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Pet's Best Insurance Services

2323 S Vista Ave Ste 100, Boise, Idaho, United States, 83705-7343

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Pet's Best Insurance Services Reviews (%countItem)

Best Pets,

I have been lied to by the staff of this company. I signed up and paid with my credit card and was advised to take a plan with full coverage. I was advised by the Best Pests(not an accident) rep that if I wanted to remove coverage on my plan later on that I could, however if I took less coverage and I wanted add coverage to my plan, I could not. I listened to the rep’s advise and was lied to.
It does not make sense for me to pay $16 dollars a month for coverage that I will not use. I was told I had to wait for renewal of the plan next year to drop this coverage. Wrong, I do not have to wait. I asked a flunky rep to have a manager call me. The best Pest(again not an accident) rep told me that it would not make a difference if a manager called me and my request was refused, not once but twice.
So just to be clear; if you lie and cheat the very life blood of your business, me the consumer, and refuse to have a manager call to help, than you are not reputabler or a company anyone should deal with and I want other people to know that you lie and cheat just to get that credit card number and payment.

Pet's Best Insurance Services Response • Aug 20, 2018

If I understand the complaint correctly, it appears that you are upset that you purchased the wellness coverage, used it, and are now unable to drop the coverage until the expiration of the policy term. If that is the case, this is quite clearly outlined on page 9 of your policy form.

I have had my claim declined due to "pre existing" which is completely untrue, I have letters from both my vets who have both clearly stated that it was pre existing and that they never had said that.
The customer service I have received is shocking, everytime I speak to someone I get told a different story. I was told it was declined based on their opinion, not the fact that all the supporting evidence I have provided shows that not one vet ever said my dog had pancreatitis until the evening she couldn't breathe and her blood tests showed that she had this. I ring tonight for a second level appeal they tell me all the documents are fine and can we sent to a third party vet, they then ring me 15 minutes later I speak to someone else and she tells me I have to provide evidence and fill the form inagain. They have all the evidence humanly possibly supporting letters from my vets and medical records from since my dog was born. Everytime I ring they can't give me any answers I can't speak to the appeals team and all the answers are so scripted that it makes it extremely frustrating and possibly the worst customer experience I've ever expeirenced especially when it's dealing with an emotional subject. I have provided everything physically possible to show my claim is covered I know how the claims process works and they just keep pushing me back in Hope I'll go away.

Pet's Best Insurance Services Response • Jul 24, 2018

We would be happy to send your claim out to a third party veterinarian for an independent review of the claim decision. To do so, please call customer service at 1-866-777-1434.

Customer Response • Jul 27, 2018

Revdex.com:
I am happy to have my claim forwarded to a third party vet, however I have communicated with them about doing this and no one can ever seem to give me any response. Since then I have received a generic email stating that my appeal is now being reviewed however there is no mention of it being forwarded to a 3rd party vet or what appeal this is. It just states it is being reviewed. It is frustrating when I am not able to speak to the appeals team so always speak to the claims team who have no idea what is going on.

Sincerely

I have had my claim declined due to "pre existing" which is completely untrue, I have letters from both my vets who have both clearly stated that it was pre existing and that they never had said that.
The customer service I have received is shocking, everytime I speak to someone I get told a different story. I was told it was declined based on their opinion, not the fact that all the supporting evidence I have provided shows that not one vet ever said my dog had pancreatitis until the evening she couldn't breathe and her blood tests showed that she had this. I ring tonight for a second level appeal they tell me all the documents are fine and can we sent to a third party vet, they then ring me 15 minutes later I speak to someone else and she tells me I have to provide evidence and fill the form inagain. They have all the evidence humanly possibly supporting letters from my vets and medical records from since my dog was born. Everytime I ring they can't give me any answers I can't speak to the appeals team and all the answers are so scripted that it makes it extremely frustrating and possibly the worst customer experience I've ever expeirenced especially when it's dealing with an emotional subject. I have provided everything physically possible to show my claim is covered I know how the claims process works and they just keep pushing me back in Hope I'll go away.

Pet's Best Insurance Services Response • Jul 24, 2018

We would be happy to send your claim out to a third party veterinarian for an independent review of the claim decision. To do so, please call customer service at 1-866-777-1434.

Customer Response • Jul 27, 2018

Revdex.com:
I am happy to have my claim forwarded to a third party vet, however I have communicated with them about doing this and no one can ever seem to give me any response. Since then I have received a generic email stating that my appeal is now being reviewed however there is no mention of it being forwarded to a 3rd party vet or what appeal this is. It just states it is being reviewed. It is frustrating when I am not able to speak to the appeals team so always speak to the claims team who have no idea what is going on.

