Complaints
Customer Complaints Summary
- 8 total complaints in the last 3 years.
- 4 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:07/09/2025
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Bought paw protection pet insurance on 7/6/25?for two dogs. Paid $150.00upon reading more about the company I felt that I was scammed . I called paw protect 7/7/25 7/8/25 7/9/25 all of the calls I spoke with a woman and said I want to cancel the policy as the terms are unclear and connection a stranger company to my bank accounts leaves me vulnerable to thief. They put me on hold and never came back . Now I know I have been robbed . I tried the website and nothing I do gets me into it to find a cancellation tab! Calling gets me no where. They are 9 to five what if a dig is sick after hours ? I get no assistance or reassurance during those times . Dogs can only get help if they get sick between 9 to five . There are co traditions regarding they pay the vet indirectly . On the other hand they state the dog owner must lay first and maybe paw protect will pay me back!! Embrace I surace and paw protect are robbing my money and I will not let them get there hands directly into my bank because they robbed me ! The rude and conning customer service reps know exactly what they are doing ignoring my calls and ripping me off with inconsistency in their rules . They need to be sued arrested and shut down . I’m writing the attorney general too . Then I’ll sue in court for fraud wire fraud and extortion . Embrace ins the parent company are doing the exact same thing stonewalling my right to cancel ! Both are conning me out of my money and health coverage if my pets . This company is a scam of all scammers and I’ll put every federal agency out there responsible to protect me from con artist thieves stealing. Y money and causing my dogs to suffer being robbed by law protect and bad reviews scam artist long con . I demand my money back in full they have 24 hours to return every dollar and purge my data and personal info or I sue them for $150 million dollars in courtBusiness Response
Date: 07/14/2025
Dear Better Business Bureau,
Paw Protect is responding on behalf of American Modern to
the complaint filed by Lorraine Koebel on July 9th, 2025, regarding
the above-captioned matter. Paw Protect is fueled and managed by Embrace Pet
Insurance.
Thank you for the opportunity to address the concerns shared
with your office. Ms. Koebel’s policy was canceled per her request on July 9th,
2025. The premium amount of $149.94 was refunded to her account on file on July
10th, 2025 and we have removed all her data from our system as a
final resolution to this case.
Please be advised that the information contained herein is
meant to be responsive to your inquiry. It is not meant to constitute or be
construed as a waiver of any other defense available to the Carrier. The
Carrier expressly reserves all rights to assert any provision, limitation or
defense provided for under the Policy and/or applicable law.
If anything further is required, we are happy to
assist.
PAW PROTECTCustomer Answer
Date: 07/15/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
What a bunch of nothing in their response . Double talking legal smack. They did answer any concerns typical
* ******
Regards,
******** ******
Initial Complaint
Date:12/17/2024
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I was 2 months behind with my payment. I reached out to their customer service last 12/13/2024 @ 11:52 am EST requesting for assistance in updating a payment method and asked if they can take 1 payment that day and another on 12/21/2024. The CSR I spoke to advised that per her lead they do not have an option to do that. I asked then if I could just make the payment for the 2 months on 12/21/2024 instead, they have agreed and approved and advised that if a payment is not made on 12/21/2024 the plan will be cancelled.
Last 12/15/2024 I woke up and my bank was negative $435 because *** ******* took out the payment instead of 12/21/2024 like we have agreed.
I could not call anyone since it was a Sunday and they were closed. I had to wait early morning of 12/16/2024 only to be told that of course they were sorry and it was a system glitch!
Since I do not have funds to cover the fees they took out I will be overdrafter until 12/20/2024 and my bank charges $34 daily if i am overdrafted by more than $50.
Horrible customer service and horrible way to treat their members and no one even wants to take ownership of this error and at the end of the day I am being penalized for someone else's negligence and incompetence. The lead who approved this should be liable since the lead should have made sure that the payment will be taken out on 12/21/2024 since it was the lead who approved it.
I ended up missing work last 12/16/2024 trying to take care of the mess they did which I had to use 8 hours of my PTO.Business Response
Date: 12/20/2024
Dear ********,
Upon reviewing
your account, we do see that this matter has already been escalated to a
manager in our Contact Center. We see that you have continued to be in contact with this team member both via email and phone call regarding the concerns outlined in this complaint. We hope that our resolution that is in progress regarding this situation has been determined to be satisfactory.Regards,
The Embrace Team
Customer Answer
Date: 01/02/2025
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
Regards,
******** ***** *****Initial Complaint
Date:11/28/2024
Type:Product IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
On 11/28/24, Embrace (Paw Protect) charged my card in the amount of 249.69 after I have stated that I no longer wish to be insured by them.
