Agria Dog - Valid from 1 April 2021
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Terms Dog Contents Welcome to Agria Pet Insurance 3 DOGS IN THE TERMS A Agria Dog Breed Insurance 3 To describe the different sections of the terms and condi- B Agria Veterinary Care 7 tions, there are dogs in different colours to assist you. Green dog C Agria Mini Veterinary Care 10 A Shows what the insurance covers. D Agria Medicine, supplementary insurance 12 Yellow dog E Agria Rehabilitation, supplementary insurance 12 A Shows what due diligence requirements of care and spe- cific terms there are. If the due diligence requirements of F Agria Security, supplementary insurance 13 care are not complied with, compensation may be fully or partially reduced. G Agria Life 14 Red dog H Agria Mini Life 17 A Shows what the insurance does not cover. I Agria Utility, supplementary insurance 19 J Agria Breeding Veterinary Care, supplementary insurance 20 K Agria Breeding Life, supplementary insurance 21 Note! This is a translation of the Swedish insurance terms and L Agria Puppy Litter Insurance, General terms and Conditions for Agria's dog insurance supplementary insurance 23 policies. If there has been an error in the translation or if M Agria Hidden Defects 23 the terms contradict each other, it is always the original Swedish version that applies. N Agria Puppy Insurance 25 O Agria Accident Veterinary Care 25 P Agria Accident Life 27 Q Agria Pack 28 R Agria Pack Gold 31 S General Terms and Conditions for Agria's dog insurance policies 34 2
Welcome to Agria Pet Insurance to ensure that they can submit all the information about the pets illness and treatment history, as well as any other Insurance terms circumstances regarding the claim incident. Agria is always This booklet sets out the insurance terms and General Terms entitled to decide whether direct settlement can be made in and Conditions for Agria’s dog insurance policies which are the individual case. valid from 1 April 2021. Unless otherwise agreed, your terms consist of three parts: the insurance policy document, the If there is a direct settlement, Agria pays the compensation terms for the policy you have taken out and the General Terms directly to the clinic. You therefore only need to pay the clinic and Conditions for Agria’s dog insurance policies. In addition, for the costs that are not covered by the insurance. You can the Swedish Insurance Contract Law (försäkringsavtalslagen, read more about direct settlement in section S.4.2 in the FAL) and the relevant parts of other legislation apply. General Terms and Conditions. Certain parts of the insurance terms may change over time. We will inform you of any such changes that may occur before a new period of insurance in the form of a terms supplement. A Agria Dog Breed Insurance A terms supplement that is dated later than these terms or the General Terms and Conditions replaces the correspond- A.1 The insurance applies to ing points in the terms. If a term in the General Terms and A The insurance is stated with the name of your dog’s breed Conditions and an insurance term contradict each other, the in the insurance policy document. The insurance with supple- insurance term will always apply. mentary insurance covers the policyholder or other person caring for the dog, for example, a co-owner. Check your insurance As soon as you receive your insurance policy document, it A.2 When the insurance applies is important that you check that the details are correct and A The insurance is valid for insurance cases that occur match the insurance you applied for. If any of the details are during the insurance term. incorrect, you must contact Agria as soon as possible and inform about the error. If you fail to do this, compensation may A.3 Where the insurance is valid be reduced or refused completely. You can read more about A The insurance is valid in Sweden. It is valid for a maximum reductions in section S.6 in the General Terms and Conditions. period of one year in other EU countries, the United Kingdom, Norway or Switzerland, starting from the day of departure In the event of a claim from Sweden. As soon as you are affected by a claim incident, it is important that you take part of the insurance terms and what conditions A.4 Insured animal and requirements that must be met for the claim incident to be A The insurance covers the dog or dogs that are specified in covered by the insurance. the insurance policy document. Pre-approval A.5 Maximum benefit If you are unsure whether a treatment or any other claim inci- A The maximum benefit is SEK 30,000, SEK 60,000 or SEK dent is covered by the insurance, you can get the treating vet 120,000. The amount that you have chosen is set out in your to request pre-approval from Agria. You can read more about insurance policy document and is the highest compensation the pre-approval procedure in section S.4.1 of the General that you can receive from the insurance each insurance year. Terms and Conditions. If you have selected SEK 30,000 or SEK 60,000 as the m aximum Direct settlement benefit for veterinary care, you can at any time during the If the clinic has a direct settlement contract with Agria, you insurance year buy an additional amount of SEK 60,000, that can ask the animal clinic to report the claim incident to Agria covers illnesses and accidents which subsequently occur and on your behalf. You must cooperate with the animal clinic are covered by the insurance. The additional amount can first 3
