There are waiting periods applicable to different conditions and there are some things that are not included as standard, but you have an option of including them in your cover. 

It is important to note that Petsy Pet Insurance is designed to provide cover for the vet costs of treatment that is required to relieve or cure an unexpected illness or injury.

This means:

  • Preventative and routine items & treatments, such as general check-ups and vaccinations, things you would expect to do in order to keep your pet healthy, are not covered. 
  • Treatment of conditions that have occurred, have shown signs or symptoms and/or you knew about the condition (or a reasonable person in the circumstances could be expected to have known) prior to purchasing your policy or during an applicable waiting period are considered Pre-existing Conditions, and are not covered. You can request for a Pre-existing Condition Assessment to be completed.
  • Elective procedures, including desexing or additional vet costs, such as after-hours treatment and house calls when a vet doesn’t consider there was an emergency, are not covered.

There are other exclusions applicable, and you can see a summary of all of the exclusions below.

Optional Extra Benefits

There is no cover for alternative therapies, dental illness or behavioural problems, unless you choose to include them in your policy.

You will be provided with an option to include Optional Extra Benefits, as part of the process of getting your quote.

The Optional Extra Benefits available are:

  • Alternative Therapies
  • Dental Illness
  • Behavioural Problems

Vet Consultations

As part of your coverage, you will have cover for the cost of vet consultations related to required treatment of an injury or illness. There is no cover for the cost of vet consultations or other vet costs related to preventative and routine items, Pre-existing Conditions, elective procedures and/or other exclusions.

As some vets offer client membership plans that include a certain number of free or pre-paid consultations, we also offer the option to exclude costs of vet consultations from your policy upon phone request. To remove the costs of vet consultations, please call us on 1300 952 790 or email [email protected]

What is a waiting period and how does it affect your cover?

A waiting period is the amount of time during which no benefit is payable under the policy and this means you cannot claim for vet costs for treatment your pet receives in relation to an illness or injury which occurs during a waiting period.

So for any condition that occurs, has shown signs or symptoms and/or you come to know about it during a waiting period, will meet the definition of a Pre-existing Condition and will therefore be excluded from your cover. Such an exclusion may be reviewable or non-reviewable. 

Waiting periods apply from the time your policy starts, even if you have decided to switch to Petsy Pet Insurance from another provider’s pet insurance policy, and also when you upgrade your level of cover with Petsy.

If you upgrade your level of cover or decide to add Optional Extra Benefits after the initial purchase of your Petsy policy, then waiting periods will apply from the time of the upgrade or addition of Optional Extra Benefits. You will still be entitled to the benefits payable under your previous level of cover during the waiting period for the higher or additional benefits.

 The waiting periods are:

Injury (except Specified Conditions):

1 day

Illness (except Specified Conditions):

14 days

Optional Dental Illness

 

            •  For pets under 1-year-old:

14 days

            • For pets of 1-year-old and over:

6 months

Optional Behavioural Problems:

6 months

Specified Conditions:

6 months

Why do waiting periods exist?

If waiting periods didn’t exist, people could take out pet insurance or upgrade their cover only when they know or suspect that they might need cover, and then immediately make a claim. If these customers then cancelled (or downgraded) their cover after making a claim, it would not only be unfair to other customers, but it could also lead to increased premiums for all customers.

Is it possible to apply to have the waiting periods reduced?

Yes! We offer customers the chance to submit an additional application to request the 6-month waiting period for the Specified Conditions (and others, e.g. Dental Illness) to be reduced.

To consider whether a reduction of the waiting period can be provided, we require:

  • a completed request form from you, which will require you to have your pet examined by a vet at your own expense; and
  • copies of your pet’s medical history & clinical notes. You will need to assist us in the process of obtaining these, for example, by providing details of any vets your pet has seen in the past.

During our assessment of the application, we will review the available information, and if sufficient, confirm whether there are any identified or suspected Specified Conditions (and others). Where we are comfortable that there aren’t any identified or suspected Specified Conditions (and others), we will reduce or waive the waiting period for those conditions.

We will confirm the outcome of your application and if we decide to approve the reduction of the waiting period, we will provide you with an updated Certificate of Insurance which lists the agreed Specified Conditions (and others) and the new reduced waiting period applicable.

What conditions does Petsy Pet Insurance not cover?

  • Pre-existing Conditions: There is no cover for vet costs associated with the treatment of conditions your pet had before your pet’s first date of cover under a Petsy Pet Insurance policy or which arises during an applicable waiting period.