I have placed a lock on my credit card but they (Embrace) authorized my card to process the transaction for 249.69.
Unfortunately, this is a very unscrupulous company that changes names at least once every few years. I wish to report them for their fraudulent billing practices and request a refund for the above mentioned money.Business Response
Date: 12/03/2024
Complaint ID: ********
Dear Better Business Bureau,
Embrace Pet Insurance is responding to the complaint filed
by Mr. Julio Perez on 11/28/24 regarding the above-captioned matter.
Thank you for the opportunity to address the concerns shared
with your office. We have responded to *** ***** directly as we are prohibited
by law from releasing personal information without a signed third-party release
and we will move forward with the cancellation of his policy.
Please be advised that the information contained herein is
meant to be responsive to your inquiry. It is not meant to constitute or be
construed as a waiver of any other defense available to the Carrier. The
Carrier expressly reserves all rights to assert any provision, limitation or
defense provided for under the Policy and/or applicable law.
If anything further is required, we are happy to
assist.
EMBRACE PET INSURANCEInitial Complaint
Date:10/04/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
7/1/2024: Pet Insurance Claim ***********: $1,539.62
7/1/2024: Pet Insurance Claim ************ $450.43
8/30/2024 Pet Insurance Claim *********** $1,089.19
Total of $3079.24 of claims they have refused to cover
Claims denied due to pre-existing condition of vomiting which was originally described to us that if it was related to a chicken allergy it would not be covered, or because of a parasite. We have multiple MD records stating that these issues are neither of these things and they continue to come back reporting that they will not cover anything related to vomiting, even to the point of telling us that if our dog was diagnosed in a few years with stomach cancer and caused vomiting that it would not be covered. They have misrepresented coverage, we have been told different things from different adjusters, we have had to file appeals multiple times because their customer service representative did not follow through. We are hoping to be recouped for our money. We have now cancelled our policy with them because there is no point in paying for an insurance policy when they have refused to cover nearly all of our claims.Business Response
Date: 10/29/2024
Dear BBB,
I would be happy
to discuss the case with you. ******** policy started on 11/25/23 and the
waiting periods ended on 11/27/23 (accidents), 12/9/23 (illnesses), and 5/25/24
(orthopedic conditions). Our policy requires a medical review for all pets
before we can process an illness claim, so we can determine any pre-existing
conditions since those are excluded from coverage. This
review can be requested by the policyholder during or after signup and if not
requested, it is not completed until the first eligible illness claim is
received.*** **** requested a medical review for ******, which was completed on 1/31/24 and
he was sent an email outlining any pre-existing conditions on the policy. The
email provided listed several pre-existing conditions, including a food allergy,
roundworm infection, giardia infection, and undiagnosed vomiting. A
pre-existing condition also excludes any related conditions or clinical signs
and with the vomiting exclusion specifically, because vomiting is pre-existing,
all conditions to which vomiting is a clinical sign are also excluded from
coverage. I have included the relevant terms and conditions below.FROM
YOUR TERMS AND CONDITIONS DOCUMENT:
PART
I – DEFINITIONS
8.
Chronic Condition is a detectable condition that, once developed, is deemed
incurable or likely to continue for the remainder of a Pet’s life.
10.
Clinical Signs means changes in a Pet’s normal healthy state, bodily function
or behavior observed by you, a Veterinarian, or other observer.
27.
Pre-existing Condition(s) means:
a.
A Chronic Condition observed by you or your Veterinary Provider prior to the
end of the Waiting Period for your Pet(s) and any related conditions: or
b.
An Illness or Injury that first occurred or showed Clinical Signs prior to the
end of the Waiting Period for your Pet and any related conditions.
c.
Undiagnosed conditions with the same Clinical Signs as those in a. or b. above
are also considered pre-existing.
29.
Temporary condition means an abnormal clinical sign or diagnosis, which is
likely to resolve. A Temporary Condition may become a chronic condition.
31. Undiagnosed means the underlying of
causative condition has not yet been identified.
34.
Waiting Period means the time period where the policy’s Coverage is restricted.
