ASPCA Pet Insurance Is Engaging in Bad Faith Claim Denials Pet owners need to be warned—ASPCA Pet Health Insurance refuses to honor valid claims and will shift excuses to avoid payouts. My dog, Ash, suffered an acute ACL tear after slipping—a sudden accident. As a retired veterinary technician, I have personally assisted in ACL surgeries and know this was trauma-induced, NOT a progressive condition. ASPCA first denied coverage by falsely calling the injury an illness, despite veterinary documentation confirming it was an accident. When I challenged their reasoning, they changed their excuse, now claiming the medical records did not specify BOTH a timestamp AND exact location. The medical records clearly state: "Presented for limping on right rear leg since yesterday, after slipping…Lame right rear - ACL tear." When I demanded a policy citation proving their timestamp/place requirement, they refused to provide one. Instead, they responded with: "You can reply to this email with any concerns, and they will be forwarded to our management team. If you prefer, you can send your concerns in writing to our office." ASPCA would rather deflect and stall than fairly review claims. Their tactics are clear: ❌ Ignore veterinary evidence ❌ Shift denial reasons instead of applying consistent policy terms ❌ Refuse to cite an actual exclusion supporting their decision I have filed a complaint with the Illinois Department of Insurance (IDOI) and will be sharing my experience widely to warn others about their unethical practices. If you have coverage through ASPCA, be cautious—they will do anything to deny a legitimate claim. Has anyone else had similar issues with pet insurance companies? Let’s talk. People deserve transparency, and our pets deserve the coverage we paid for.

I purchased Lemonade insurance for my mother’s dog last year because she thought he was having seizures. However he wasn’t. I put his age as the same as my dog. Because that is what I truly thought it was and he’s actually 8. Back story we “inherited” him and really didn’t know his age so truly was a guess. Anyways fast forward to this past week. He became very ill and has had to spend the last 3+days in the emergency vet cost approx 7k and now I’m have a full blown panic that because the ages don’t align they going to completely null and void my policy and not cover any of his medical bills

Location: Georgia, USA Hello everyone- My brother was in a motorcycle accident April 6, 2024. He was in ICU for a month and discharged in July, 2024. During that time he did not have his phone, access to email, or ability to check standard mail. My brother was a PE Teacher and football coach in the state of Georgia for 27 years. All of his insurance premiums were paid for once a month in his paycheck. The state of Georgia agreed to early retirement with benefits beginning July 2024. Blue Cross informed him last month they were dropping his insurance for delinquent payments. His appeal was denied. My brother is looking into COBRA as well as ACA. Does my brother have a case agains Blue Cross? What steps should he take to have Blue Cross reinstate him? Thanks!

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance

Location: Michigan At a loss here. Just received a statement from my health care provider that BCBS denied my iron infusion from January and that I owe $11,000. I had iron deficient anemia during my pregnancy and iron pills didn’t do anything to raise my levels so my doctor ordered iron infusions. I didn’t think anything of it as during my first pregnancy in 2023, I also had iron deficient anemia and my iron infusions were covered by my insurance but it was through a different health care provider. BCBS is claiming that the treatment I received for iron deficient anemia isn’t covered. The procedure was coded as q0138. Do I appeal? Do I call my health care provider and see if they coded this wrong? Owing $11k for something that’s been covered before is stressing me out. I never would have agreed to iron infusions if I had known it would be denied. I cannot afford an $11k bill…

I got an email for my claim today saying my cat showed signs for diabetes at her exam in sept (I posted a pic of the exam notes on left and the email from embrace today on right). I don’t see anywhere it says she had diabetes. She was throwing up, but vet never said she showed signs of diabetes. My cat became diabetic late Jan, early Feb and is already in remission. Should I fight this (get a note from the vet)? Has anyone heard of successful stories?

It takes them weeks to review claims. My dog had a diarrhea cause by a bacteria. My claim and appeal got denied because my dog had a diarrhea in 2021 and needed to prove that it’s not related. I even got a letter from my vet saying it’s a bacterial infection

Hi, I'm trying to reduce the chances that the insurance company not counting the copay card payments toward my deductible or out-of-pocket maximum. Does using their specialty pharmacy make that more likely? In other words, are they more likely to side with the insurance company? I'm with Anthem through the exchange, and their specialty pharmacy is Carelon. I read that accumulator programs have been banned in Nevada starting in 2025, but even the representative I spoke with at Carelon said that's not the case. thanks Matt

Hi all, I have been losing my mind trying to figure out which coverage would be best for my pup. He is a 1YO chihuahua/poodle mix who was rescued off the side of the road at 3 months with a broken hip. He has had FHO surgery which did seem to help reduce his pain and allow him to put more weight on the limb (left hindleg). He loves running and jumping around and generally acts like a happy puppy, but will likely always walk with a limp. I'm aware he may develop issues as he gets older from compensating. We currently have Pets Best, which we have not had a good experience with. We have sent them the same documents three times and every time they said they did not receive it, even when I'm actively looking at the email to their claims department while on the phone with them. Then it takes a full two months for them to review the documents, only for at the end of two months for them to close my claim because they did not receive my documents.... and thus the cycle continues....... Which insurance would you recommend? Should I just suck it up and accept that I'm likely going to have to pay in full for any orthopedic issues? I'm happy paying on the higher end ($70-$100 a month) for more full coverage that would include exam visits, medications, etc, but I'm having a hard time figuring out which insurance would work best for my pet. Any advice y'all have to give would be greatly appreciated and save me hours of going down this rabbit hole!!!