Sincerely

I have had my claim declined due to "pre existing" which is completely untrue, I have letters from both my vets who have both clearly stated that it was pre existing and that they never had said that.
The customer service I have received is shocking, everytime I speak to someone I get told a different story. I was told it was declined based on their opinion, not the fact that all the supporting evidence I have provided shows that not one vet ever said my dog had pancreatitis until the evening she couldn't breathe and her blood tests showed that she had this. I ring tonight for a second level appeal they tell me all the documents are fine and can we sent to a third party vet, they then ring me 15 minutes later I speak to someone else and she tells me I have to provide evidence and fill the form inagain. They have all the evidence humanly possibly supporting letters from my vets and medical records from since my dog was born. Everytime I ring they can't give me any answers I can't speak to the appeals team and all the answers are so scripted that it makes it extremely frustrating and possibly the worst customer experience I've ever expeirenced especially when it's dealing with an emotional subject. I have provided everything physically possible to show my claim is covered I know how the claims process works and they just keep pushing me back in Hope I'll go away.

Pet's Best Insurance Services Response • Jul 24, 2018

We would be happy to send your claim out to a third party veterinarian for an independent review of the claim decision. To do so, please call customer service at 1-866-777-1434.

Customer Response • Jul 27, 2018

Revdex.com:
I am happy to have my claim forwarded to a third party vet, however I have communicated with them about doing this and no one can ever seem to give me any response. Since then I have received a generic email stating that my appeal is now being reviewed however there is no mention of it being forwarded to a 3rd party vet or what appeal this is. It just states it is being reviewed. It is frustrating when I am not able to speak to the appeals team so always speak to the claims team who have no idea what is going on.

Sincerely

I have had my claim declined due to "pre existing" which is completely untrue, I have letters from both my vets who have both clearly stated that it was pre existing and that they never had said that.
The customer service I have received is shocking, everytime I speak to someone I get told a different story. I was told it was declined based on their opinion, not the fact that all the supporting evidence I have provided shows that not one vet ever said my dog had pancreatitis until the evening she couldn't breathe and her blood tests showed that she had this. I ring tonight for a second level appeal they tell me all the documents are fine and can we sent to a third party vet, they then ring me 15 minutes later I speak to someone else and she tells me I have to provide evidence and fill the form inagain. They have all the evidence humanly possibly supporting letters from my vets and medical records from since my dog was born. Everytime I ring they can't give me any answers I can't speak to the appeals team and all the answers are so scripted that it makes it extremely frustrating and possibly the worst customer experience I've ever expeirenced especially when it's dealing with an emotional subject. I have provided everything physically possible to show my claim is covered I know how the claims process works and they just keep pushing me back in Hope I'll go away.

Pet's Best Insurance Services Response • Jul 24, 2018

We would be happy to send your claim out to a third party veterinarian for an independent review of the claim decision. To do so, please call customer service at 1-866-777-1434.

Customer Response • Jul 27, 2018

Revdex.com:
I am happy to have my claim forwarded to a third party vet, however I have communicated with them about doing this and no one can ever seem to give me any response. Since then I have received a generic email stating that my appeal is now being reviewed however there is no mention of it being forwarded to a 3rd party vet or what appeal this is. It just states it is being reviewed. It is frustrating when I am not able to speak to the appeals team so always speak to the claims team who have no idea what is going on.

Sincerely

I have sent invoices over with Doctors signatures and have been on calls with Management, all have resulted in no payment at all. I have dealt with two individuals that have both told me they are part of the Management team and will make sure as a customer I am taken care of. To date all I have received are statements like “sorry to hear that you are not happy” the reason is that we recently switch underwriters , they are very backed up but we will make sure your invoices are pushed to the top of the line. The other thing I have heard is that we will send you a check for the payment(s) you are owed.

At one point I was given an internal routing number. But to this day I still have not received a single payment, Below is list of some of the invoices that they have not paid on.
April 20, 2014 #*** $286.50
April 21, 2014 #*** $570.50
April 24, 2914 #*** $956.50
April 29, 2014 #*** $264.00
May 15, 2014 #*** $166.00
May 18, 2014 # *** $54.82
Aug 1. 2014 #*** $1450.00
Aug 1, 2014 # *** $951.32

I have a few more invoices that can be included, I particularly chose to show the above invoices as they where a very difficult time for me as I was getting treatment for my beloved Yorkie who eventually passed.

This is to inform Revdex.com and future customers of Pets Bets Insurance of the dealing which I have had with the mentioned company. Dealings I believe to be of false and fraudulent behavior. I have been a customer of Pets Best Insurance since 2012 and have not received a single payment from them.

Pet's Best Insurance Services Response • Jul 23, 2018

A policy for this pet was in force from 2/11/2009 until 11/24/2013. The policy was then cancelled. A new policy was taken out on 8/6/2015 and cancelled on 11/24/2017. During the period of this last policy three claims were filed. All three claims were for "maintenance" acupuncture. None of these claims were accompanied by a diagnosis of the condition being claimed. Without this a claim cannot be processed for "maintenance" acupuncture as it does not indicate that a covered illness is going on. Requests for further information required to process the claim have not yet been fulfilled. When this information is sent in, we will be happy to reopen and re-examine your claims.

I have sent invoices over with Doctors signatures and have been on calls with Management, all have resulted in no payment at all. I have dealt with two individuals that have both told me they are part of the Management team and will make sure as a customer I am taken care of. To date all I have received are statements like “sorry to hear that you are not happy” the reason is that we recently switch underwriters , they are very backed up but we will make sure your invoices are pushed to the top of the line. The other thing I have heard is that we will send you a check for the payment(s) you are owed.

