Cruciate Ligament (ACL) Tear and Foreign Body Removal
A Rough Life for Isabelle the Cane Corso
Embrace Reimbursed: $12,500.00 (over two policy terms)
Location: Newburgh, New York
Date: May 2008
Background
Isabelle was just a young adult when, just a few months into her policy, she tore her Anterior Cruciate Ligament, which required corrective orthopedic surgery. Then, just when it seemed that her visits to the veterinarian were ending, she swallowed a foreign object. Her situation developed into a life-threatening emergency requiring surgery.
After her initial surgery to remove the foreign body she developed a severe infection at the suture site and had serosanginous discharge. To make matters worse she developed gastroenteritis as well. Treatment for the complications from her surgery amounted to more than the surgery itself!
Then, unexpectedly, poor Isabelle was diagnosed with a Mast Cell Tumor. A CT scan and chemotherapy was necessary.
Isabelle battles on.
Isabelle's Policy
Some pet insurance plans consider cruciate injuries to have a genetic component and, if so, will not pay the claim. Embrace does not have this restriction so Isabelle's claim was covered.
Isabelle had a catastrophic pet insurance plan that was also customized to have a 35% co-pay, which kept Isabelle's premium very low.
Thankfully Embrace has no lifetime or per-incident maximums so Isabelle was able to reach her annual maximum of $10,000. Embrace's Continuing Care coverage will ensure that Isabelle's conditions are covered in the future up to $2,500 each year.
Isabelle's Claim Refund
In her first year Isabelle hit her policy maximum and was reimbursed $10,000.
| Year 1: ACL Tear, Foreign Body, Gastro, and Mast Cell Tumor | Amount |
| Actual Vet Bill | $16,996.61 |
| Annual Deductible | -$500.00 |
| 35% Co-pay | -$5,773.81 |
In her second year Isabelle's conditions from the prior year were covered by Embrace's Continuing Care and claim reimbursements totaled $2,500.
| Year 2: Repair of ACL Tear | Amount |
| Actual Vet Bill | $4,406.78 |
| Annual Deductible | -$500.00 |
| 35% Co-pay | -$1,367.37 |