For this policy, the time period is two (2) days for Injuries and fourteen (14)
days for Illnesses, except for Orthopedic conditions for dogs where the Waiting
Period is six (6) months.
The
Waiting Period starts from the Pet Original Start Date. Conditions that occur
during the Waiting Period will be excluded from your policy’s Coverage as
Pre-existing Conditions. The Waiting Period also applies to Coverage increases
but is waived for policy renewals and Optional Coverage renewals.
PART
IV – EXCLUSIONS
1.
Pre-existing Conditions:
For
the purposes of these exclusions, Temporary conditions that started prior to
the end of the Waiting Period that have not shown any Clinical Signs for a
period of twelve (12) consecutive months shall not be considered Pre-existing
Conditions. Specific situations include but are not limited to:
ii. If your Pet has been treated for
Undiagnosed vomiting and/or diarrhea prior to the end of your Pet’s Waiting
Period, your Pet must be free of conditions with the same Clinical Signs for
twelve (12) consecutive months before any conditions with the same Clinical
Signs may be covered again.
Mr.
Winn submitted a claim for ****** for 7/1/24 with a diagnosis of diarrhea. A fecal
sample was not run on this date and because diarrhea is a clinical sign of
roundworms and giardia infections, we were unable to cover the claim due to
roundworms and giardia being pre-existing conditions and not being able to be
ruled out as a cause. Another claim was submitted for 8/30/24 with diagnoses of
diarrhea and vomiting. Again, a fecal was not done on this date to confirm the diarrhea
was not due to giardia or roundworms. Since roundworms, giardia, and vomiting
are all pre-existing conditions, this claim was also not eligible for coverage.
Additionally, for the claim for 8/30/24, a food allergy causing the gastrointestinal
signs was also not ruled out, so since the issues could have been related to
this pre-existing condition as well, coverage was not able to be provided.An
appeal was submitted for both claims and the information was reviewed by an
adjuster and our chief underwriter. Unfortunately, they were unable to overturn
the claim decisions. While the underwriter agreed that the food allergy and
parasites were unlikely to be the cause of the gastrointestinal issues, vomiting
is still a pre-existing and not covered condition and has been undiagnosed
since prior to the policy start. As such, we are unable to determine whether
the current vomiting and the pre-existing vomiting share the same underlying
cause and therefore cannot provide coverage. Additionally, upon further review
of the medical records it was found ****** was noted to have loose stool
(diarrhea) prior to the policy start. This exclusion was missed during our
initial coding of the medical records but is a pre-existing condition.We
have decided that because the diarrhea exclusion was missed due to an error on
our part, we will make a concession and allow coverage for diarrhea for the
claims from 7/1/24 and 8/30/24; however, going forward diarrhea is excluded
from coverage as a pre-existing condition. Our claims team is re-opening the
previous appeal to provide coverage for any diarrhea-related charges and the
claim should be finalized in the next few days.If you have any
additional questions, please do not hesitate to ask!Warm Regards,
****** ********* *****
Technical Claims ManagerInitial Complaint
Date:05/17/2024
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Paw protects agreement states that pre existing conditions will be covered if they have not required treatment for 12 months and are outside of the illness waiting period. I met their criteria and they still denied the claim. Treatment was not necessary until my pets Annual check up, where it was then determined to be necessary. They didn't even address the tooth removal, just denied the whole claim. She had no pre-existing dental issues pertaining to broken teeth. Her other issues did not require treatment or pathology because they were so small when discovered, well over the 12 month requirement. I didn't buy pet insurance just to pay another bill on top of the vet bills. The issue they stated that the masses were not biopsied, I didnt see that anywhere in the paperwork that I signed and I shouldn't have to hire a lawyer to find all the loop holes before signing an agreement for pet insurance. They paid nothing and, I'd like my premiums returned because I'm getting nothing for them. I told them I'm filing a complaint, now they want to pay for the tooth removal but want me to break down the surgery and figure out just the cost of removal. That's the insurance company's job, they can contact the vet themselves. I didn't get pet insurance to do all their legwork while paying all my own vet bills..Business Response
Date: 06/11/2024
Dear BBB,
I would be
happy to discuss the case with you. This pet’s policy started on 12/29/23 and
the waiting periods ended/ends on 12/31/24 (accidents), 1/12/24 (illnesses),
and 6/29/24 (orthopedic conditions). Our policy requires a medical review for