At one point I was given an internal routing number. But to this day I still have not received a single payment, Below is list of some of the invoices that they have not paid on.
April 20, 2014 #*** $286.50
April 21, 2014 #*** $570.50
April 24, 2914 #*** $956.50
April 29, 2014 #*** $264.00
May 15, 2014 #*** $166.00
May 18, 2014 # *** $54.82
Aug 1. 2014 #*** $1450.00
Aug 1, 2014 # *** $951.32

I have a few more invoices that can be included, I particularly chose to show the above invoices as they where a very difficult time for me as I was getting treatment for my beloved Yorkie who eventually passed.

This is to inform Revdex.com and future customers of Pets Bets Insurance of the dealing which I have had with the mentioned company. Dealings I believe to be of false and fraudulent behavior. I have been a customer of Pets Best Insurance since 2012 and have not received a single payment from them.

Pet's Best Insurance Services Response • Jul 23, 2018

A policy for this pet was in force from 2/11/2009 until 11/24/2013. The policy was then cancelled. A new policy was taken out on 8/6/2015 and cancelled on 11/24/2017. During the period of this last policy three claims were filed. All three claims were for "maintenance" acupuncture. None of these claims were accompanied by a diagnosis of the condition being claimed. Without this a claim cannot be processed for "maintenance" acupuncture as it does not indicate that a covered illness is going on. Requests for further information required to process the claim have not yet been fulfilled. When this information is sent in, we will be happy to reopen and re-examine your claims.

I have sent invoices over with Doctors signatures and have been on calls with Management, all have resulted in no payment at all. I have dealt with two individuals that have both told me they are part of the Management team and will make sure as a customer I am taken care of. To date all I have received are statements like “sorry to hear that you are not happy” the reason is that we recently switch underwriters , they are very backed up but we will make sure your invoices are pushed to the top of the line. The other thing I have heard is that we will send you a check for the payment(s) you are owed.

At one point I was given an internal routing number. But to this day I still have not received a single payment, Below is list of some of the invoices that they have not paid on.
April 20, 2014 #*** $286.50
April 21, 2014 #*** $570.50
April 24, 2914 #*** $956.50
April 29, 2014 #*** $264.00
May 15, 2014 #*** $166.00
May 18, 2014 # *** $54.82
Aug 1. 2014 #*** $1450.00
Aug 1, 2014 # *** $951.32

I have a few more invoices that can be included, I particularly chose to show the above invoices as they where a very difficult time for me as I was getting treatment for my beloved Yorkie who eventually passed.

This is to inform Revdex.com and future customers of Pets Bets Insurance of the dealing which I have had with the mentioned company. Dealings I believe to be of false and fraudulent behavior. I have been a customer of Pets Best Insurance since 2012 and have not received a single payment from them.

Pet's Best Insurance Services Response • Jul 23, 2018

A policy for this pet was in force from 2/11/2009 until 11/24/2013. The policy was then cancelled. A new policy was taken out on 8/6/2015 and cancelled on 11/24/2017. During the period of this last policy three claims were filed. All three claims were for "maintenance" acupuncture. None of these claims were accompanied by a diagnosis of the condition being claimed. Without this a claim cannot be processed for "maintenance" acupuncture as it does not indicate that a covered illness is going on. Requests for further information required to process the claim have not yet been fulfilled. When this information is sent in, we will be happy to reopen and re-examine your claims.

I have sent invoices over with Doctors signatures and have been on calls with Management, all have resulted in no payment at all. I have dealt with two individuals that have both told me they are part of the Management team and will make sure as a customer I am taken care of. To date all I have received are statements like “sorry to hear that you are not happy” the reason is that we recently switch underwriters , they are very backed up but we will make sure your invoices are pushed to the top of the line. The other thing I have heard is that we will send you a check for the payment(s) you are owed.

At one point I was given an internal routing number. But to this day I still have not received a single payment, Below is list of some of the invoices that they have not paid on.
April 20, 2014 #*** $286.50
April 21, 2014 #*** $570.50
April 24, 2914 #*** $956.50
April 29, 2014 #*** $264.00
May 15, 2014 #*** $166.00
May 18, 2014 # *** $54.82
Aug 1. 2014 #*** $1450.00
Aug 1, 2014 # *** $951.32

I have a few more invoices that can be included, I particularly chose to show the above invoices as they where a very difficult time for me as I was getting treatment for my beloved Yorkie who eventually passed.

This is to inform Revdex.com and future customers of Pets Bets Insurance of the dealing which I have had with the mentioned company. Dealings I believe to be of false and fraudulent behavior. I have been a customer of Pets Best Insurance since 2012 and have not received a single payment from them.

Pet's Best Insurance Services Response • Jul 23, 2018

A policy for this pet was in force from 2/11/2009 until 11/24/2013. The policy was then cancelled. A new policy was taken out on 8/6/2015 and cancelled on 11/24/2017. During the period of this last policy three claims were filed. All three claims were for "maintenance" acupuncture. None of these claims were accompanied by a diagnosis of the condition being claimed. Without this a claim cannot be processed for "maintenance" acupuncture as it does not indicate that a covered illness is going on. Requests for further information required to process the claim have not yet been fulfilled. When this information is sent in, we will be happy to reopen and re-examine your claims.

