Major Medical and Surgical
The Major Medical and Surgical endorsement offers reimbursement for veterinary treatments (both medical and surgical) for accidents, injuries, illness, or disease up to a limit. This endorsement does NOT reimburse maintenance veterinary costs. Please see examples of covered expenses below. This endorsement is NOT available on a stand-alone basis, but it can be added to a Full Mortality policy.
What you need to know:
Deductibles apply per-incident. This means you are responsible for the deductible amount for each claim (not each veterinarian visit) before the policy will respond.
Most companies also require a copayment percentage on either diagnostics and/or treatment - between 20% – 30%.
Claims must be reported immediately within the policy period. (Available for claims 24/7.)
Pre-existing conditions may NOT be covered, whether or not a claim was ever filed. Companies will review a horse’s health history on a case-by-case basis to determine the exclusions.
Most (but not all) insurance companies will restrict the medical limits to the insured value of the horse. For example, a horse insured at a $10,000 value can only have medical coverage limits up to $10,000.
Some of the expenses that will NOT be covered under Major Medical:
Maintenance costs:
Annual exam
Vaccines
Coggins test
Deworming
Dental Float
Farrier work
Joint injections
Transport:
Vet Farm call fee
Trailering to clinic
Equine ambulance
Shipping costs for Lab work
Alternative Therapies:
Massage therapy
Acupuncture
Chiropractic work
Rehabilitation therapy
Elective surgery:
Castration or Ovariectomy (unless medically necessary)
Cosmetic procedures
Routine Dental procedures
A few examples* of covered veterinary expenses, unless Pre-Existing or Excluded:
*subject to application and not limited to the following.
Diagnostic tests:
Bloodwork
Lameness exam
Scope
Ultrasound
MRI
Radiographs
Bone scan
Veterinary Treatments for:
Colic
Lameness
Lacerations
Punctures
Soft-tissue strains
Laminitis (Founder)
Ulcers
Respiratory infections
Eye injury / diseases
EPM
Neurological disorders
Fractures
Pneumonia
Infections
Diseases
Dental issues (other than routine)
Surgeries for:
Colic
Fractures & bone chips
Orthopedic repair
Ocular repair
Respiratory surgery (other than routine)
Tumor removal