Here is a list of definitions for some terms used in the Policy. Throughout this document, defined terms are capitalized where they appear.
A known event involving an external force, or any otherwise unexpected or unforeseen incident known to have occurred, which causes injury independent of all other Conditions.
All non-standard and/or non-traditional treatments, including but not limited to experimental treatments, treatments which are still in research or development phases, and homeopathic treatments. This also includes any treatments which are permitted to be administered without a veterinary license or the direct supervision of a Veterinarian, regardless of whether the treatment is actually performed by a Veterinarian or not. (Examples include but are not limited to: Stem cell therapy, laser therapy, physiotherapy, hydrotherapy, acupuncture.) If you do not know whether a treatment is classified as alternative therapy for Coverage purposes, please contact our office to request pre-authorization.
Annual Policy Period:
Period of one year, or part of a year, starting with the date this Policy was first issued, or starting with the effective date of a change in Coverage plan.
Any medical problem that is related to and/or caused by a primary medical Condition. This definition includes any medical Condition resulting from any Treatment, alternative therapy, medication, therapeutic diet, or diagnostic test for the primary or resultant secondary Associated Condition.
Any Condition which is primarily manifested through behavioural changes or abnormalities, or psychological impact, rather than through physiological changes or damage. Also any injuries which occur as a result of your pet’s behaviour, including but not limited to recurrent dietary indiscretions, recurrent foreign body ingestions, recurrent injuries caused by aggressive behaviour, or recurrent poisonings.
Any Condition affecting body parts of which Your Pet has two, one on each side of the body (examples: cruciate ligaments, ears, or eyes).
Changes in a Pet’s normal healthy state, bodily function, or behaviour.
The percentage of Your claim that You must pay before any applicable Deductible applies.
A Veterinarian’s examination of all of Your Pet’s major body systems. Such exam will at least include your pet’s weight, temperature, pulse, respiration rate, details about Your Pet’s heart and lung sounds, and an evaluation of Your Pet’s eyes, ears, nose, mouth, skin, lymph nodes, joints, and muscles.
All manifestations of Clinical Signs resulting from the same diagnostic classification or disease process, regardless of the number of incidents or areas of the body affected (example: all cancer is considered one Condition).
The insurance protection described in this Policy.
A fixed amount of Your insured expenses which is deducted from Your claim after Co-insurance has been applied. This amount is held back from reimbursement and must be satisfied by one or more claims prior to Us paying claims in any given Annual Policy Period.
Any Condition for which a veterinarian recommends treatment of the teeth and/or gums, including but not limited to scaling, polishing, and extractions, whether due to illness or trauma. Stomatitis will be considered a dental problem until such time as the diagnosis is confirmed by histopathology.
Ingestion of a food item which causes Illness or injury, or ingestion of a non-food item which does not require Treatment in order for it to pass through or be ejected from the gastrointestinal system. Dietary indiscretion will be considered an Illness rather than an Accident under this Policy.
An Illness, injury or other Condition that will not be covered under an individual Pet’s Policy.
Foreign Body Ingestion:
An incident in which Your Pet has ingested a non-food item which will not pass through or be ejected from the gastrointestinal system without Treatment specifically intended to expel or remove the item. Foreign body ingestion will be considered an Accident under this Policy.
Sickness, disease and any changes to a Pet’s normal healthy state. For the purposes of your Policy, the definition of Illness does not include Behavioural Problems or Dental Problems.
Petline Insurance Company.
The most We will reimburse to you, as set out and explained in the Summary of Insurance and the Schedule of Maximum Amounts.
Pre-existing or Foreseeable Condition:
A Condition which first occurred or showed Clinical Signs before Your Pet’s Coverage started or within the Policy waiting period, with or without a confirmed diagnosis. Pre-existing or Foreseeable Conditions will include Conditions previously treated by a Veterinarian or associated with Treatments provided through a shelter, breeder, or other resources, including the Pet owner.
Any Accident that happens more than once in the same Annual Policy Period, or happens in two or more consecutive Annual Policy Periods.
Schedule of Maximum Amounts:
The defined Coverages and limits applicable under the Policy, which are printed on the reverse side of the Summary of Insurance document.
Summary of Insurance:
The Policy page which identifies the Policy number, Your name and information, Your Pet’s name and information, the Coverage Plan, and the Policy effective date.
Veterinary care, hospitalization, dentistry, surgery, diagnostics, medication, nursing, specialist referral, medical devices, alternative therapies and behavioural therapies performed or personally authorized by Your Veterinarian.
An individual who is licensed to practice veterinary medicine in the province or territory in which he or she practices.
Veterinary care professional fees, hospitalization, dentistry, surgery, diagnostics, prescription medication, nursing, specialist referral, medical devices provided, performed, or personally authorized by Your Veterinarian.
We, Us, Our:
Petline Insurance Company.
The insured person(s) named in the Summary of Insurance.
The dog or cat named in the Summary of Insurance. Only domestic breeds of dogs and cats are insurable under this Policy.