My claim was denied for lack of information from vet which is inaccurate.

I spoke with Petsbest to a lady that clearly was dodging and wasting time to skirt around the issue. She said the vet did, in fact, submit the requested info bit it was Petsbest fax machine having issues (which I don't believe)

Flash forward 30 minutes into our conversation about Petsbest broken fax machine from a very incompetant lady who didn't seem to understand anything about technology, I was informed Petsbest actually did have the records all along (more lies and fraud)

She informed me they were only looking for recorda prior to Mar 2017 to reopen the claim. Great, there are no records before then. So not only was I lied to but they created some new lie that records were incomplete. There are no records prior to that
They do not exist.

Flash forwadd again to today. Spokr with Rachele on live chat. She informed me of Petsbest latest lie that the issue was the vet refusing to email records. What a bogus claim.

This company is clearly purposefully denying claims and then making very challenging to re open and injecting confusion into the diqlogue to prevent paying out legitimate claims.

This is illegal and I will be bring this claim before the FTC and filing chargebacks with my bank if I get scammed.

Pet's Best Insurance Services Response • Jul 19, 2018

We have been unable to process this claim without the required records. Once they have been received we will be happy to reopen your claim for review.

My claim was denied for lack of information from vet which is inaccurate.

I spoke with Petsbest to a lady that clearly was dodging and wasting time to skirt around the issue. She said the vet did, in fact, submit the requested info bit it was Petsbest fax machine having issues (which I don't believe)

Flash forward 30 minutes into our conversation about Petsbest broken fax machine from a very incompetant lady who didn't seem to understand anything about technology, I was informed Petsbest actually did have the records all along (more lies and fraud)

She informed me they were only looking for recorda prior to Mar 2017 to reopen the claim. Great, there are no records before then. So not only was I lied to but they created some new lie that records were incomplete. There are no records prior to that
They do not exist.

Flash forwadd again to today. Spokr with Rachele on live chat. She informed me of Petsbest latest lie that the issue was the vet refusing to email records. What a bogus claim.

This company is clearly purposefully denying claims and then making very challenging to re open and injecting confusion into the diqlogue to prevent paying out legitimate claims.

This is illegal and I will be bring this claim before the FTC and filing chargebacks with my bank if I get scammed.

Pet's Best Insurance Services Response • Jul 19, 2018

We have been unable to process this claim without the required records. Once they have been received we will be happy to reopen your claim for review.

My claim was denied for lack of information from vet which is inaccurate.

I spoke with Petsbest to a lady that clearly was dodging and wasting time to skirt around the issue. She said the vet did, in fact, submit the requested info bit it was Petsbest fax machine having issues (which I don't believe)

Flash forward 30 minutes into our conversation about Petsbest broken fax machine from a very incompetant lady who didn't seem to understand anything about technology, I was informed Petsbest actually did have the records all along (more lies and fraud)

She informed me they were only looking for recorda prior to Mar 2017 to reopen the claim. Great, there are no records before then. So not only was I lied to but they created some new lie that records were incomplete. There are no records prior to that
They do not exist.

Flash forwadd again to today. Spokr with Rachele on live chat. She informed me of Petsbest latest lie that the issue was the vet refusing to email records. What a bogus claim.

This company is clearly purposefully denying claims and then making very challenging to re open and injecting confusion into the diqlogue to prevent paying out legitimate claims.

This is illegal and I will be bring this claim before the FTC and filing chargebacks with my bank if I get scammed.

Pet's Best Insurance Services Response • Jul 19, 2018

We have been unable to process this claim without the required records. Once they have been received we will be happy to reopen your claim for review.

My claim was denied for lack of information from vet which is inaccurate.

I spoke with Petsbest to a lady that clearly was dodging and wasting time to skirt around the issue. She said the vet did, in fact, submit the requested info bit it was Petsbest fax machine having issues (which I don't believe)

Flash forward 30 minutes into our conversation about Petsbest broken fax machine from a very incompetant lady who didn't seem to understand anything about technology, I was informed Petsbest actually did have the records all along (more lies and fraud)

She informed me they were only looking for recorda prior to Mar 2017 to reopen the claim. Great, there are no records before then. So not only was I lied to but they created some new lie that records were incomplete. There are no records prior to that
They do not exist.

Flash forwadd again to today. Spokr with Rachele on live chat. She informed me of Petsbest latest lie that the issue was the vet refusing to email records. What a bogus claim.

This company is clearly purposefully denying claims and then making very challenging to re open and injecting confusion into the diqlogue to prevent paying out legitimate claims.

This is illegal and I will be bring this claim before the FTC and filing chargebacks with my bank if I get scammed.

Pet's Best Insurance Services Response • Jul 19, 2018

We have been unable to process this claim without the required records. Once they have been received we will be happy to reopen your claim for review.

