Compare Physicians Mutual Pet Insurance

Comparison Fact Sheet
Updated 9/4/2024

To get the most from these sheets, please read the Guide to Pet Insurance first.



Company Info
Company Name Physicians Mutual
Also Known As / Affiliates / Partners  
Address PO Box 2316
Omaha, NE 68172-4081
Phone 1-800-264-1417
Website www.physiciansmutual.com/web/pmpet/home
Plans That Provide Full Accident and Illness Coverage Economy, Standard, and Preferred *
States Covered Not Clear
Underwriter and AM Best Financial Strength Rating Not clearly stated on website. One might assume it is Physicians Mutual Insurance Company but it is not clearly defined.
Year Company Started 2022

 

Policy Basics
Policy Term 12 months
Effective Date The Effective Date will be listed on the Declarations Page of your policy after you apply and are accepted.
Enrollment Age No Age Limits
Cancellation Policy Ask for a current copy of their insurance policy so that you may review their cancellation policy
Waiting Period 14 days for illness

1 day for accidents/injuries

6 months for Orthopedic-Related Conditions
This Waiting Period can be waived by submitting a Orthopedic Waiver Form completed by a Veterinarian.

**Waiting Periods can vary by state. See actual policy or contact Physicians Mutual to confirm the waiting periods for your state.
Waiting Period for Cruciate Injury 6 months for Orthopedic-Related Conditions
This Waiting Period can be waived by submitting a Orthopedic Waiver Form completed by a Veterinarian.

**Waiting Periods can vary by state. See actual policy or contact Physicians Mutual to confirm the waiting periods for your state.
Coverage When Travel Out of State or Country? You may visit any licensed veterinarian in the US, Canada and Puerto Rico.

If you’re traveling outside the U.S., your pets are covered.
Can the Price of the Policy Increase as my Pet Ages? Yes, the policy premium can increase as your pet ages. The premium may also increase due to inflation or other reasons.

Contact Physicians Mutual for more information on when and by how much your premium may increase.
Does Coverage Stop Due to Age? No
What Happens when the Policy Renews? Chronic conditions will continue to be covered each year as long as you do not go over your Maximum Payout.

(See 'Max Payout' section below)
Can the Price of the Policy Increase if a Claim is Filed? Not Clear
Choice of Vet? You may visit any licensed veterinarian in the US, Canada and Puerto Rico.

If you’re traveling outside the U.S., your pets are covered.
Money Back Guarantee? There is a 15 day money back guarantee. They will refund your money in full as long as you have not filed a claim.

**May vary by state
Surcharge for Visiting a Specialist or Emergency Clinic? No
Referral needed to Visit a Specialist? No
Pre-certification Required? No
Additional Requirements **See actual policy or contact Physicians Mutual for a complete list of the requirements you are expected to adhere to in order to maintain coverage.
Pet Insurance Policy Available for Pre-Purchase Review? Sample policy available online

 

What's Covered
Species Covered Dogs and Cats
Accident/Injury -
Baseline Coverage		 Covers diagnostics and lab tests, surgery, treatments, hospitalization
With certain plans, Prescription Drug and Exam Fee coverage requires an extra add-on
Illness -
Baseline Coverage		 Covers diagnostics and lab tests, surgery, treatments, hospitalization
With certain plans, Prescription Drug and Exam Fee coverage requires an extra add-on
Behavioral Therapy Coverage Not Clear
Alternative Therapy Coverage [INCLUDED]

**See actual policy or contact the company for a complete description of what types of Alternative Therapy are covered
Pre-existing Conditions Policy Pre-existing conditions are not covered.

However, some conditions may be considered curable. If your pet doesn't show signs for these conditions for at least one year, they may cover it. This does not apply to knee or ligament conditions.

According to their sample policy on their website, pre-existing conditions are "...Any condition for which any of the following are true prior to the effective date of a pet insurance policy or during any Waiting Period: i. A Veterinarian provided medical advice; ii. The Pet received previous Treatment; or iii. Based on information from verifiable sources, the Pet had signs or symptoms directly related to the condition for which a Claim is being made. ..."

This company has additional Injury and Illness situations that will be deemed pre-existing...

**See actual policy or contact Physicians Mutual for a complete description of their pre-existing conditions policy.
Hereditary & Congenital Conditions Coverage [INCLUDED] Hereditary and congenital conditions are covered as long as they are not pre-existing and have not occurred during the waiting period.

These conditions are covered up to the Maximum Payout. (See 'Max Payout' section below)
Continual Coverage for Chronic Conditions [INCLUDED] Continual coverage for chronic conditions is included with the policy.

Chronic conditions are covered up to the Maximum Payout. (See 'Max Payout' section below)
Chronic Conditions Policy Chronic conditions are covered as long as they are not pre-existing and have not occurred during the waiting period.

Chronic conditions are covered up to the Maximum Payout. (See 'Max Payout' section below)
Cancer Coverage [INCLUDED] Cancer conditions are covered as long as they are not pre-existing and have not occurred during the waiting period.