Agria Dog be used when the original amount of SEK 30,000 or SEK 60,000 A.6.2 Special conditions has fully been used. This additional amount is discontinued SPECIAL CONDITIONS automatically at the end of the insurance year. Obstetric complications and caesarean section The maximum benefit for prescription medicines and reha- Teeth bilitation is SEK 6,000 or SEK 10,000 each. The amounts for MRI-, CT-examinations and scintigraphy your dog is stated in the insurance policy document and is the highest compensation that you can receive from the insurance Neutering each insurance year. The amounts are not included in the total Joint diseases maximum benefit for veterinary care. Other degenerative spinal and joint diseases Plastic surgery The maximum benefit for the supplementary insurance Agria Breeding Veterinary Care. Sections J.5 a and b is included in Hidden defects the total amount for veterinary care and is the highest com- pensation that you can receive from the veterinary care and a) Obstetric complications and caesarean section breeding insurance policies combined. A The insurance covers obstetric complications and one caesarean section for a female dog from 20 months to 10 years A.6 Insurance cover of age. A female dog aged over 7 years must have had at least A.6.1 Veterinary Care one litter of puppies between the ages of 20 months and A The insurance covers the costs that you have incurred 7 years, in addition to this there is a requirement of the female during the insurance term when a vet examines and treats the undergoing a veterinary exam 30 days prior to mating. The insured dog with clinical symptoms of an illness or accident, certificate of the veterinary examination must show that the fe- which occurs during this period and is covered by the insur- male is in a suitable condition to have a litter of puppies without ance. The examination and treatment of the accident or illness risking her health. For caesarean section, it is also a prerequi- must be medically justified, according to Swedish veterinary site that the female has not previously had a caesarean section medical expertise, follow guidelines and norms issued by the and that the female is provenly unable to give birth herself or Swedish Veterinary Association and comply with science and can not give birth herself after receiving medical treatment. proven experience. For Boston Terriers, English and French Bulldogs and The term accident refers to a traumatic injury that is caused Chihuahuas, a caesarean section will be covered if the female by a sudden external event. If the vet confirms that the dog previously has given birth to one or more litters and all the has swallowed a foreign object or the dog suffers from acute litters have been born without caesarean section. poisoning, this is also considered to be an accident. b) Teeth An accident does not include heat stroke or a tick bite and A The insurance covers the correction of malocclusion for consequences thereof. An accident does not include conditions medical purposes, fractures of deciduous teeth (puppy teeth), which, even if they are found after an accident, are the result of extraction of remaining deciduous teeth (puppy teeth) and an illness, according to veterinary medical assessment. dental cysts under the condition that the dog has been covered by an insurance for veterinary care since before the age of 4 months, and has continued to be insured without interruption. In the case of correcting a malocclusion, the puppy must have been examined by a vet between the ages of 7 weeks and 4 months without any comment on its bite. 4