Pets Best insurance policy does not provide the coverage they are advertising and, they do not process claims within a few days as they say. My claim took three weeks and was denied for no legitimate reason. They have made different lame excuses every time I've called them regarding the denial of my claim. They said the condition was an undiagnosed illness under the condition column and, under the explanation column they say that the condition being claimed began prior to the policy effective date, which is a lie. They also said that the doctor noted a duration of three weeks on the case and, this is also a lie. The veterinarian notes said to put a "hold on FNA (fine needle aspiration) due to size and location.~3 week duration" The duration of three weeks meant the wait time before the needle test (FNA) would be done as a next step if the skin issue of the lump did not go away after treating it with antibiotics. That does not mean that my dog had the symptoms or the lump problem on his skin for three weeks prior to the vet visit that took place two days after the policy effective date. First they asked for a letter from the vet explaining this ~week duration comment and, then they called me to ask for a second letter from the vet stating when a scab was first present...which is beyond ridiculous. I have the necessary documentation to support my claim and, they denied it simply because I'm a new member. The doctor prescribed antibiotics and, the lump disappeared which clearly indicates it was a skin infection. Skin infections are listed under conditions that are covered under the policy, but they simply don't feel like reimbursing me for part of the bill that I'm entitled to receive. What's the point of offering pet insurance if Pest Best is not responding as they should? As a consumer, I should receive what I paid for. I feel that this company is robbing people for their money

Pet's Best Insurance Services Response • May 17, 2018

We are in receipt of your appeal and further documentation that was received yesterday. It is under review, and a response will be forthcoming as soon as the documentation is reviewed.

Customer Response • May 17, 2018

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution not satisfactory to me after all the efforts made on my end and none made on the business part after almost three weeks of making several calls and attempts to solve the problem. The business has not bothered to contact the veterinarian directly.

Sincerely

Pets Best insurance policy does not provide the coverage they are advertising and, they do not process claims within a few days as they say. My claim took three weeks and was denied for no legitimate reason. They have made different lame excuses every time I've called them regarding the denial of my claim. They said the condition was an undiagnosed illness under the condition column and, under the explanation column they say that the condition being claimed began prior to the policy effective date, which is a lie. They also said that the doctor noted a duration of three weeks on the case and, this is also a lie. The veterinarian notes said to put a "hold on FNA (fine needle aspiration) due to size and location.~3 week duration" The duration of three weeks meant the wait time before the needle test (FNA) would be done as a next step if the skin issue of the lump did not go away after treating it with antibiotics. That does not mean that my dog had the symptoms or the lump problem on his skin for three weeks prior to the vet visit that took place two days after the policy effective date. First they asked for a letter from the vet explaining this ~week duration comment and, then they called me to ask for a second letter from the vet stating when a scab was first present...which is beyond ridiculous. I have the necessary documentation to support my claim and, they denied it simply because I'm a new member. The doctor prescribed antibiotics and, the lump disappeared which clearly indicates it was a skin infection. Skin infections are listed under conditions that are covered under the policy, but they simply don't feel like reimbursing me for part of the bill that I'm entitled to receive. What's the point of offering pet insurance if Pest Best is not responding as they should? As a consumer, I should receive what I paid for. I feel that this company is robbing people for their money

Pet's Best Insurance Services Response • May 17, 2018

We are in receipt of your appeal and further documentation that was received yesterday. It is under review, and a response will be forthcoming as soon as the documentation is reviewed.

Customer Response • May 17, 2018

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution not satisfactory to me after all the efforts made on my end and none made on the business part after almost three weeks of making several calls and attempts to solve the problem. The business has not bothered to contact the veterinarian directly.

Sincerely

Pets Best insurance policy does not provide the coverage they are advertising and, they do not process claims within a few days as they say. My claim took three weeks and was denied for no legitimate reason. They have made different lame excuses every time I've called them regarding the denial of my claim. They said the condition was an undiagnosed illness under the condition column and, under the explanation column they say that the condition being claimed began prior to the policy effective date, which is a lie. They also said that the doctor noted a duration of three weeks on the case and, this is also a lie. The veterinarian notes said to put a "hold on FNA (fine needle aspiration) due to size and location.~3 week duration" The duration of three weeks meant the wait time before the needle test (FNA) would be done as a next step if the skin issue of the lump did not go away after treating it with antibiotics. That does not mean that my dog had the symptoms or the lump problem on his skin for three weeks prior to the vet visit that took place two days after the policy effective date. First they asked for a letter from the vet explaining this ~week duration comment and, then they called me to ask for a second letter from the vet stating when a scab was first present...which is beyond ridiculous. I have the necessary documentation to support my claim and, they denied it simply because I'm a new member. The doctor prescribed antibiotics and, the lump disappeared which clearly indicates it was a skin infection. Skin infections are listed under conditions that are covered under the policy, but they simply don't feel like reimbursing me for part of the bill that I'm entitled to receive. What's the point of offering pet insurance if Pest Best is not responding as they should? As a consumer, I should receive what I paid for. I feel that this company is robbing people for their money

Pet's Best Insurance Services Response • May 17, 2018

We are in receipt of your appeal and further documentation that was received yesterday. It is under review, and a response will be forthcoming as soon as the documentation is reviewed.