    • There is a definition for what is a Pre-existing Condition in the Product Disclosure Statement and it’s important you understand this. See Understanding Pre-existing Conditions for more details.
    • A condition is considered a Pre-existing Condition, even if it’s not been officially diagnosed or identified.   
    • We may confirm, in certain circumstances, that a condition is no longer considered a Pre-existing Condition. This will usually occur when we are satisfied that the condition has been successfully resolved. This is typically done after a specified time period has elapsed during which your pet was free of symptoms as confirmed by a vet.
  • Vaccinatable diseases: There is no cover for vet costs associated with the treatment of a disease which is vaccinatable if you have not maintained your pet’s vaccinations (preventative Treatment). 
  • Any conditions that are the result of intentional harm or neglect.
  • Any conditions that are the result of or requiring ongoing or repeat treatment due to you not following your vet’s advice.
  • Any conditions that are related to an epidemic, pandemic, or new influenza.
  • Vet costs for the treatment of Behavioural Problems (including any injury or illness which arises as a result of a Behavioural Problem) or Dental Illness, unless you have Optional Extra Benefits included in your cover. Other limits, exclusions and conditions still apply.
  • Even if you have included Optional Extra Benefits and have cover for Dental Illness, there is no cover for vet costs associated with the removal of deciduous teeth.

What Treatments does Petsy Pet Insurance not cover?

Petsy Pet Insurance was designed to offer extensive cover, but even if an injury or illness is covered under your Policy, there are certain treatments which are not covered:

  • Treatment during an applicable waiting period.
  • Any vet costs resulting from breeding, pregnancy, whelping or queening.
  • Any vet costs for desexing. We do, however, cover additional vet costs for treatment of complex cryptorchid (undescended testicles). If this is the case, we will reduce the vet costs by the amount the vet would have charged for neutering when calculating the payable benefit.
  • Non-customary and experimental treatments, such as prosthetic limbs and devices and organ or valve transplants.
  • Medications that are not registered or approved in Australia.
  • Alternative Therapies, unless you have included Optional Extra Benefits included in your cover.
  • There is no cover for the cost of vet consultations or other vet costs related to preventative and routine items, Pre-existing Conditions, elective procedures and/or other exclusions. Also, if you have elected to remove vet consultations from your cover all together (can only be removed if specifically requested) then there would be no cover for vet consultations for any reason.
  • Expenses to board or transport your pet including by ambulance. However, we do cover boarding costs in specified circumstances.
  • Costs incurred after your pet’s death, including storing, transporting or disposing of your pet’s remains and autopsy, burial, cremation, funeral or other procedures.

Are there any other exclusions?

There are certain exceptional circumstances in which Petsy Pet Insurance does not provide cover for required treatment. For example, there is no cover when an injury or illness is due to:

  • Nuclear or radioactive weapons, materials or radiation.
  • Utilisation of nuclear, chemical or biological weapons of mass destruction.
  • Acts of war or civil unrest.

How can I get confirmation on whether a condition or treatment is going to be covered?

After consideration of what is covered and what is not covered, you may want to confirm whether a specific condition or treatment for your pet is covered. 

If a condition or treatment is not excluded under your policy, then it is covered.

Please remember if it is a Pre-existing Condition, it occurs during an applicable waiting period or another exclusion applies, then there is no cover.

To help you better understand the coverage, we’ve created the following table to show the types of things we cover, subject to determining if there is an exclusion, as explained above.

Conditions & perils covered include:[1]

Injuries:

Injuries due to a motor vehicle accident Vector 12
Heatstroke Vector 12
Burns Vector 12
Poisoning Vector 12
Electrocution Vector 12
Allergic reaction to insect, spiders etc. Vector 12
Fractures Vector 12
Snake bites Vector 12
Lacerations or abrasion of skin, tissue or mucous membrane due to external violence Vector 12
Bite wound or fight wound abscesses Vector 12
Soft tissue injury Vector 12
Traumatic spinal disc rupture Vector 12

Illnesses:

