What Is Pet Insurance In Australia Explained: Is It Worth It?

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Students want to know if it's worth having pet insurance in Australia.


Beyond great companions, pets are considered part of the family in various households. Pet insurance can help manage the financial risk of sudden vet expenses.


Moreover, the rising healthcare costs have made investing in the right pet healthcare coverage essential. Not only does it bring priceless peace of mind to pet owners, but it also ensures that pets always get access to quality and affordable care.


This blog is for those who love their pets and want to secure them with the right health protection cover.


It provides information about pet insurance, key terminologies, inclusions, exclusions, claims settlement process, where to buy it, considerations, tips for finding the best plan, and much more.



1. What Is Pet Insurance?


Pet insurance is a type of health coverage that protect your finances against certain medical expenses due to sudden pet accidents or illnesses. The policyholder must pay a certain monthly premium to get the policy benefits and maintain the coverage. 


In the event of a claim, the pet insurer reimburses a portion of eligible vet bills.



2. What Are The Different Types Of Pet Insurance?


Pet insurance plans cover costs when your pet gets hurt or sick. Most of the insurers offer them in two variants such as:



Accident Only


It is a basic and the most inexpensive coverage option. It covers a portion of the expenses incurred in vet visits and treatment procedures for physical injuries such as clashes with other pets, snake bites, foreign object ingestion, auto accidents and more.


This policy only covers accidental injuries but does not cover sudden illnesses or breed-specific health problems in pets.



Accident and "Unexpected" Illness


If your pet suddenly becomes sick, this option offers coverage for medical bills to treat the following: sickness, infections, skin conditions, upset stomachs, annual vaccinations, microchipping, broken bones, flesh wounds, and dental procedures.


Cancer, hip dysplasia, glaucoma, parvovirus, and other illnesses are covered. However, you must note that the plan doesn't cover pre-existing conditions and preventive care.


Some insurers also offer a comprehensive pet insurance plan, an accident-illness plan with a wellness add-on cover. It is the most expensive pet insurance plan on the market. 


It covers diseases, accidental injuries, preventive care, routine vet check-ups such as worming, vaccinations, and additional treatments like tick paralysis. 



3. What Does Pet Insurance Cover?


Insurance policy inclusions and exclusions knowledge are vital considerations for buying and claiming health insurance. Here is what your pet is "Covered" for under pet insurance.


Most pet insurance plans cover expenses incurred due to any of the following:


  • Dental disease

  • Hereditary or Pre-existing health conditions

  • Behavioural issues

  • Preventive care

  • Hip dysplasia

  • Medication

  • Routine check-ups

  • Basic Grooming

  • Sudden injuries and accidents, and illnesses 

  • Diagnostic tests such as blood tests, x-rays, MRIs, etc.

  • Surgery

  • Emergency examination charges


Pet insurance plans may also cover the following:


  • Substitute therapies

  • Acupuncture

  • Hospital Boarding

  • Chiropractic

  • Publicity for "Lost pet" or reward

  • Nursing

  • Behavioural modification

  • Hydrotherapy



4. What Are Exclusions In Pet Insurance?


Pet insurance is not covering all events that happen to your pet. Just like the inclusions, it is vital to know what your pet is "Not Covered" for:


  • Pre-existing conditions

  • Routine care

  • Diagnostic examination

  • Preventative care

  • Neuter

  • Yearly Vaccinations

  • Pre-existing conditions of your pet that were there before the policy conception or during the waiting period

  • Behavioural issues

  • Grooming

  • Optional procedures

  • Pregnancy

  • Food and dietary services and products



Some Basic Questions on Pet Insurance Coverages:



Does Pet Insurance Cover Antibiotics?


An insurance plan that covers prescription-based medications should cover antibiotics unless those that treat a pre-existing condition.



Is Pet Insurance Transferable?


You can transfer some insurance plans to a new owner. It is crucial to confirm with your pet insurance provider about the same.



Does Pet Insurance Cover The Surgery?


Some insurers offer comprehensive plans that cover pet accidents and unexpected sicknesses. This plan type covers surgeries such as cataracts, ligament tears, etc. 


However, surgeries for treating an already-existing illness/injuries or elective surgeries aren't covered.



Does Pet Insurance Cover Immunizations?


Both accident-only and accident-and-illness plans do not cover vaccinations. Yet, you can get a cover for it by buying a wellness add-on feature. 


Consult your insurer and check the Policy Disclosure Statement to get a better idea of the inclusions and exclusions of your pet insurance policy.



Does Pet Insurance Allow me To Select A Vet To Treat My Pet?