Customer Response • May 17, 2018

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution not satisfactory to me after all the efforts made on my end and none made on the business part after almost three weeks of making several calls and attempts to solve the problem. The business has not bothered to contact the veterinarian directly.

Sincerely

Pets Best insurance policy does not provide the coverage they are advertising and, they do not process claims within a few days as they say. My claim took three weeks and was denied for no legitimate reason. They have made different lame excuses every time I've called them regarding the denial of my claim. They said the condition was an undiagnosed illness under the condition column and, under the explanation column they say that the condition being claimed began prior to the policy effective date, which is a lie. They also said that the doctor noted a duration of three weeks on the case and, this is also a lie. The veterinarian notes said to put a "hold on FNA (fine needle aspiration) due to size and location.~3 week duration" The duration of three weeks meant the wait time before the needle test (FNA) would be done as a next step if the skin issue of the lump did not go away after treating it with antibiotics. That does not mean that my dog had the symptoms or the lump problem on his skin for three weeks prior to the vet visit that took place two days after the policy effective date. First they asked for a letter from the vet explaining this ~week duration comment and, then they called me to ask for a second letter from the vet stating when a scab was first present...which is beyond ridiculous. I have the necessary documentation to support my claim and, they denied it simply because I'm a new member. The doctor prescribed antibiotics and, the lump disappeared which clearly indicates it was a skin infection. Skin infections are listed under conditions that are covered under the policy, but they simply don't feel like reimbursing me for part of the bill that I'm entitled to receive. What's the point of offering pet insurance if Pest Best is not responding as they should? As a consumer, I should receive what I paid for. I feel that this company is robbing people for their money

Pet's Best Insurance Services Response • May 17, 2018

We are in receipt of your appeal and further documentation that was received yesterday. It is under review, and a response will be forthcoming as soon as the documentation is reviewed.

Customer Response • May 17, 2018

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution not satisfactory to me after all the efforts made on my end and none made on the business part after almost three weeks of making several calls and attempts to solve the problem. The business has not bothered to contact the veterinarian directly.

Sincerely

Our rightful claim and appeal have been wrongfully denied.
Policy Number: ***
Claim Number: ***
If this is not covered by insurance, then what is? How we would ever know what lies beneath the surface when there is no outward indication of a condition? Elbow dysplasia is NOT an exempted condition; it is specifically included in the examples of covered conditions identified on the Petsbest website.
We noticed *** minor left elbow swelling coincidentally just after the 14-day insurance waiting period for illness and conditions ended on January 27th, 2018.
We had been researching and deciding on pet insurance for several months, initially planning on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated.
We assumed from our own brief, uneducated internet search that a hygroma or bug bite was the cause of the minor elbow swelling, as it was initially only on one side, with no lameness or pain. *** breeder, who has bred Rhodesian Ridgebacks for decades and is very active within the breed community, has never had elbow dysplasia in her well-documented line. *** was first seen on January 29th by West Seattle Animal Hospital, who then referred *** to Animal Surgical Clinic of Seattle. In the weeks following our noticing the minor swelling on the left elbow, the swelling became visible on both elbows and the CT then confirmed diagnosis of elbow dysplasia. *** still exhibits no lameness or pain. There are no plans for surgery. Veterinary clinic summaries have been emailed to Petsbest for all clinic visits, as well as detailed CT results.
Based on Petsbest's own definition, *** elbow dysplasia was not a pre-existing condition.

Pet's Best Insurance Services Response • May 08, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.
Illnesses are subject to a 14 day waiting period which is outlined on page 7 of your insuring agreement, entitled “Policy Benefits in Detail” under section:
2 C. WAITING PERIODS:
1. 14 days following the Policy Effective Date for any Illnesses and any related Conditions.
Illnesses present inside the waiting period are classified as pre existing conditions on page 18 of your insuring agreement, entitled “What Isn’t Covered” under section:
9 A. PRE-EXISTING CONDITIONS: In determining which Conditions are Pre-Existing, we look at the 18 months preceding the Policy Effective Date and exclude any Conditions that were Present during that period. Conditions that are Present during the policy Waiting Period described in 2.C. are also deemed to be Pre-Existing Conditions if they are Present at any time preceding the Policy Effective Date or the expiration of any Waiting Period.
Pre existing conditions are further defined on page 21 of your insuring agreement, in section 10 entitled “Definitions”:
10 S. PRE-EXISTING CONDITION: Any condition for which a Veterinarian provided medical advice, the Pet received treatment for, or the Pet displayed signs or symptoms consistent with the stated Condition prior to the effective date of a Pet insurance policy (Policy Effective Date) or during any Waiting Period.

We regret that we are unable to reprocess *** claims for payment. We are obligated to uphold the provisions of the policy.

Customer Response • May 08, 2018

Complaint: ***

I am rejecting this response because: Again, if this were a discovery of cancer symptoms, there would be no question. Our vets are adamant that this was not a pre-existing condition, by documented definitions according to Petsbest. Elbow dysplasia is specifically NOT an exempted condition, according to Petsbest.

Sincerely

Pet's Best Insurance Services Response • May 10, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.

