Maximum Payout Per Incident

by Pawlicy Advisor
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Maximum Payout Per Incident

What is a Maximum Payout Per Incident?

The maximum payout per incident is the maximum amount of money that a pet insurance provider will reimburse you per incident. For example, Your pet could break a bone for one incident, then later have an unrelated infection that’s considered a separate incident and requires a new insurance claim. The maximum payout per incident is a restriction on how much money you can receive for reimbursed veterinary costs due to an accident or illness, depending on the terms of your insurance policy.

How Maximum Payout Per Incident Works

This restriction works differently than the maximum payout per year, a clause in most pet insurance policies that caps how much money a policyholder can receive in claims for a given year. After you’ve hit the maximum amount for a given incident, you will not receive additional reimbursement for that particular claim. However, you’ll still be eligible to receive financial assistance for future health issues that may arise, provided that they fall within your plan’s coverage and you haven’t hit the annual max. Remember to always read the fine print when you compare pet insurance policies so that you know exactly what to expect from your provider later on down the road.


Key Takeaways

  • A maximum payout per incident is a ceiling set on how much money you can receive in reimbursed veterinary expenses for any given pet insurance claim.
  • Incidents refer to individual occurrences of accident or illness that befalls onto your pet.
  • Once you’ve hit the maximum payout per incident, you will not receive additional compensation for the costs you incurred for treatment of that ailment, but you may still qualify for financial assistance if your pet experiences another health issue later in the year, so long as you have not reached your annual maximum payout.

Related Terms

Multi-Pet Discounts
Multi-pet discounts are offered to pet owners who insure multiple pets under the same insurance provider.
Read More.
Out-of-Pocket Costs
In pet insurance, out-of-pocket costs are expenses that you, the pet owner, must pay for without reimbursement from your insurance company.
Read More.
Payment Processing Fees
Payment processing fees are fees charged per transaction that cover the cost of your credit card being processed for the payment of a good or service. Many pet insurance providers charge policyholders a payment processing on top of their monthly premium.
Read More.

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