Please note that claim refunds vary based upon your policy, deductible choices, and co-insurance.
Policies Serviced by Rainwalk Technology, Inc. or Kanguro Insurance LLC
Say your pet is diagnosed with a condition covered by your policy and needs treatment. Here's what you'd get back with a standard policy that has a $20,000 annual coverage limit, 90% reimbursement percentage, and a $250 deductible:
| Cost to treat | $5,000 |
| Deductible | −$250 |
| Amount Insurances Pays (90%) | × 90% |
| Total reimbursement | $4,275 |
| Your out-of-pocket expense (deductible + 10% of bill) | $725 |
Policies Serviced by Odie Pet Insurance
Odie uses a co-insurance-then-deductible method to calculate claim refunds. We first review all line items to determine what's eligible for coverage under your plan, then subtract co-insurance from the covered charges, and take any remaining annual deductible from what's left.
For example, say you've selected a $950 annual deductible and a 90% reimbursement plan:
| Actual vet bill | $1,500 |
| 10% co-insurance (90% reimbursement) | −$150 |
| Remaining annual deductible | −$950 |
| Reimbursement amount | $400 |
You submit a $1,500 bill. First, the 10% co-insurance ($150) is subtracted, leaving $1,350. Then the $950 deductible is subtracted, for a total reimbursement of $400.