Customer Response • May 11, 2018

Complaint: ***

I am rejecting this response because: There was absolutely no evidence of *** elbow dysplasia prior to Petsbest effective coverage, and this diagnosis was entirely unexpected. As mentioned in our appeal, we were actively researching and attempting to buy insurance coverage for several months prior to the effective date of our Petsbest coverage, completely unrelated to the surprise appearance of minor elbow swelling just after the effective coverage began. We initially planned on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated. In addition, elbow dysplasia is specifically listed on the Petsbest website as a COVERED condition!Our surgeon concurs. When a pet is taken to the vet and is diagnosed with cancer, clearly it will have been growing for at least some length of time prior to evidence of illness, and Petsbest certainly covers cancer when the pet presents with initial symptoms of cancer. *** condition meets that same standard and should definitely be covered, as it was discovered and presented AFTER the waiting period.

Sincerely

Our rightful claim and appeal have been wrongfully denied.
Policy Number: ***
Claim Number: ***
If this is not covered by insurance, then what is? How we would ever know what lies beneath the surface when there is no outward indication of a condition? Elbow dysplasia is NOT an exempted condition; it is specifically included in the examples of covered conditions identified on the Petsbest website.
We noticed *** minor left elbow swelling coincidentally just after the 14-day insurance waiting period for illness and conditions ended on January 27th, 2018.
We had been researching and deciding on pet insurance for several months, initially planning on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated.
We assumed from our own brief, uneducated internet search that a hygroma or bug bite was the cause of the minor elbow swelling, as it was initially only on one side, with no lameness or pain. *** breeder, who has bred Rhodesian Ridgebacks for decades and is very active within the breed community, has never had elbow dysplasia in her well-documented line. *** was first seen on January 29th by West Seattle Animal Hospital, who then referred *** to Animal Surgical Clinic of Seattle. In the weeks following our noticing the minor swelling on the left elbow, the swelling became visible on both elbows and the CT then confirmed diagnosis of elbow dysplasia. *** still exhibits no lameness or pain. There are no plans for surgery. Veterinary clinic summaries have been emailed to Petsbest for all clinic visits, as well as detailed CT results.
Based on Petsbest's own definition, *** elbow dysplasia was not a pre-existing condition.

Pet's Best Insurance Services Response • May 08, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.
Illnesses are subject to a 14 day waiting period which is outlined on page 7 of your insuring agreement, entitled “Policy Benefits in Detail” under section:
2 C. WAITING PERIODS:
1. 14 days following the Policy Effective Date for any Illnesses and any related Conditions.
Illnesses present inside the waiting period are classified as pre existing conditions on page 18 of your insuring agreement, entitled “What Isn’t Covered” under section:
9 A. PRE-EXISTING CONDITIONS: In determining which Conditions are Pre-Existing, we look at the 18 months preceding the Policy Effective Date and exclude any Conditions that were Present during that period. Conditions that are Present during the policy Waiting Period described in 2.C. are also deemed to be Pre-Existing Conditions if they are Present at any time preceding the Policy Effective Date or the expiration of any Waiting Period.
Pre existing conditions are further defined on page 21 of your insuring agreement, in section 10 entitled “Definitions”:
10 S. PRE-EXISTING CONDITION: Any condition for which a Veterinarian provided medical advice, the Pet received treatment for, or the Pet displayed signs or symptoms consistent with the stated Condition prior to the effective date of a Pet insurance policy (Policy Effective Date) or during any Waiting Period.

We regret that we are unable to reprocess *** claims for payment. We are obligated to uphold the provisions of the policy.

Customer Response • May 08, 2018

Complaint: ***

I am rejecting this response because: Again, if this were a discovery of cancer symptoms, there would be no question. Our vets are adamant that this was not a pre-existing condition, by documented definitions according to Petsbest. Elbow dysplasia is specifically NOT an exempted condition, according to Petsbest.

Sincerely

Pet's Best Insurance Services Response • May 10, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.

Customer Response • May 11, 2018

Complaint: ***

I am rejecting this response because: There was absolutely no evidence of *** elbow dysplasia prior to Petsbest effective coverage, and this diagnosis was entirely unexpected. As mentioned in our appeal, we were actively researching and attempting to buy insurance coverage for several months prior to the effective date of our Petsbest coverage, completely unrelated to the surprise appearance of minor elbow swelling just after the effective coverage began. We initially planned on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated. In addition, elbow dysplasia is specifically listed on the Petsbest website as a COVERED condition!Our surgeon concurs. When a pet is taken to the vet and is diagnosed with cancer, clearly it will have been growing for at least some length of time prior to evidence of illness, and Petsbest certainly covers cancer when the pet presents with initial symptoms of cancer. *** condition meets that same standard and should definitely be covered, as it was discovered and presented AFTER the waiting period.