Yes. Many pet insurance providers provide this facility to policyholders to choose their vet to operate their pet if registered in Australia. As different vets charge differently, you must select a vet carefully.



5. Important Terms You Need To Know About Pet Insurance Policy


Though insurance key terms and phrases can be complex and confusing, it is essential to understand them to find the best pet insurance in Australia. 


This knowledge will help you compare the costs and coverage of different pet insurance policies and form the right decision.


  • Incident: It refers to any medical event that includes a vet visit, diagnosis, treatment plans, hospitalization, medications, and follow-up visits.


  • Accidents: They are defined as unpreventable and unanticipated incidents that include emergencies such as burns, damaged bones, swallowed foreign objects, damaged teeth, food poisoning, etc.


  • Illness: It can be a disease, sickness, medical issue, or infection your pet suffers, which isn't an accident.


  • Hereditary Condition: Specific pet breeds develop certain types of ailments like diabetes. Most insurers do not cover this type of condition.


  • Congenital Condition: Refers to abnormality or defect present in a pet from birth like familial renal disease, kidney disease, etc.


  • Holistic/Alternative Treatment or Therapy: Some vets use therapy or treatment, such as acupuncture or chiropractic therapy, to treat a pet.


  • Wellness: This is an elective add-on that includes preventative and routine care, dental check-ups and treatment, ticks, vaccines, and heartworms. Many insurers offer them in their comprehensive insurance packages.


  • Deductible: It is part of the vet bill you must pay before you claim your insurance plan.


  • Reimbursement Rate: This is the amount payable by the insurer for the eligible cost of care.


  • Limits: Policyholders should choose the limits based on the extent and type of care their pet may require.


  • Premium: This is the monthly/yearly amount you pay to keep your policy active. The premium is higher for a policy offering higher coverage and vice versa. 


  • Pre-Existing Conditions: It is an injury or illness your pet has been suffering from before the start of the insurance plan or the end of the waiting period.


  • Waiting Period: This is the duration (approx. 30 days) you need to wait before you can claim your policy for your pet's sickness. Some insurers don't cover younger pets (below eight weeks) or older pets (7-9 years) at the time of claim. It is important to note that no insurer reimburses for claims against pre-existing conditions. Such pets may still get insurance, but they do not cover their pre-existing conditions.



6. What Factors Impact The Cost Of Premiums In Pet Insurance?


Several factors come into play when deciding the cost of your pet insurance. Some of these include:


  • Species (It costs more to insure a dog than a cat)

  • Your pet's weight and height 

  • Breed

  • Age 

  • Location (Densely populated areas/ large metropolitan cities carry a higher cost of pet insurance)

  • Policy duration

  • Rate of Reimbursement 

  • Deductible

  • Payout Limit

  • Possible outdoor or indoor risks in the area

  • Plan type

  • Insurer

  • Whether your plan includes optional covers and add-ons

  • as they could increase your coverage and premium cost.



7. Ways To Cut Down On Premium Cost


Many people search for the cheapest pet insurance in Australia. Still, such insurance doesn't guarantee the best coverage you need for your pet. 


Instead, look for a decent insurance plan that serves your financial needs while considering the below ways to make your policy premiums more affordable.


  • Consider insuring your pet when it is young, as your monthly premiums are lower or available at a discounted rate. 

  • Go for a higher deductible than you can maintain throughout the policy term. 

  • Choose a low coverage limit or low reimbursement rate. 


Finally, get an online quote from 3-4 insurers and undertake a pet insurance comparison to find a competitively priced policy that matches your desired coverage level and budget. 


Consider Coles pet insurance if you are looking for reasonably priced pet insurance. The Australian Vet Association does support it. 


The insurer offers pet owners high-quality low-price insurance, with benefits such as assured lifetime coverage and up to 100% reimbursement on qualified vet bills for less frequent claims. 



8. Is Pet Insurance Worth It?


It is a question any pet owner would ask when planning to buy pet insurance. Having this insurance is a necessity if you own a pet. It can save you a thousand dollars on unexpected veterinary bills if your pet develops any major illness or gets injured in an accident.


Suppose you want to give your pet better medical care and emergency treatment. In that case, you must consider investing in its insurance.


It is tempting to avoid monthly premiums when your pet is young. However, when your pet grows older, the treatment cost and the monthly premiums to cover them will increase.


Hence, many vets recommend buying insurance at the early stages (3-6 months old) to avoid higher premiums and give your pet the best care they deserve. Additionally, they may receive an add-on routine care premium when their pet is in its first year.