There is a 6 month waiting period Orthopedic-Related conditions this may include bone related cancers.
Cancer Coverage Limits Cancer conditions are covered up to the Maximum Payout. (See 'Max Payout' section below)
Hip Dysplasia [INCLUDED] Hip Dysplasia is covered as long it is not pre-existing and has not occurred during the waiting period.

There is a 6 month waiting period Orthopedic-Related conditions

This Waiting Period can be waived by submitting a Orthopedic Waiver Form completed by a Veterinarian.

This condition is covered up to the Maximum Payout. (See 'Max Payout' section below)
Prescription Drug Coverage [OPTIONAL]
Prescription Drug Coverage is included in the Preferred and Standard Plans.

Prescription Drug Coverage is available for an additional fee in the Economy Plan.

**See actual policy or contact Physicians Mutual for their full description regarding prescription medications.
Pregnancy Coverage [NO]
Routine/Wellness Coverage [OPTIONAL]

Routine/Wellness Coverage is included in the Preferred Plan.

Routine/Wellness Coverage is available for an additional fee in the Standard and Economy Plans.

**See actual policy or contact the company for a complete description of their Wellness Coverage
Vaccinations [OPTIONAL] - See Routine/Wellness Coverage above for details
Spay/Neuter [OPTIONAL] - See Routine/Wellness Coverage above for details
Dental Care (Routine) [OPTIONAL] - See Routine/Wellness Coverage above for details
Dental Care (Illness/Accident) [LIMITED COVERAGE]

Removal of deciduous teeth is NOT covered.

For Dental Injuries
Orthodontic and Endodontic treatments (e.g. extractions, root canals and crowns) are covered.

Dental Illness
Orthodontic Treatment are covered. it is not clearly stated on website or sample policy if Endodontic treatment is covered.

Treatment for Dental Illness is not covered if "...Your Pet has any signs or evidence of periodontal disease, periodontitis, gingivitis, resorptive lesion(s), or tartar prior to the Original Start Date or during any applicable Waiting Periods"

**See actual policy or contact the company for a full list of inclusions and exclusions.
Bilateral Conditions Policy If a bilateral condition happens on one side before they policy starts or during the waiting period, that condition may not be covered if it happens on the other side. Even if it happens after the waiting period.

The way it is written in their policy it unclear what medical conditions are included in this description.

**Contact the company for a complete list of medical conditions that are considered bilateral for the purpose of exclusion and for a complete description of their Bilateral Conditions Policy.
Coverage - Overview
(please read policy for full coverage details)		 Diagnostics and treatments due to illness and accidents

[Included] Cancer, Hereditary/Congenital coverage, Alternative Therapy, Dental Illness/Accident (limited coverage), Continual Chronic Conditions Coverage (Refer to each category's section for limitations)

[Optional] Routine/Wellness Care, Routine Dental Care (Refer to each category's section for limitations), Prescription Drug Coverage, Exam Fee Coverage

**See actual policy or contact Physicians Mutual for a full list of inclusions, exclusions, limitations and conditions.
What's not Covered - Overview
(partial listing, please read policy for full details)
  • Pre-existing conditions
  • Accidents and illnesses that occur during the waiting period
  • Costs from breeding or pregnancy
  • Boarding
  • Grooming
...See policy for a complete listing

 

How The Policy Works
Reimbursement Economy Plan
Choose from 60%, 70%, or 80%

Standard Plan
Choose from 70%, 80%, or 90%

Preferred Plan
Choose from 80%, 90%, or 100%
Deductible Annual Deductible

Economy Plan
Choose from $500, $750, or $1000

Standard Plan
Choose from $250, $500, or $750

Preferred Plan
Choose from $150, $250, or $500
Flat Deductible vs % Deductible Flat
Deductible Per Incident vs Annual Deductible Annual
How is Reimbursement Determined It is not clear whether the reimbursement is based on Actual Vet Bill or UCR.

Reimbursements are calculated by applying your deductible first, then your reimbursement percentage.
Max Payout Annually Economy Plan
Choose from $5,000, $7,500, or $10,000

Standard Plan
Choose from $12,500, $15,000, or $20,000

Preferred Plan
Choose from $25,000 or Unlimited
Max Lifetime Payout These plans does not have a lifetime maximum payout.
Max Payout per Incident These plans does not have a maximum payout per incident
Max Payout Based on Body System These plans does not have a maximum payout based on body system
Client Reimbursed or Vet Paid Directly You pay the veterinarian and then you are reimbursed after you file the claim.

 

Pricing
Approximate Monthly Costs Approximately $22.00 - $300.00 depending on your location, the options you choose, etc.

 

Additional Info
My Review Physicians Mutual Review
What are Customers Saying? Check with your state's Department of Insurance to see if any complaints have been filed for this company.
Better Business Bureau bbb.org
Additional Info  

*The information in the above charts applies to Physicians Mutual plans that cover illness and accidents. If your pet is only eligible for accident coverage, please contact Physicians Mutual for details on that policy.

**Disclaimer: These charts are created based on my research. While I do my best to stay current, information can change quickly. Also, terms and conditions can vary from state to state. Before buying a pet insurance plan, confirm all information by contacting the company or reading the most current policy for your state. We will not be held liable for errors or omissions. If you see something that is incorrect or needs clarifying, please let me know.

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