Sincerely

Our rightful claim and appeal have been wrongfully denied.
Policy Number: ***
Claim Number: ***
If this is not covered by insurance, then what is? How we would ever know what lies beneath the surface when there is no outward indication of a condition? Elbow dysplasia is NOT an exempted condition; it is specifically included in the examples of covered conditions identified on the Petsbest website.
We noticed *** minor left elbow swelling coincidentally just after the 14-day insurance waiting period for illness and conditions ended on January 27th, 2018.
We had been researching and deciding on pet insurance for several months, initially planning on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated.
We assumed from our own brief, uneducated internet search that a hygroma or bug bite was the cause of the minor elbow swelling, as it was initially only on one side, with no lameness or pain. *** breeder, who has bred Rhodesian Ridgebacks for decades and is very active within the breed community, has never had elbow dysplasia in her well-documented line. *** was first seen on January 29th by West Seattle Animal Hospital, who then referred *** to Animal Surgical Clinic of Seattle. In the weeks following our noticing the minor swelling on the left elbow, the swelling became visible on both elbows and the CT then confirmed diagnosis of elbow dysplasia. *** still exhibits no lameness or pain. There are no plans for surgery. Veterinary clinic summaries have been emailed to Petsbest for all clinic visits, as well as detailed CT results.
Based on Petsbest's own definition, *** elbow dysplasia was not a pre-existing condition.

Pet's Best Insurance Services Response • May 08, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.
Illnesses are subject to a 14 day waiting period which is outlined on page 7 of your insuring agreement, entitled “Policy Benefits in Detail” under section:
2 C. WAITING PERIODS:
1. 14 days following the Policy Effective Date for any Illnesses and any related Conditions.
Illnesses present inside the waiting period are classified as pre existing conditions on page 18 of your insuring agreement, entitled “What Isn’t Covered” under section:
9 A. PRE-EXISTING CONDITIONS: In determining which Conditions are Pre-Existing, we look at the 18 months preceding the Policy Effective Date and exclude any Conditions that were Present during that period. Conditions that are Present during the policy Waiting Period described in 2.C. are also deemed to be Pre-Existing Conditions if they are Present at any time preceding the Policy Effective Date or the expiration of any Waiting Period.
Pre existing conditions are further defined on page 21 of your insuring agreement, in section 10 entitled “Definitions”:
10 S. PRE-EXISTING CONDITION: Any condition for which a Veterinarian provided medical advice, the Pet received treatment for, or the Pet displayed signs or symptoms consistent with the stated Condition prior to the effective date of a Pet insurance policy (Policy Effective Date) or during any Waiting Period.

We regret that we are unable to reprocess *** claims for payment. We are obligated to uphold the provisions of the policy.

Customer Response • May 08, 2018

Complaint: ***

I am rejecting this response because: Again, if this were a discovery of cancer symptoms, there would be no question. Our vets are adamant that this was not a pre-existing condition, by documented definitions according to Petsbest. Elbow dysplasia is specifically NOT an exempted condition, according to Petsbest.

Sincerely

Pet's Best Insurance Services Response • May 10, 2018

Medical records from West Seattle Animal Hospital dated January 29, 2018 document *** is presented for an exam due to a fluctuant swelling present over the left lateral elbow. Doctor's exam notes document pain reaction present upon flexion of both elbows and lists differential diagnosis including Elbow Dysplasia, Hygroma, or Traumatic Injury. Doctor prescribes rest, exercise restriction sedative and pain management with a recommendation for pet to be examined by an orthopedic specialist. Pet is seen at Animal Surgical Clinic of Seattle on February 27, 2018 for a CT scan of both elbows. The CT scan revealed "Moderate degeneration changes in both elbows. Large ununited anconeal process apparent bilaterally" and pet is definitively diagnosed with Bilateral Ununited Anconeal Processes (UAPs). w/ secondary elbow degenerative joint disease.
Based on the presentation of the symptoms of Elbow Dysplasia just three days past the expiration of the illness waiting period, must consider this chronic degenerative condition to have been present during the illness waiting period, if not present prior to policy purchase completely. Appeal review finds original denial of Elbow Dysplasia / Secondary Degenerative Joint Disease as a pre-existing condition to be correct.
After thorough review and consideration, we must uphold our previous claim decision. *** Elbow Dysplasia was present prior to the expiration of the policy waiting period, pre-existed your policy, and accordingly is not part of policy coverage.

Customer Response • May 11, 2018

Complaint: ***

I am rejecting this response because: There was absolutely no evidence of *** elbow dysplasia prior to Petsbest effective coverage, and this diagnosis was entirely unexpected. As mentioned in our appeal, we were actively researching and attempting to buy insurance coverage for several months prior to the effective date of our Petsbest coverage, completely unrelated to the surprise appearance of minor elbow swelling just after the effective coverage began. We initially planned on *** due to the Seattle Times recommendation, but when we tried to act on the *** quote we found out that *** was being audited and not currently issuing new policies. So, at that point we continued to research and bought Petsbest instead, since it was also highly rated. In addition, elbow dysplasia is specifically listed on the Petsbest website as a COVERED condition!Our surgeon concurs. When a pet is taken to the vet and is diagnosed with cancer, clearly it will have been growing for at least some length of time prior to evidence of illness, and Petsbest certainly covers cancer when the pet presents with initial symptoms of cancer. *** condition meets that same standard and should definitely be covered, as it was discovered and presented AFTER the waiting period.

Sincerely

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