all pets before we can process an illness claim, so we can determine any
pre-existing conditions since those are excluded from coverage. A medical
review is also performed upon request from the pet parent once the illness
waiting period has ended. If a medical review is not requested by the pet
parent, one is not completed until the first claim is received.Our policy
states temporary conditions may be eligible for coverage once a pet has remained
free of the condition for 12 consecutive months. Pre-existing conditions are grouped
into two categories, temporary (conditions that can resolve) and permanent
(conditions that cannot resolve).*** ****
filed a claim for ***** on 4/24/24 for date of service 4/23/24 for a dental
cleaning and mass removal. Since this was Sissy’s first illness claim, Embrace began
gathering medical records to perform our review. *** **** received an email on
5/2/24 letting her know the medical review could take up to 30 business days to
complete. *** **** contacted Embrace on 5/6/24 asking for an update on the
claim and a claims administrator responded to let her know we were working on
the medical review. The medical review was completed on 5/16/24 and *** ****
was sent an email outlining any pre-existing conditions on the policy. The
review found that ***** had pre-existing conditions of an undiagnosed skin mass
located on the right hind leg, and undiagnosed lower eyelid mass, a skin tag,
anxiety, and osteoarthritis of the stifles, which are all chronic conditions
and therefore, permanent exclusions. As such, they would not fall under the
temporary guidelines to which a condition can be expired should it remain
resolved for 12 months.*** ****
called Embrace on 5/17/24 and asked to have the policy cancelled, which was
done and was effective 5/17/24.The claim
for ***** was placed on hold pending more information from the veterinary
clinic. The dental procedure was one group charge and under the policy, Embrace
cannot provide coverage for the specific dental cleaning charge. In an effort
to try to provide more coverage, the clinic was contacted for a breakdown of
the charge; however, we have not received any response. The claim has not yet
been finalized since we had been waiting for more information, but an adjuster
has been notified to process the claim with the information on hand and it
should be completed within the next few days.I have
included the relevant terms and conditions below.From your Terms &
Conditions:
PART I – DEFINITIONS
8. Bilateral
Condition is a condition or disease that affects both sides of the body.
9. Chronic
Condition is a detectable condition that, once developed, is deemed
incurable or likely to continue for the remainder of a Pet’s life.
11. Clinical Signs means
changes in a Pet’s normal healthy state, bodily function or behavior
observed by you, a Veterinarian, or other observer.
25. Orthopedic
Illness means an Illness affecting or manifesting from the
musculoskeletal system, which is made up of the body's bones (the skeleton),
muscles, cartilage, tendons, ligaments, and joints, including, but not limited
to intervertebral spaces.
32. Pre-existing
Condition(s) means:
a. A Chronic
Condition observed by you or your Veterinary Provider prior to the
end of the Waiting Period for your Pet(s) and any related
conditions; or
b. An Illness or Injury that first occurred or showed Clinical Signs prior to the
end of the Waiting Period for your Pet and any related
conditions.
c. Undiagnosed conditions
with the same Clinical Signs as those in a. or b. above
are also considered pre-existing.
34. Temporary
Condition means an abnormal Clinical Sign or diagnosis, which is
likely to resolve. A Temporary Condition may become a Chronic
Condition.
36. Undiagnosed means the underlying or causative condition has not yet been identified.
39. Waiting Period means
the time period where the policy’s Coverage is restricted. For this
policy, the time period is two (2) days for Accidents and fourteen (14)
days for Illnesses, except for Orthopedic conditions for dogs
where the Waiting Period is six (6) months.
The Waiting Period starts
from the Pet Original Start Date. Conditions that occur during the Waiting
Period will be excluded from your policy’s Coverage as Pre-existing
Conditions. The Waiting Period also applies again when there are Coverage increases but is waived for policy renewals and optional Coverage renewals.
PART III
– COVERAGE
1.Coverage
We
will reimburse you for Allowable Charges in excess of the Deductible amount,
subject to Reimbursement Percentage amounts, for Treatment(s) performed for
conditions that started after the Waiting Period and during the policy period,
which result from:
f.
We will reimburse you for eligible Veterinary Treatment expenses caused by
Dental Illness in excess of the Deductible amount, subject to Co-Payment
requirements and a $1,000 Annual Maximum sub-limit, for all Treatment(s) except
dental prophylaxis, for conditions that started after the Waiting Period and
during the policy period.