Cancer/neoplasia Vector 12
Diabetes Vector 12
Embedded grass seeds Vector 12
Heart disease Vector 12
Renal disease Vector 12
Hyperthyroidism Vector 12
Gastrointestinal problems (medical) Vector 12
Gastric dilatation-volvulus (GDV) Vector 12
Anal gland disorders Vector 12
Vaccinatable diseases – only if you can provide sufficient information to confirm that your pet is up to date with their vaccinations Vector 12
Hyperadrenocorticism (Cushing’s disease) Vector 12
Hypoadrenocorticism (Addison’s disease) Vector 12
Urolithiasis (Urinary stones) Vector 12
Tick paralysis Vector 12
Skin Conditions e.g. dermatitis Vector 12
Mass lesions Vector 12
Ear Conditions e.g. otitis externa Vector 12
Eye Conditions e.g. corneal ulcers Vector 12
Cruciate ligament Conditions Vector 12
Luxating Patella Vector 12
Elbow dysplasia Vector 12
Hip dysplasia Vector 12
Intervertebral Disc Disease (IVDD) Vector 12
Arthritis Vector 12
Hereditary and congenital Conditions (excluding Pre-existing Conditions) Vector 12
Dental Illness Vector 12
Behavioural problems Vector 12
Additional cover:
Overseas Pet Travel Insurance (in New Zealand or Norfolk Islands on trips < 60 days) Vector 12
Emergency boarding under certain circumstances[2] Vector 12
Essential euthanasia (if recommended by your vet) Vector 12
Necessary treatments and diagnostics for an Injury or Illness [3] Vector 12
Emergency vet care (if necessary) Vector 12
Treatment by veterinary specialists Vector 12
Nursing Care Vector 12
Hospitalisation Vector 12
Surgery Vector 12
Hip joint surgery Vector 12
Lab and diagnostic tests Vector 12
Radiology Vector 12
X-rays Vector 12
CT scans and MRIs Vector 12
Medication and drugs Vector 12
Chemotherapy Vector 12
Ingestion of foreign objects Vector 12
Alternative therapies Optional cover available
Physiotherapy Optional cover available

Does not cover preventative & elective health care:

Vaccinations Group 8190
Annual health check-ups Group 8190
Desexing[4] Group 8190
Deciduous teeth removal Group 8190
Preventative dew claw removal Group 8190
Parasite prevention Group 8190

Specific exclusions:

Pre-existing Conditions Group 8190
Waiting Periods Group 8190
Your actions or neglect resulting in vet costs Group 8190
Vaccinatable diseases – if you are unable to sufficiently confirm that your pet is up to date with vaccinations Group 8190
Experimental treatments Group 8190
Breeding related treatments Group 8190
Elective procedures or activities Group 8190
Emergency costs when it was not an emergency Group 8190
Medications not registered or approved in Australia Group 8190
Epidemics, pandemics or new influenza Group 8190
Nuclear or radioactive weapons/materials Group 8190
Acts of war or civil unrest Group 8190

Vaccinatable diseases

Dogs Cats
Canine distemper virus (CDV) Feline Parvovirus (FPV)
Canine adenovirus (CAV) Feline calicivirus (FCV)
Canine parvovirus (CPV-2) Feline herpesvirus (FHV-1)
Parainfluenza virus (PI) Feline leukaemia virus (FeLV)
Bordetella bronchiseptica (Bb) Feline immunodeficiency virus (FIV)
Leptospira interrogans Chlamydia felis

[1] Unless it is a pre-existing condition, or it arises during an applicable waiting period.  Refer to the PDS and Understanding Pre-Existing Conditions

[2]  If you are unexpectedly hospitalised for four or more consecutive days and it is necessary for your pet to board at a licensed kennel or cattery, for a period of up to 30 days. See the PDS for details.

[3] Paid as part of treatment by or under supervision of your vet if your pet suffers an injury due to an accident or suffers an illness during the period of insurance and after any applicable waiting period. See the PDS for details.

[4] The policy covers additional vet costs for the treatment of complex cryptorchid (undescended testicles) and we will reduce the vet costs by the amount the vet would have charged for neutering when calculating the benefit payable.

Contact us

Pet Insurance may provide peace of mind for the times when your pet needs treatment for an injury or an illness. With a range of cover options available, take the time to consider what cover suits your pet’s needs and your budget.

If you’re looking for a way to better manage your pet’s vet bills and have questions, contact us at Petsy or get a quick quote now.

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Protect the ones you love coming home to.

Optional Extra Benefits

During the application process You will be provided with the option to include Optional Extra Benefits that cover certain conditions and Treatments which are not otherwise covered under the Policy.

 

The Optional Extra Benefits are:

Alternative Therapies, Behavioural Problems, and Dental Illness.

 

Examples of Alternative Therapies: Acupuncture, physiotherapy, hydrotherapy

Examples of Behavioural Problems: Excessive licking, fur pulling, pacing and destructive

chewing.

Examples of Dental Illnesses: Dental diseases, gingivitis, periodontal disease.