Tartar, periodontitis (tooth loss) or complications arising from f) Other degenerative spinal, knee and joint diseases poor oral or dental status, dental prosthetics, crowns and A For other degenerative spinal, knee and joint diseases, braces are not covered. such as herniated disc, it is covered under the condition that the dog has been covered by an insurance for veterinary care c) MRI-, CT-examinations (magnetic resonance imaging and since before the age of 4 months, and has continued to be computerized tomography) and scintigraphy insured without interruption. A Compensation is provided for examinations that are pre- approved by Agria. Read more about the pre-approval proce- If the dog has not been insured before the age of 4 months, dure in section S.4.1 of the General Terms and Conditions. there is a waiting period for the insurance of 12 months from the date the insurance is taken out. This means that the degen- d) Neutering erative spinal, knee or joint disease must not have started during the first 12 months of insurance. A The neutering of a female dog is only covered if it is part of the treatment for diabetes mellitus or an abnormal physical growth (acromegaly), a traumatic injury to the uterus, uterine If the requirements stated in the paragraph above are not diseases with clear clinical symptoms, delivery injuries, vaginal fulfilled, the maximum benefit you can receive is SEK 3,000 up prolapse or tumors in the vagina, uterus or ovaries. until the point of a confirmed diagnosis, establishing that the dog has any other degenerative spinal, knee or joint disease. The neutering of a male dog is only covered if it is part of the treatment for prostate disorders with typical clinical symp- g) Plastic surgery toms, a rectal hernia (perineal hernia), benign anal tumors A The dog must have been covered by an insurance for (perianal adenoma), testicular inflammation, testicular torsion, veterinary care since before the age of 4 months, and has tumors of the testicles, penis prolapse or when performing continued to be insured without interruption. Plastic surgery a fistula in the urethra (urethral fistula) in males with urinary refers to a surgical correction of the skin, mucous membranes stones or a disorder of or damage to the scrotum where the or other body part. scrotum must be surgically removed. The insurance does not cover certain plastic surgery e) Joint diseases procedures for Boston Terriers, English and French Bulldogs A Treatment for hip disease, elbow disease, patellar luxation, and Pugs. Read more in section A.10.3 about breed-specific osteochondrosis and short ulna or Perthes disease is covered restrictions. under the condition that the dog has been covered by an insur- ance for veterinary care since before the age of 4 months, and h) Hidden defects has continued to be insured without interruption. In the case of A The insurance covers hidden defects, under the condition hip dysplasia (HD), the X-ray images of the registered pedigree that the dog has been covered by an insurance for veterinary dog must be scanned and registered with the Swedish Kennel care since before the age of 4 months, and has continued Club (SKK). to be insured without interruption. The dog must have been examined without any comment by a vet in a Nordic country If the requirements stated in the paragraph above are not between the ages of 7 weeks and 4 months. The certificate fulfilled the maximum benefit you can receive is SEK 3,000 up must not be issued more than 7 days prior to or 7 days after until the point of a confirmed diagnosis, establishing that the delivery. dog has one of the mentioned joint diseases. If the requirements stated in the paragraph above are not If the elbow or hip has previously been declared healthy after fulfilled, the insurance is subject to a waiting period of 12 an X-ray examination and the result is registered with the SKK months from the date the insurance was taken out with Agria. or another Nordic kennel club affiliated to the FCI, you will be This means that the dog must not have shown symptoms of the compensated if problems occur in the previously healthy joint. hidden defect during the first 12 months of insurance. 5
Agria Dog By hidden defect we mean a disease or defect which has started veterinary medical assessment concludes that it must be to develop before the examination and delivery but has not euthanised and the illness or injury is covered by the insurance given any symptoms or otherwise been known. in section A.6. A hidden defect is not a disease or defect that is noted or A.10 Limitations should have been seen on the veterinary examination according A.10.1 Waiting period to established norms within veterinary medical assessment. A The insurance has a waiting period of 20 days unless the terms state otherwise, see section A.6.2 f and h. Waiting period The insurance is not valid if the veterinary examination is per- means that the insurance will not cover illnesses that started formed without any comment after the dog has fallen ill or has to develop during the waiting period from the time the insur- been treated for the hidden defect. It does not cover hidden ance came into force. For more information, see the General defects that are discovered or have shown symptoms before Terms and Conditions section S.1.4 and S.1.5. the insurance came into force. A.10.2 General restrictions A.7 Medicines A The