PART IV – EXCLUSIONS
1. Pre-existing
Conditions;
In addition, the
following Illnesses or Injuries shall be considered Pre-existing
Conditions:
a. If your Pet has had Clinical Signs, prior to being insured, of a Bilateral
Condition on one side of the body, she/he runs a higher risk of the same
condition on the other side of the body and future occurrences of the same
condition will not be covered. For example, but not limited to, if a dog has
been diagnosed with a cruciate tear in his left leg before the end of the Waiting
Period, a subsequent cruciate tear in his right leg shall be considered a Pre-existing
Condition;
c. If a Pet has
had Undiagnosed masses prior to the end of the Waiting Period,
any mass, or condition where a mass is a Clinical Sign, is not covered,
including those caused by cancer. If the cause of the mass that occurred prior
to the end of the Waiting Period can be diagnostically narrowed down via
cytology, un-related conditions may be covered.
For the purposes of
these exclusions, Temporary Conditions that started prior to the end of
the Waiting Period that have not shown any Clinical Signs or
received Treatment for a period of twelve (12) consecutive months shall
not be considered Pre-existing Conditions.If you have
any additional questions, please do not hesitate to ask!Warm
Regards,
****** ********* *****
Technical Claims ManagerInitial Complaint
Date:03/11/2024
Type:Sales and Advertising IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I purchased a Paw Protect plan for my cat on 6/3/2023. One of the reasons that I purchased this plan was that it advertised as covering routine exams. My cat received a yearly exam on 12/22/23. I received a receipt delineating the charges. It clearly states the code for health exam and I have submitted several receipts and notes from my veterinarian. After many months of "review," I was told that "Some of the items on this claim are only eligible for reimbursement through our Wellness Rewards program. Titine's policy does not have Wellness Rewards at this time. Wellness Rewards can be added at any time depending on your state of residence."
On the website, it says that exams are covered. I have screenshots to back up this claim. Now I'm being told that I had to purchase a "wellness program" to receive that benefit. I would not have chose this company had I known that this was a bait and switch/scam.Business Response
Date: 03/18/2024
Dear BBB,
I would be happy
to discuss the case with you. This pet’s policy started on 6/3/23 and the
waiting periods ended on 6/5/23 (accidents), 6/17/23 (illnesses), and 6/17/23
(orthopedic conditions).Our policy terms
and conditions define a physical examination as “an exam, check-up,
physical consultation, health inspection, office visit, office call, after-hour
fee, referral, telemedicine consultation, telemedicine service fee, or recheck
for otherwise covered conditions”. The insurance policy provides coverage for
accidents and illnesses unrelated to pre-existing conditions and excludes
coverage for preventative care items, including wellness examinations. In the
screenshots provided by the owner for this complaint, the areas referencing
coverage for examinations are regarding the illness policy; therefore, the
coverage for the exam must be related to a covered condition. Additionally, in one of the screenshots
provided, it lists the optional routine wellness plan separately from the
coverage of vet examination fees. I have highlighted this portion in the attached picture.
I have provided the applicable terms and conditions below
regarding examination coverage and preventative care.From your Terms &
Conditions:
PART I – DEFINITIONS
1. Accident(s) means an unexpected
or unintended event, which is specific as to place and time causing Injury to
your Pet.
18. Illness means
sickness, disease, or any change in a Pet’s normal, healthy state, which is not
caused by Injury to the Pet.
11. Clinical Signs means
changes in a Pet’s normal healthy state, bodily function or behavior
observed by you, a Veterinarian, or other observer.
28. Physical
Examination means an exam, check-up, physical consultation, health inspection,
office visit, office call, after-hour fee, referral, telemedicine consultation,
telemedicine service fee, or recheck for otherwise covered conditions.
30. Preventative Care
means any Treatment, service or procedure, routine exam, Physical Examination,
Medication, surgery, inoculations, or laboratory procedures, for the purpose of
prevention of Injury or Illness or for the promotion of general health, where
there has been no Injury or Illness.
PART III – COVERAGE
THE FOLLOWING
COVERAGES APPLY SEPARATELY TO EACH PET.
1.Coverage
We will reimburse you
for Allowable Charges in excess of the Deductible amount, subject to
Reimbursement Percentage amounts, for Treatment(s) performed for conditions
that started after the Waiting Period and during the policy period, which
result from:
g. We will reimburse
you for the cost of Treatment your Pet receives in the current period of
insurance for an Illness or Injury that first showed Clinical Signs after the
end of the Waiting Period.
