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Cross about insurers refusing claim

3 replies

catownerofthenorth · 29/10/2025 12:47

Last year vet suggested dental for v old cat. Declined as cat was well but it seemed wrong to put her through huge procedure without medical need.
well now this year she has an abscess so is going under the knife. The possible bill is £1500 which very fortunately we can pay but we’ve had insurance all her life without a claim and thought this would be covered.
its petplan so supposedly a good provider.
anyway they have refused claim because they say dental was recommended but not done. I have said that’s not relevant - this procedure is a medical emergency. That was elective cosmetic care. Our vet agrees with me and is emailing them.
im just a bit horrified really - seems insurance is forcing to have procedures not needed because if you don’t and then need it they don’t cover it. Surely we have the right to say ‘not now’
I was also a bit upset by claims advisor saying if we’d had it she wouldn’t need this now which is not true. I pointed out dental treatment in one year doesn’t prevent dental problems the next in humans or cat!
anyway she also now need thyroid treatment so they’ll be paying for that!

OP posts:
Idontknowhatnametochoose · 29/10/2025 12:58

Unfortunately insurance will try to find a loophole where they can. It's totally wrong and a con but we dare not have insurance!

catownerofthenorth · 30/10/2025 11:21

Well I have to take it back, following vet email pointing out the above they have reconsidered. So now they are my favourite insurer again :)

OP posts:
LookSoPerfect · 30/10/2025 11:37

Being recommended a dental is not usually for cosmetic reasons. It’s never without risk so if your vet really recommended one for cosmetic reasons in an old cat, I would change vet!

A dental is usually advised to clean teeth and gums because there are issues which can prevent infection/abscess further down the road. You were advised and refused and now hour cat has an abscess which may well have been prevented if you would have taken the vets advice last year.

Good news that they have reconsidered, but I’ve never known that happen before and I’ve seen this quite a few times over the years as a vet nurse so I’d say you have been very fortunate.

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