insurance does not cover costs for: A The insurance covers the costs you have incurred for • preventive treatment, treatment using autologous prescription medicines, medicines for desensitization (allergen- conditioned serum/plasma (ACS), acupuncture, chiropractic specific immunotherapy), inhalers and insulin syringes as part manipulation, shockwave therapy, laser treatment or other of treatment for illness or injury covered by the insurance in types of alternative medicine. section A.6 • umbilical hernia, cryptorchidism or kinked tail. • behavioral disorders, temperament issues or other bad habits. A.8 Rehabilitation • providing certificates, administrative or advisory costs. A The insurance covers rehabilitation ordered by the • out-of-hour charges or similar costs, if they have not been veterinarian in charge of the medical treatment. The forms of medically justified. rehabilitation that are covered are exclusively swimming, mas- • medication issued by a vet that is not prescribed, prescription sage, stretching and treadmill. For rehabilitation to be covered diet, shampoo or other products ordered or sold by a vet. it needs to be an established illness or accident concerning the • vet’s travel, transport of the dog or other trips. joints, nerves, muscles or tendons, or due to a fractured limb or • taking samples for and analysing antibodies to indicate an a herniated disc. The illness or injury treated must be covered infectious agent. by the insurance in section A.6. • taking samples and analysis using PCR techniques to deter- mine Borrelia in blood samples. Compensation is given for a maximum of 4 month continuous • haemodialysis. rehabilitation per reimbursable injury. Rehabilitation must be • gold implants. started within 2 months of being prescribed by the treating vet. • external bodily prosthetics, apart from orthoptics. • parvo (parvovirus), distemper or infectious hepatocellular Rehabilitation carried out at a rehabilitation facility that is not carcinoma (HCC) if the dog is not sufficiently vaccinated as connected to the pet clinic must be referred to a specified reha- recommended in FASS Djurläkemedel. bilitation facility/therapist and the referable document to that • complications resulting from illness, injury or treatment that facility/therapist must be included with the claim's notification. would otherwise not be covered, except for complications with neutering or vaccination. You can only be compensated for rehabilitating a chronic joint, spinal, nerve, muscle and tendon disease once during the dog's A.10.3 Breed-specific restrictions life. It is the veterinary medical assessment that determines AFor Shar Pei, the costs for examination or treatment due to when the dog's injury is considered to be chronic. eyes, ears or skin conditions are not covered. A.9 Euthanasia and cremation For Boston Terriers, English and French Bulldogs and Pugs, A Compensation is provided of up to SEK 1,000 for your costs for examination, treatment or surgery of the trachea, soft expenses for the euthanasia and cremation of your dog if a 6
alate, nasal cavities, nostrils or constrictions in the pharynx p B.5 Maximum benefit are not covered. A The maximum benefit is SEK 30,000, SEK 60,000 or SEK 120,000. The amount that you have chosen is set out in your A.11 Excess insurance policy document and is the highest compensation A The insurance and its supplementary insurance policies that you can receive from the insurance each insurance year. have a fixed and a variable excess amount. We deduct one fixed excess amount per excess period. The variable excess is The maximum benefit for the supplementary insurance policies deducted from the costs that exceed the fixed excess. The fixed Agria Breeding Veterinary Care, see section J.5.a and b, is and variable excesses that you have selected are stated in your included in the total amount for veterinary care and is the high- insurance policy document. An excess period is 135 days. We est amount that you can be compensated for by the veterinary calculate the excess period from the date of the earliest costs care and breeding insurance policies combined. incurred for which you have requested compensation. B.6 Insurance cover Example of cost allocation B.6.1 Veterinary Care Product: Agria Dog Breed Insurance A The insurance covers the costs that you have incurred Fixed excess: 2 350 kr Variable excess: 15 % during the insurance term when a vet examines and treats the insured dog with clinical symptoms of an illness or accident, Veterinary bill 15 000 kr - Fixed excess - 2 350 kr which occurs during this period and is covered by the insurance. 