2. Benefits
We will reimburse you
for Medically Necessary Treatment, including tax, for:
a. Physical
Examination, if Coverage is shown on your Pet’s Schedule of Insurance of the
Declarations Page;
PART IV – EXCLUSIONS
2. Preventative Care
including, but not limited to, wellness exams or tests, preventative Treatment,
tests or diagnostic procedures, vaccinations, flea and other parasite
prevention, spaying or castration (including preventative sterilization
surgery, such as for Treatment for cryptorchidism, chimerism, or chromosomal
abnormalities), grooming and de-matting, and dewclaw removal;Unfortunately,
the policy is very clear that wellness examinations are excluded from coverage; therefore, coverage for the routine examinations cannot be provided by the policy.If you have any
additional questions, please do not hesitate to ask!Warm Regards,
****** ********* *****
Claims Technical SpecialistInitial Complaint
Date:12/21/2023
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My dog was adopted from the humane society. Vet records, exams, vaccinations etc were provided to paw protect. A month or more after the policy was in effect my dog went to an emergency vet. I paid $150 for two months of this policy and $1000 for an emergency vet visit and tests, as we thought my dog swallowed an earring. They refused (after many records were sent to them from the humane society) to count them as a vet exam (in which she had many by them before being released for adoption with a clean bill of health). They also guarantee a $2000 debit card with “no credit check” in which I was denied as a full time college student, yet they had no problem with me paying $80 monthly for a full coverage policy. No matter how many managers i spoke with, there’s still been no resolution. This company is fraudulent and needs to be put out of business. I want all of my vet bill reimbursements and my policy money back that I paid for apparently no reason on a healthy one year old dog.Business Response
Date: 12/27/2023
******* ******s policy with Paw
Protect began on 10/22/23. The policy is for *** *****’s 1-year-old mixed-breed
dog, ********. ********’s coverage had a 2-day accident waiting period, which
ended on 10/24/23, a 14-day illness waiting period, which ended on 11/5/23, and
a 6-month orthopedic waiting period, which ends on 4/22/24.
Every policy with Paw Protect requires
at minimum one documented physical exam within 12 months of the policy start or
within the illness waiting period for the policy to be validated. Upon
purchasing the policy, an email was sent to *** ***** on 10/21/23 stating “Your
pet(s) need to have had a full, documented physical exam in the 12 months prior
to enrollment. If they are newly adopted or did not have a visit in that time,
then they must be seen by a licensed veterinarian for a physical exam within
the first 14 days of your policy term. Please note that a visit to a
spay/neuter or vaccine clinic might not count.” A follow-up email went to
*** ***** on 10/22/23 stating that claims cannot be processed without
********’s medical records. On 11/5/23 a third email was sent to *** *****
stating that a medical history review is required to process any claims and
this review can be done upfront by request, or the review would be performed at
the time of the first accident or illness claim. An upfront medical history
review was not requested by *** ***** following this email.
The first illness claim was received
on 11/21/23, at that time a review of pre-policy medical records began. At the
time of this review, the only medical records we had on file were from the
shelter’s spay/neuter clinic and the records specifically noted “no vet
consultations”. A claims adjuster
reached out to *** ***** on 12/6/23 inquiring if ******** had been seen by another
veterinarian prior to the end of her waiting periods; addressing the fact that
the medical records from the shelter did not have a documented physical exam. No
response was received following this email.
Regarding the denial of Paytient line of credit, we reached out to
Paytient and this is the information provided, “we were unable to pass
him through our onboarding because he failed our ability to repay (ATR) check
that requires income and debt information to be disclosed. It had nothing to do
with his status as a student”Please let us know if you have any additional questions!
Sincerely,
******** ******* ***
Senior Lead Claims Adjuster
Customer Answer
Date: 01/21/2024
Better Business Bureau:
Paw Protect herein alleges that the AHS Newark is a
“spay-neuter/vaccine clinic.” Please contact *** **** *** ****** *** ** ************ to inquire about my dog's health upon release to my care.
The place from which my dog was adopted is a full-service shelter that also
serves underprivileged communities in need.
