Insurance
Deductibles, reimbursement and annual limits, explained
Your deductible is paid first, your reimbursement rate sets the share you get back after that, and your annual limit caps the total the plan pays in a year.
A worked example
Vet bill: $2,000
Deductible not yet met: $250
Reimbursement rate: 80%
You get back: ($2,000 − $250) × 80% = $1,400
You pay: $600
Choosing a deductible
A higher deductible lowers your monthly premium but means you pay more before coverage starts. Pick an amount you could pay without stress.
Choosing a reimbursement rate
A higher rate means more back on every claim and a higher premium. Many owners choose 80% as a middle ground.
Choosing an annual limit
The limit is the most the plan pays per year. In a high-cost city like New York, a low limit can run out quickly after a single surgery, so weigh it carefully.
Frequently asked questions
Is the deductible per year or per condition?
It depends on the plan. Most use an annual deductible, but some use a per-condition deductible. Check the policy.
Does a higher reimbursement rate cost more?
Yes. Higher reimbursement raises the premium, and a higher deductible lowers it.