12 650 kr The examination and treatment of the accident or illness must Agria covers - Variable excess 15% - 1 898 kr be medically justified, according to Swedish veterinary medical You pay Agria covers 10 752 kr expertise, follow guidelines and norms issued by Swedish Veterinary Association and comply with science and proven experience. The term accident refers to a traumatic injury that is caused B Agria Veterinary Care by a sudden external event. If the vet confirms that the dog has swallowed a foreign object or the dog suffers from acute B.1 The insurance applies to poisoning, this is also considered to be an accident. A The insurance with supplementary insurance covers the policyholder or other person caring for the dog, for example, a An accident does not include heat stroke or a tick bite and co-owner. consequences thereof. An accident does not include conditions which, even if they are found after an accident, are the result of B.2 When the insurance applies an illness, according to veterinary medical assessment. A The insurance is valid for insurance cases that occur during the insurance term. B.6.2 Special conditions SPECIAL CONDITIONS B.3 Where the insurance is valid A The insurance is valid in Sweden. It is valid for a maximum Obstetric complications and caesarean section period of one year in other EU countries, the United Kingdom, Teeth Norway or Switzerland, starting from the day of departure from MRI-, CT-examinations and scintigraphy Sweden. Neutering B.4 Insured animal Joint diseases A The insurance covers the dog or dogs that are specified in Other degenerative spinal and joint diseases the insurance policy document. Plastic surgery Hidden defects 7
Agria Dog a) Obstetric complications and caesarean section with clear clinical symptoms, birth injuries, vaginal prolapse or A The insurance covers obstetric complications and tumor in the vagina, uterus or ovaries. c aesarean section for a female dog from 20 months to 10 years of age. A female dog aged over 7 years must have had at least The neutering of a male dog is only covered if it is part of the one litter of puppies between the ages of 20 months and treatment for prostate disorders with typical clinical symp- 7 years, in addition to this there is a requirement of the female toms, a rectal hernia (perineal hernia), benign anal tumors undergoing a veterinary exam within 30 days prior to mating. (perianal adenoma), testicular inflammation, testicular torsion, The certificate of the veterinary examination must show that tumors of the testicles, penis prolapse or when performing the female is in a suitable condition to have a litter of puppies a fistula in the urethra (urethral fistula) in males with urinary without risking her health. For caesarean section, it is also a stones or a disorder of or damage to the scrotum where the prerequisite that the female has not previously had a caesarean scrotum must be surgically removed. section and that the female is provenly unable to give birth herself or can not give birth herself after receiving medical e) Joint diseases treatment. A Treatment for hip disease, elbow disease, patellar luxation, osteochondrosis and short ulna or Perthes disease is covered For Boston Terriers, English and French Bulldogs and under the condition that the dog has been covered by an insur- hihuahuas, a caesarean section will be covered if the female C ance for veterinary care since before the age of 4 months, and previously has given birth to one or more litters and all the has continued to be insured without interruption. In the case of litters have been born without caesarean section. hip dysplasia (HD), the X-ray images of the registered pedigree dog must be scanned and registered with the Swedish Kennel b) Teeth Club (SKK). A The insurance covers the correction of malocclusion for medical purposes, fractures of deciduous teeth (puppy teeth), If the requirements stated in the paragraph above are not extraction of remaining deciduous teeth (puppy teeth) and fulfilled the maximum benefit you can receive is SEK 3,000 up dental cysts under the condition that the dog has been covered until the point of a confirmed diagnosis, establishing that the by an insurance for veterinary care since before the age of 4 dog has one of the mentioned joint diseases. months, and has continued to be insured without interruption. If the elbow or hip has previously been declared healthy after In the case of correcting a malocclusion, the puppy must have an X-ray examination and the result is registered with the SKK been examined by a vet between the ages of 7 weeks and 4 or another Nordic kennel club affiliated to the FCI, you will be months without any comment on its bite. compensated if problems occur in the previously healthy joint. Tartar, periodontitis (tooth loss) or complications arising from f) Other degenerative spinal, knee and joint diseases poor oral or dental status, dental prosthetics, crowns and A For other degenerative spinal, knee and joint diseases, braces are not covered. such as herniated