Also, as no pet insurance covers pre-existing illnesses, it is best to insure them when they are young and healthy.



9. Pros And Cons Of Pet Insurance


Let us look at some of the benefits and drawbacks of buying pet insurance:




  • It gives peace of mind

  • With a lot of competition among major insurers, you get plenty of choices to find better coverage at a low price.


Medibank pet insurance is an insurance plan that comes in three levels. These include "Essential Pet Care", "Emergency Pet Care", and "Ultimate Pet Care" to suit the individual budget and needs of dog and cat owners.


Choice of Vet, Excess, and Cover levels, Medibank member discount, multi-pet discount, intro discount, coverage for cured pre-existing illnesses, and lifetime cover, are a few selling features of this insurance.


  • Pet insurance has improved over time and now comes with reduced limitations. Nowadays, insurers also cover pre-existing illnesses in pets that are cured before the start of the policy.  

  • Quick and easy claim settlement via online claim submission

  • Facility to supplement your policy with an add-on for enhanced coverage





  • Pet insurance can be costly.

  • Annual price hikes can make insurance unaffordable.

  • To get the best benefit, you must buy it when your pet is young. If you purchase it when your pets get older, your policy will have more limits, caps, and exclusions. 

  • Pet insurers may change your cover and other policy features on its renewal to remain competitive in the market.



10. Ways To Buy Pet Health Insurance


You can choose from any of the below ways to buy pet insurance:


  • Directly from a pet insurer

  • Through your employer as part of your benefits.



11. Steps To Claim Your Pet Insurance Policy


You need to pay your vet for their services and collect the bill to make a claim. Next, submit a claim reimbursement request to your insurance provider.


Under some policies, you may need to wait for a few days after you become eligible to make a claim policy. For faster processing, many insurers provide various modes to submit their claims (online, by email, or by phone).


Here is how to lodge a claim using the insurer's online customer portal:


  • Visit the customer portal 

  • Upload a copy of bills, consultation charges, and vet payment receipts.

  • Provide a medical history of your pet that includes previous vet visits from when owning the pet.

  • Provide adoption paperwork and medical records if you have adopted your pet 


Alternatively, you can send the completed and signed claim form with the essential documents to the insurer's branch address. (original bill, consultation charges, payment receipts, pet's medical history, and adoption certificate (if needed)



12. Tips For Buying The Right Pet Insurance


Here are a few tips that will help you in making the right buying decision:


  • Identify what level of coverage you want and how much premium you can afford.

  • Get quotes from various insurers and compare the premium cost, excess, inclusions and exclusions, waiting period, sub-limits, claim settlement ratio, and ease of claim settlement. Woolworths pet insurance is among Australia's largest and oldest pet insurance providers. It has a lot to offer for pet owners who want economically priced plans with a great range of cover ($5000 to $30,000 per year) and a choice of excess and attractive add-ons.

  • Research the history of your pet's breed and consult your vet to learn about hereditary or congenital conditions to project how much treatment would cost.

  • Tell about the pre-existing condition to your insurer before taking the policy.

  • If planning to switch to a different insurer, any condition you have previously claimed is a pre-existing health condition by the new insurer. If you plan to switch, you must check with the new insurer about the inclusions and exclusions. 

  • Check the annual/incident limits on benefits that your insurer is paying.

  • Consider taking out insurance soon in your pet's life, as older pets are expensive.

  • Also, consider the breed of your pet. Some insurers charge high premiums for certain pet breeds.

  • Read the insurance policy's fine print to find out whether the policy covers the vet visit fee, examination and treatment expenses, and prescription medications.

  • Read pet insurance reviews in Australia. It is a great way to learn about public opinion about a specific policy/insurer and helps make an informed decision.


RSPCA is a nationally recognized animal welfare organization in Australia that created the RSPCA Pet Insurance in association with PetSure Pty. Ltd.


It provides the best pet insurance to pet owners with four levels of cover options - the Ultimate Plus Accident and Illness Cover, the Economy Accident and Illness Cover, the Ultimate Accident and Illness Cover, and the General Accident and Illness Cover.


All its insurance plans cover illnesses and accidental injuries and come with a 10% multi-pet discount per policy and emergency boarding benefits.


  • Read the PDS to get clarity on policy exclusions.



13. Conclusion


Pet insurance is the best solution for pet owners who want to give their furry friends the best care. Available in various policies, the insurance covers your pets against unpredicted health events and provides mental peace when they need you most.


As there is no single insurance for everyone's needs, online comparison services and calculators can help compare policies across insurers and find the best plan for your needs and budget.


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