petplan 的claim 经过

carl1985 · 发表于 2014-10-30 11:23:21

这个得好好学习一下啊，请问楼主怎么像FOS投诉，可否给个投诉样本看看我家Samuel的腿骨折，这前前后后各种拍片绷带啥的都过$1000，再过两周就可以再次拍片看看好了没有也买的Petplan的保险，就怕这公司赖账，保险公司没一个不精明的

jackotman · 发表于 2014-10-30 11:06:36

胡须康发表于 2014-10-30 12:40
感谢lz分享，希望狗狗早日康复
请问这个claim的表格是你自己填的还是专科医生填写？
康康上次看牙，洗牙拔 ...
claim form 医生部分是医生填的。

jackotman · 发表于 2014-10-30 12:15:34

本帖最后由 jackotman 于 2014-10-30 14:26 编辑
carl1985 发表于 2014-10-30 14:11
这个得好好学习一下啊，请问楼主怎么像FOS投诉，可否给个投诉样本看看我家Samuel的腿骨折，这前前后后各 ...也没有什么模板。但是你要自己列一下。那天发生了什么事情。 vet 对你说什么。还有就是你要问vet 要他们的notes.因为这些notes会给保险公司的。如果notes上有什么对你不利的，你要及时对vet 说。让他改。就譬说, notes 上说什么你狗原来就有这个病啊。我们不推荐但owner 一定要做手术啊。什么什么的。因为这是保险公司不索赔的理由。下面是我些给保险公司的投诉信。请不要转载。（英语不好，有语法错误不要笑话）Dear Petplan Claim team
I am writing to express my deep dissatisfaction for your recent decision about rejecting my insurance claim for the Veterinary Fees of diagnostic and treatment for Tank’s illness (Hip laxity/early hip dysplasia).
Based on the letter dated on 20th Aug 2014, you wrote that the reason for rejecting my claim is due to:
"We are sorry we cannot pay this claim as the procedure you's submitting a claim for is a preventative surgery for hip dysplasia."
And also in the letter you refer me to page 8 of petplan PDS – exclusion point 3 (cost for Preventative) and point 4 (cost of elective procedures)
However I believed that your dec

carl1985 · 发表于 2014-10-30 12:40:33

jackotman 发表于 2014-10-30 13:17
也没有什么模板。但是你要自己列一下。那天发生了什么事情。 vet 对你说什么。
太好了，谢谢！Samuel从小都是这个VET的常客了，VET里所有的人都喜欢它，觉得他的性格太好了，一点都不像Rottweiler那么难以掌控，而且VET我经常看的医生也很积极的让我拿form给她，她会填好但就是怕保险公司没事乱推卸，所以也得留一手。祝愿你家宝贝早日康复，你们做这个手术后，前三个月的伺候几乎决定了狗狗后面的恢复程度啊

jackotman · 发表于 2014-10-30 14:11:04

FOS 的信
1.       5/July/2014 My dog Tank shows lameness and hip pain during the regular dog walking.
2.       5/July/2014 Tank was taken to Castle Hill Veterinary Hospital to exam the hip condition and I was informed the lameness may be  caused by strain or dysplasia or other orthopaedic disease. Tank requires anaesthesia and X-ray check ASAP to detail diagnostic and eliminate the possible hip dysplasia.I was given Meloxicam for short team treatment.
3.       8/July/2014 I called Petplan, asking whether anaesthesia and X-rays will be covered. Petplan informed me the only decision will make after they received the claim form. However, if the anaesthesia and X-ray are parts of diagnostic of illness, then it should be covered.
4.       10/July/2014 Anaesthesia and X-rays for Tank was taken and Hip Laxity/early stage of hip dysplasia is confirmed by vet. I was told that JPS is one of the best option for the treatment. To be decide the necessity of the surgery, Tank was referred to Parr

jackotman · 发表于 2014-10-30 14:14:01

carl1985 发表于 2014-10-30 14:26
太好了，谢谢！Samuel从小都是这个VET的常客了，VET里所有的人都喜欢它，觉得他的性格太好了，一点都不 ...
我家狗狗在家休息了2周就好了。现在活蹦乱跳的。呵呵。我写出来主要是为大家提个醒，不要被保险公司转空子

sure718 · 发表于 2014-10-30 15:24:43

jackotman 发表于 2014-10-30 10:06
JPS 最好在4个月前做最好。最晚不能超过5个月。医生拍了片子看了就知道能不能做了。关键看狗狗的盆骨 ...
我家nana小姐，是不到4周，准备做desex时，vet的人推荐我做jps的，我又问了做医生的朋友，她又去问了专科，说拍x光以后计算风险，然后俺家的是高风险，就做了。现在还不知道petplan给不给报呢，准备这几天把表格寄回去。