disc, it is covered under the condition that the dog has been covered by an insurance for veterinary care c) MRI-, CT-examinations (magnetic resonance imaging and since before the age of 4 months, and has continued to be computerized tomography) and scintigraphy insured without interruption. A Compensation is provided for examinations that are pre- approved by Agria. Read more about the pre-approval proce- If the dog has not been insured before the age of 4 months, dure in section S.4.1 of the General Terms and Conditions. there is a waiting period for the insurance of 12 months from the date the insurance is taken out. This means that the d) Neutering degenerative spinal, knee or joint disease must not have started during the first 12 months of insurance. A The neutering of a female dog is only covered if it is part of the treatment of diabetes mellitus or abnormal physical growth (acromegaly), traumatic injury to the uterus, uterine diseases If the requirements stated in the paragraph above are not fulfilled, the maximum benefit you can receive is SEK 3,000 up 8
until the point of a confirmed diagnosis, establishing that the expenses for the euthanasia and cremation of your dog if a dog has any other degenerative spinal, knee or joint disease. veterinary medical assessment concludes that it must be euthanised and the illness or injury is covered by the insurance g) Plastic surgery in section B.6. A The dog must have been covered by an insurance for veterinary care since before the age of 4 months, and has B.8 Limitations continued to be insured without interruption. Plastic surgery B.8.1 Waiting period refers to a surgical correction of the skin, mucous membranes A The insurance has a waiting period of 20 days unless the or other body part. terms state otherwise, see section B.6.2 f and h. Waiting period means that the insurance will not cover illnesses that started The insurance does not cover certain plastic surgery proce- to develop during the waiting period after the insurance came dures for Boston Terriers, English and French Bulldogs and into force. For more information see the General Terms and Pugs. Read more in section B.8.3 about breed-specific restric- Conditions section S.1.4 and S.1.5. tions. B.8.2 General restrictions h) Hidden defects A The insurance does not cover costs for: A The insurance covers hidden defects, under the condition • preventive treatment, rehabilitation, treatment using autolo- that the dog has been covered by an insurance for veterinary gous conditioned serum/plasma (ACS), acupuncture, chiro- care since before the age of 4 months, and has continued practic manipulation, shockwave therapy, laser treatment or to be insured without interruption. The dog must have been other types of alternative medicine. examined without any comment by a vet from a Nordic country • umbilical hernia, cryptorchidism or kinked tail. between the ages of 7 weeks and 4 months. The certificate • behavioral disorders, temperament issues or other bad must not be issued more than 7 days prior to or 7 days after habits. delivery. • providing certificates, administrative or advisory costs. • out-of-hour charges or similar costs, if they have not been If the requirements stated in the paragraph above are not medically justified. fulfilled, the insurance policy is subject to a waiting period of • medication (prescription-based or issued by a vet), medicines 12 months from the date the policy was taken out with Agria. for desensitization (allergen-specific immunotherapy), This means that the dog must not have shown symptoms of the prescription diet, shampoo or other products prescribed or hidden defect during the first 12 months of insurance. sold by a vet. • vet’s travel, transport of the dog or other trips. By hidden defect we mean a disease or defect which has started • taking samples for and analysing antibodies to indicate an to develop before the examination and delivery but has not infectious agent. given any symptoms or otherwise been known. • taking samples and analysis using PCR techniques to deter- mine Borrelia in blood samples. A hidden defect is not a disease or defect that is noted or • haemodialysis. should have been seen on the veterinary examination according • gold implants. to established norms within veterinary medical assessment. • external bodily prosthetics, apart from orthoptics. • parvo (parvovirus), distemper or infectious hepatocellular The insurance is not valid if the veterinary examination is carcinoma (HCC) if the dog is not sufficiently vaccinated as erformed without any comment after the dog has fallen ill p recommended in FASS Djurläkemedel. or has been treated for the hidden defect. It does not cover • complications resulting from illness, injury or treatment that hidden defects that are discovered or have shown symptoms would otherwise not be covered, except for complications before the insurance came into force. with neutering or vaccination. B.8.3 Breed-specific restrictions B.7 Euthanasia and cremation A For Shar Pei, the costs for examination or treatment due A Compensation is provided of up to SEK 1,000 for your to eyes, ears or skin conditions are not covered. 9