My dog is 100 percent vetted, spayed, and was examined by
on-site licensed veterinarians and staff prior to her clearance
for adoption on 8/25/2023— which includes my dog having been cleared
for orthopedic issues. I provided Paw Protect all the SOAP records (Attached, EXHIBIT
1) as they requested on several occasions, but it has gone nowhere. It seems
there was always an excuse to reject the notes (i.e., "there are no
recorded consults") so that they didn’t have to reimburse
my legitimate claims for an emergency visit to VEG (Veterinarian Emergency
Group) in Hoboken, New Jersey on Nov 19, 2023. This was NOT her first
vet examination as they are trying to allege. This visit was for an emergency
visit because we had thought my dog swallowed a foreign object.
PAW PROTECT has been resistant in rejecting these documents from
AHS-Newark and VEG of Hoboken, hoping I would give up on getting
reimbursed for the emergency vet visit. Paw Protect has tons of
complaints online that brings the legitimacy of their business practices
into question—and I can see why. I read the fine print, and I did as they told
me to get reimbursed—still, they are being difficult. For example, in an email
dated 01/02/2024 someone with PawProtect/Embrace emailed me stating: "We
are unable to process ********'s claim because we are missing full pre-policy
medical history through the end of the illness waiting period. This claim is
now on hold but can be reopened once we receive the required medical history.
To process this claim, we require a complete and legible copy of detailed
medical history from all veterinary offices where ******** was examined 12
months prior to the start of your policy through 11/5/2023, the end of the
illness waiting period. Your policy began on 10/22/2023.IF YOUR PET IS LESS
THAN TWELVE MONTHS OLD, OR WAS ADOPTED LESS THAN TWELVE MONTHS AGO, WE REQUIRE
ALL MEDICAL RECORDSSTARTING FROM THEIR FIRST EXAMINATION BY A VETERINARIAN."
(attached, EXHIBIT 2).
PawProtect has been given all the relevant medical history
given that I've only had ******** for less than a year, and she was a year old
when she was dropped off at AHS Newark as a stray-- therefore, there is no
medical history dating back to a year or older. Paw Protect/Embrace is aware of
this, but still seems to attempt to find loopholes in order to not fulfill the
agreement to reimburse.
Referring back to the Emergency vet visit on 11/19/2023-- My dog (********) was
brought there, as my mom and I thought she swallowed an earring. An
X-ray cost me $700 out of pocket. I was also refused their
“guaranteed credit card” to pay for the aforementioned visit. I was told
there's no required credit check— they appear to have done the total opposite.
Note also, that on physical exam at the Veterinary Emergency Group, they
reviewed her musculoskeletal systems—according to the visit summary ********’s
exam was “Ambulatory x4 with no appreciable lameness. No pain or crepitus
palpable. BCS =4/9. MCS = 2/3,” indicating a normal review of system. (See
attached, EXHIBITS 3 through 5, respectively).
Please reopen my complaint and contact me via email and at my home mailing
address below, as these emails were buried under hundreds of miscellaneous
others in my inbox.
I would like to be reimbursed and to move on with my life.
Thank you.
******* *****
*** ****** *** **
********* ** *****
***** ********Business Response
Date: 01/31/2024
Hello BBB,
I would be happy to provide additional information regarding the case.
On 10/21/23, *** ***** purchased a policy with
Paw Protect for his dog ********, coverage took effect on 10/22/23. The policy
had a 2-day accident waiting period ending on 10/24/23, a 14-day illness
waiting period ending on 11/5/23, and a 6 month orthopedic waiting period
ending on 4/22/24.
On 11/21/23, *** ***** submitted his first claim
for ********. As is our policy, which is disclosed in an email at the policy
start, we waited until the first claim to review ********’s medical history. An
adjuster reviewed the medical history on hand for ******** on 12/6/23. At this
time, it was found there was no detailed records and exam findings for an
examination performed by a veterinarian at Associated Humane Societies.
******** may have been examined; however, they have no records containing the
exam findings, which is also a requirement of the policy according to the Terms
and Conditions. Adjuster ****** *. emailed *** ***** to ask him if ******** had
been seen anywhere else to fit this condition of the policy. This email was
forwarded to him again on 12/7/23 after a phone call to us asking about his
claims status. The adjuster never received a response; therefore, the claims
were put on hold. On 12/13/23, *** ***** again was emailed to verify if
******** had been seen elsewhere or not prior to extending his waiting period.
*** ***** then cancelled on 12/20/23 after discussing there was no examination
with the required notes at Associated Humane Societies.
Since it appears *** ***** did not have ******** seen
anywhere else and we still do not have detailed medical history containing exam
findings from Associated Humane Societies, the adjuster finished ********’s
medical history review on 1/29/24 and the claims were processed on 1/30/24.
