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Can someone explain major medical to me in layman's terms?

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Last activity 2015-02-11 1:56 PM
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Longneck
Reg. Mar 2004
Posted 2015-02-10 9:50 AM
Subject: Can someone explain major medical to me in layman's terms?


Rad Dork


Posts: 5218
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Location: Oklahoma
I know it will vary by company, but what does it generally cover? 
Medications? I.E. EPM, Allergy desenentizing, etc 
Treatments? I.E. Shockwave, Injections, etc.
Diagnostics? I.E. Lameness Locators, X Rays, Ultrasounds, etc. 

Or is it mostly for surgery?

 
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horsegirl
Reg. Feb 2004
Posted 2015-02-10 9:56 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



The One


Posts: 7997
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Location: South Georgia
It covers anything that is not routine, expected, routine, procedures--that is what major medical is in layman's terms. The coverage varies depending on company. I had mine pay for GastroGard, endoscopic scoping, a traveling emergency vet hospital visit, stitches for a leg cut, etc.

Edited by horsegirl 2015-02-10 9:57 AM
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EmtRoper
Reg. Jul 2012
Posted 2015-02-10 10:07 AM
Subject: RE: Can someone explain major medical to me in layman's terms?


Extreme Veteran


Posts: 399
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Agreed that it varies from company to company. Mine covered the Xrays for my horse and his first set of injections to make him not Ouchy but it would not cover any more injections after that because they classified them as "Elective". But they covered for when he was super sick and had to be admitted to the hospital for a week I only had to pay the deductible out of pocket which was like $350.00. This was MUCh better than the $5000 bill I would have had after IV antibiotics and board and such.
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dianeguinn
Reg. Oct 2003
Posted 2015-02-10 10:12 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



Lady Di


Posts: 21556
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Location: Oklahoma
horsegirl, who is your insurance with and how much is it?
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Longneck
Reg. Mar 2004
Posted 2015-02-10 10:32 AM
Subject: RE: Can someone explain major medical to me in layman's terms?


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
dianeguinn - 2015-02-10 10:12 AM horsegirl, who is your insurance with and how much is it?

I would love to know as well!!

Will they let you go to any vet clinic, or are there certain ones you're limited to like with human insurance? 
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horsegirl
Reg. Feb 2004
Posted 2015-02-10 10:59 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



The One


Posts: 7997
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Location: South Georgia
dianeguinn - 2015-02-10 11:12 AM horsegirl, who is your insurance with and how much is it?

I havent had a horse in a little while, but it was Dobbs Equine Insurance, and I do not recall the rate. I did, however, research like crazy finding the best rate, so at the time it was quite competitive. They are show people. Courtney Clagg was my agent.  http://www.dobbsequineins.com/

Highly recommend them! I had MANY claims and they were awesome to work with.
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horsegirl
Reg. Feb 2004
Posted 2015-02-10 11:00 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



The One


Posts: 7997
50002000500100100100100252525
Location: South Georgia
Longneck - 2015-02-10 11:32 AM
dianeguinn - 2015-02-10 10:12 AM horsegirl, who is your insurance with and how much is it?
I would love to know as well!!



Will they let you go to any vet clinic, or are there certain ones you're limited to like with human insurance? 

Any vet, I believe. I say that because they never dictated who I could use. My vet just sent them in the invoices. My vet was very aware of how to handle insurance billing, etc. If you use a back-woods vet, maybe you'd have a different experience.  I never had to do a thing, my vet handled all of the billing.
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Longneck
Reg. Mar 2004
Posted 2015-02-10 11:32 AM
Subject: RE: Can someone explain major medical to me in layman's terms?


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
horsegirl - 2015-02-10 11:00 AM
Longneck - 2015-02-10 11:32 AM
dianeguinn - 2015-02-10 10:12 AM horsegirl, who is your insurance with and how much is it?
I would love to know as well!!



Will they let you go to any vet clinic, or are there certain ones you're limited to like with human insurance? 
Any vet, I believe. I say that because they never dictated who I could use. My vet just sent them in the invoices. My vet was very aware of how to handle insurance billing, etc. If you use a back-woods vet, maybe you'd have a different experience.  I never had to do a thing, my vet handled all of the billing.

Thank you!  I will call and check with the vet.  They're a pretty good sized clinic, so I hope they are well versed! 
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TurnLane
Reg. May 2007
Posted 2015-02-11 11:53 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



Pork Fat is my Favorite


Posts: 3791
20001000500100100252525
Location: The Oklahoma plains.
Mine covered Xrays, MRI, ultrasound, stem cells, exams.I know many who had EPM and ulcer issues that were covered. As far as injections, mine didnt cover them except the stem cells injections or PRP (but I didnt use PRP).

Now your horse has to be insured for over $20k for mm. I am sure I am part of the reason, lol. I had a prospect covered for less that paid out more in claims than insured value. But another option is a surgical policy instead of MM. It is $150. Deductable is $250 and they pay up to $7500 per procedure with a cap of 2 per year. Keep in mind, colic surgury is typically covered with your mortality up to $3500+
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TurnLane
Reg. May 2007
Posted 2015-02-11 11:54 AM
Subject: RE: Can someone explain major medical to me in layman's terms?



Pork Fat is my Favorite


Posts: 3791
20001000500100100252525
Location: The Oklahoma plains.
And I chose a different vet to treat than the vet that diagnosed. It was easy peasy to use and worth every penny. 
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Longneck
Reg. Mar 2004
Posted 2015-02-11 1:48 PM
Subject: RE: Can someone explain major medical to me in layman's terms?


Rad Dork


Posts: 5218
5000100100
Location: Oklahoma
TurnLane - 2015-02-11 11:53 AM

Mine covered Xrays, MRI, ultrasound, stem cells, exams.I know manyΒ who had EPM and ulcer issues that were covered. As far as injections, mine didnt cover them exceptΒ the stem cells injections or PRP (but I didnt use PRP).

Now your horse has to be insured for over $20k for mm. I am sure I am part of the reason, lol. I had a prospect covered for less that paid out more in claims than insured value. But another option is a surgical policy instead of MM. It is $150. Deductable is $250 and they pay up to $7500 per procedure with a cap of 2 per year. Keep in mind, colic surgury is typically covered with your mortality up to $3500+

darn those M/T minimums!!
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horsegirl
Reg. Feb 2004
Posted 2015-02-11 1:56 PM
Subject: RE: Can someone explain major medical to me in layman's terms?



The One


Posts: 7997
50002000500100100100100252525
Location: South Georgia
TurnLane - 2015-02-11 12:53 PM Mine covered Xrays, MRI, ultrasound, stem cells, exams.I know many who had EPM and ulcer issues that were covered. As far as injections, mine didnt cover them except the stem cells injections or PRP (but I didnt use PRP).



Now your horse has to be insured for over $20k for mm. I am sure I am part of the reason, lol. I had a prospect covered for less that paid out more in claims than insured value. But another option is a surgical policy instead of MM. It is $150. Deductable is $250 and they pay up to $7500 per procedure with a cap of 2 per year. Keep in mind, colic surgury is typically covered with your mortality up to $3500+

Mine was insured for $5,000. 
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