Agria Dog For Boston Terriers, English and French Bulldogs and Pugs, C.5 Maximum benefit costs for examination, treatment or surgery of the trachea, soft A The maximum benefit is SEK 30,000. The amount is the palate, nasal cavities, nostrils or constrictions in the pharynx highest compensation you can receive from the insurance each are not covered. insurance year. B.9 Excess The maximum benefit for prescription medicines is SEK 2,000. A The insurance and its supplementary insurance policies The amount is the highest compensation that you can receive have a fixed and a variable excess amount. We deduct one from the insurance each insurance year. The amount is includ- fixed excess amount per excess period. The variable excess is ed in the total maximum benefit for veterinary care. deducted from the costs that exceed the fixed excess. The fixed and variable excesses that you have selected are stated in your C.6 Insurance cover insurance policy document. An excess period is 125 days. We C.6.1 Veterinary Care calculate the excess period from the date of the earliest costs A The insurance covers the costs that you have incurred incurred for which you have requested compensation. during the insurance term when a vet examines and treats the insured dog with clinical symptoms of an illness or accident, Example of cost allocation which occurs during this period and is covered by the insur- Product: Agria Veterinary Care ance. The examination and treatment of the accident or illness Fixed excess: 2 350 kr must be medically justified, according to Swedish veterinary Variable excess: 15 % expertise, follow guidelines and norms issued by the Swedish Veterinary bill 15 000 kr Veterinary Association and comply with science and proven - Fixed excess - 2 350 kr 12 650 kr experience. Agria covers - Variable excess 15% - 1 898 kr You pay Agria covers 10 752 kr The term accident refers to a traumatic injury that is caused by a sudden external event. If the vet confirms that the dog has swallowed a foreign object or the dog suffers from acute poisoning, this is also considered to be an accident. C Agria Mini Veterinary Care An accident does not include heat stroke or a tick bite and consequences thereof. An accident does not include condi- C.1 The insurance applies to tions which, even if they are found after an accident, are the re- A The insurance covers the policyholder or other person sult of an illness, according to veterinary medical assessment. caring for the dog, for example a co-owner. C.6.2 Special conditions C.2 When the insurance applies A The insurance is valid for insurance cases that occur SPECIAL CONDITIONS during the insurance term. Obstetric complications Teeth C.3 Where the insurance is valid MRI-, CT-examinations and scintigraphy A The insurance is valid in Sweden. It is valid for a maximum of one year in other EU countries, the United Kingdom, Norway Neutering or Switzerland, starting from the day of departure from Joint diseases Sweden. Other degenerative spinal, knee and joint diseases Examination to determine a diagnosis C.4 Insured animal A The insurance covers the dog or dogs that are specified in the insurance policy document. a) Obstetric complications A The insurance covers obstetric complications for a female 10
dog from 20 months up to 10 years of age. A female dog aged If the elbow or hip has previously been declared healthy after over 7 years must have had at least one litter of puppies an X-ray examination and the result is registered with the SKK between the ages of 20 months and 7 years, in addition to this or another Nordic kennel club affiliated to the FCI, you will be there is a requirement of the female undergoing a veterinary compensated if problems occur in the previously healthy joint. exam within 30 days prior to mating. The certificate of the vet- erinary examination must show that the female is in a suitable f) Other degenerative spinal, knee and joint diseases condition to have a litter of puppies without risking her health. AFor other degenerative spinal, knee and joint diseases, such The insurance does not cover costs for caesarean section. as herniated disc, it is covered under the condition that the dog has been covered by an insurance for veterinary care since b) Teeth before the age of 4 months, and has continued to be insured A The insurance covers costs relating to the examination and without interruption. treatment of dental fractures in permanent teeth caused by an accident. For any other dental