Exclusions
Conditions
Expectations
Famous Dogs and Cats
MISC
100
Cupcake is guarding the shop like she does every night, when she is injured by burglars. The injury occurred outside the WP. This would be our coverage decision for the treatment of her injuries.
What is DENIED? Exclusion 31 Costs or fees for Treatment of Injury or Illness arising out of racing, coursing, commercial guarding, organized fighting, or any other occupation, professional, or business use of Your Pet.
100
The only vaccine specifically called out as required by the policy.
What is the borrelia (lyme) vaccine?
100
This is how long we have to forward preferred payment info to Julie, and what will happen if we miss it.
What is no specific time frame. We should send them as soon as we get them. If we don't send, their payment will default to check after 7 days.
100
In the cartoon Scooby Doo, this is the name of Scooby's nephew. PUPPY POWER!
Scrappy Doo
100
This is the length of the waiting period for cancer coverage
What is 30 days?
200
Goober was 2 weeks old at his PID. 3 weeks later, after the WP expired, Goober was diagnosed with parvo. There are no pre-existing condition concerns. This would be our coverage decision for Goober.
What is DENIED? Exclusion: Costs or fees for any Loss if Your Pet is less than six (6) weeks old.
200
This is what happens if there is a gap in coverage and a new policy is taken out.
What is previous covered items are now pre-ex?
200
Our quality percentage goal.
What is 95%?
200
Sing a song lyric containing an animal. In front of your coworkers. Right now.
200
This is the proper order for applying deductible and copay to reimbursement totals.
What is deductible, then copay?
300
Pet has a ruptured left CCL prior to PID. 8 months into the policy, the right CCL ruptures. Their DVM recommended TPLOs for both legs, and neither has been performed yet. This is what we would cover for this pet's CCL tears.
Nothing. PH did not follow the DVM recommendations to have the left leg done, so there is no coverage for the right leg.
300
This is the age of a cat when the policy conditions require PH to comply with their vet's senior wellness testing.
What is 10 years?
300
Wagmo has already requested records once before we receive the claim. This is how many attempts we should make.
What is 3? The Wagmo attempts do not count toward our required 3 attempts.
300
Hagrid's dog.
What is Fang?
300
This number is the lifetime limit per pet.
What is $100,000.00?
400
The only procedure listed in the exclusions that requires pre-approval from Wagmo.
What are Organ Transplants?
400
This is how long PH has to submit a claim after the policy expires.
What is 90 days after the policy expiration date?
400
This is the high end of our claims per week goal.
What is 75?
400
This U.S. President's bull terrier, Pete, ripped the pants off of a French ambassador at the White house.
Who is Theodore Roosevelt?
400
This is the total to be entered as the damage assessment.
What is the total covered expenses before deductible and copay?
500
True or False? Training classes can be covered if they provide a letter from their veterinarian stating it is medically necessary.
What is... FALSE
500
This is the Wagmo policy's definition of CURED.
What is: A temporary Illness or Injury that is resolved without recurrent symptoms or continuing Treatment for at least twelve (12) months. Knee or ligament Injuries or Illnesses and hip dysplasia cannot be Cured. ?
500
This is how to handle a deposit only invoice.
What is close the claim as record only, send an email to the PH to inform that the claim is closed and to re-file once the services are rendered as the final invoice is needed to adjudicate?
500
December 22, 2001 saw the first cloning of a feline, named CC, which stands for this.
What is Copy Cat?
500
The waiting period for CCL, MPL, or any other soft tissue disorders of the knee, and what PH can do to avoid that waiting period.
What is six months after policy inception and obtain an exam within 30 days of PID that specifically states their pet does not have any pre-existing conditions relating to the knees.