Unfortunately, his illness waiting period did have to be extended to 11/19/23
due to not having the required exam findings. Due to the policy’s illness
waiting period being extended and only being effective for accident coverage
until 11/19/23, a refund of $13.29 in premiums has been set up for *** *****.
As far as the claims decisions are concerned, your results are available in
your Embrace portal online, and email was sent to you. Additionally, I will
have them mailed to your residence listed as well.
Regarding the notations *** ***** makes several
times about ******** being cleared orthopedically, in order to shorten the
orthopedic waiting period, we need a veterinarian to complete the orthopedic
report card on an exam preformed after the policy was purchased. Since the
veterinarian at Associated Humane Societies saw ******** prior to the policy
purchase, any exam potentially done there would not count for the purposes of
shortening the orthopedic waiting period. Additionally, we never received an orthopedic
report card for ******** for the visit on 11/19/23, which would be required.
As you were advised in your prior complaint
regarding the line of credit, you failed the ability to repay (ATR) check that
requires income and debt information to be disclosed. The ATR check (where you
disclose income and debts) is not a credit check, neither a soft nor a hard
check. Unfortunately, that meant you were ineligible for the credit.
I hope this helps clarify and correct the
situation, but if you have any further questions, please let me know.
Sincerely,
******* ****** ***
Senior Claims AdjusterInitial Complaint
Date:07/10/2023
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
This company is a disaster with customer service. I called to make my late payment and they tried to collect it 5 days later. And when they tried to collect it, there was no money available. I called them and told them that they had to collect the money immediately and they told me that this was not possible. They sent me a notification by email indicating that if the arrears were not paid by Monday, July 10, the policy would be cancelled. The past due amount was around $36. On Thursday, July 6, I submitted the payment online. And I called them to tell them that I sent the payment. And the representative Christina told me that although I made the payment on July 6, if they did not process the payment by the 10th, the policy would be cancelled. Christina told me that the payment would take up to 5 working days. Which is absurd to me. Every company applies payments that are made the same day and not when they receive it. Today is July 10 and they canceled the policy and never collected the payment that I submitted on July 6 with a credit card.Business Response
Date: 07/10/2023
Hello!
My name is ******* and I am a Supervisor in the Customer Service department of Embrace Pet Insurance. Unfortunately our systems do not allow us to do on demand payments, you were given the correct information and approximate time lines for how long it can take. I looked at your policy and it has not fully cancelled yet - there is still time to get it up to date. I did reach out to our billing team to see if they had an update on the payment, and they did try to process it today, but it got declined for insufficient funds. If you would like to keep your policy active, please reach out to us either at 800-511-9172, or you can email me directly at ****************************** and let me know you would like us to process the payment, keeping in mind it does take a couple of days for us to process. I can extend the cancellation date to Friday 7/14/23. But if I do not hear from you by end of day Thursday 7/13/23, I will not be able to stop the cancellation of your policy.
Warm Regards,
*******
Team Lead, CCE
***** ********
EmbracePetInsurance.com
Embrace Agency Number 0G89328
Rated 5-Star Pet Insurance by
ForbesCustomer Answer
Date: 07/10/2023
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
Regards,
********* ******Customer Answer
Date: 07/11/2023
RECEIVED VIA EMAIL BY BBB STAFF MEMBER:
Hello, after I accepted the business resolution where ******* offered extended the policy cancelation until Friday June 14 giving them time to process the payment. I received a policy cancellation message effective yesterday June 10. Basically she doesn't keep her works.
Look the screenshotBusiness Response
Date: 07/11/2023
Hello!
I do see where that cancellation email was sent out. I apologize for the confusion this has caused. However, it seems that email was sent out before my response to you yesterday and was delayed in its delivery. I have just double checked, and your policy has not been cancelled yet and is delayed to cancel as we discussed. I do have the billing team updated and set to try the payment again Thursday. As long as that payment is able to go through, the policy will not cancel. I would like to take this opportunity and remind you that your normal payments are due on the 15th of each month, so normal billing will resume then.
Warm Regards,
*******
Team Lead, CCE
***** ********
EmbracePetInsurance.com
Embrace Agency Number 0G89328
Rated 5-Star Pet Insurance by
ForbesCustomer Answer
Date: 07/11/2023
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
Regards,
********* ******
Paw Protect is BBB Accredited.
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