treatment, regardless of the cause If the dog has not been insured before the age of 4 months, or the consequences thereof, the insurance does not cover. there is a waiting period for the insurance of 12 months from the date the insurance is taken out. This means that the de- c) MRI-, CT-examinations (magnetic resonance imaging and generative spinal, knee or joint disease must not have started computerized tomography) and scintigraphy during the first 12 months of insurance. A Compensation is provided up to a maximum of SEK 5,000 per insurance year for examinations that are pre-approved by The insurance does not cover costs for treatment or opera- Agria. Read more about the pre-approval procedure in section tions on cruciate ligaments or meniscus. S.4.1 of the General Terms and Conditions. g) Examination to determine a diagnosis d) Neutering A Compensation is provided up to a maximum of SEK 2,000 A The neutering of a female dog is only covered if it is part of until the point of a confirmed diagnosis, establishing that the the treatment for diabetes mellitus or an abnormal physical dog has an illness that occurs during the insurance period and growth (acromegaly), a traumatic injury to the uterus, uterine that is not covered by the insurance. diseases with clear clinical symptoms, delivery injuries, vaginal prolapse or tumors in the vagina, uterus or ovaries. C.7 Medicines A The insurance covers the costs you have incurred for The neutering of a male dog is only covered if it is part of the prescription medicines, medicines for desensitization (allergen- treatment for prostate disorders with typical clinical symp- specific immunotherapy), inhalers and insulin syringes as part toms, a rectal hernia (perineal hernia), benign anal tumors of treatment for illness or injury covered by the insurance (perianal adenoma), testicular inflammation, testicular torsion, section C.6. tumors of the testicles, penis prolapse or when performing a fistula in the urethra (urethral fistula) in males with urinary C.8 Limitations stones or a disorder of or damage to the scrotum where the C.8.1 Waiting period scrotum must be surgically removed. A The insurance has a waiting period of 20 days unless the terms state otherwise, see section C.6.2 f. Waiting period e) Joint diseases means that the insurance will not cover illnesses that started during the waiting period since the insurance came into force. A Treatment for hip disease, elbow disease, patellar luxation, For more information, see the General Terms and Conditions osteochondrosis and short ulna or Perthes disease is covered section S.1.4 and S.1.5. under the condition that the dog has been covered by an insurance for veterinary care since before the age of 4 months, and has continued to be insured without interruption. In the C.8.2 General restrictions case of hip dysplasia (HD), the X-ray images of the registered A The insurance does not cover costs for: pedigree dog must be scanned and registered with the Swedish • preventive treatment, rehabilitation, treatment using auto- Kennel Club (SKK). logous conditioned serum/plasma (ACS), acupuncture, chiro- 11
Agria Dog practic manipulation, shockwave therapy, laser treatment or Example of cost allocation other types of alternative medicine. Product: Agria Mini Veterinary care • umbilical hernia, cryptorchidism or kinked tail. Fixed excess: 1 500 kr • behavioral disorders, temperament issues or other bad habits. Variable excess: 25 % • caesarean section. Veterinary bill 15 000 kr • cataract or plastic surgery (surgical correction of the skin, - Fixed excess - 1 500 kr mucous membranes or other body part.) 13 500 kr Agria covers - Variable excess 25% - 3 375 kr • providing certificates, administrative or advisory costs. You pay Agria covers 10 125 kr • out-of-hour charges or similar costs that are charged on weekdays between 08.00 and 18.00. Out-of-hour charges or similar costs at other times, if they have not been medically justified. • medication issued by a vet that is not prescribed, prescription D Agria Medicine, supplementary • diet, shampoo or other products ordered or sold by a vet. vet’s travel, transport of the dog or other trips. insurance • taking samples for and analysing antibodies to indicate an infectious agent or taking samples and analysis using PCR This insurance can only be taken out as a supplement to Agria techniques to determine Borrelia in blood samples. Dog Breed Insurance and Agria Veterinary Care. The insurance • radiotherapy, chemotherapy or cytotoxins. policy document states whether you have chosen to take out • haemodialysis. Agria Medicine insurance. • prosthetic or implant operation. • euthanasia, disposal of or cremation. Insurance cover • parvo (parvovirus), distemper or infectious hepatocellular A The insurance covers the costs you have incurred for carcinoma (HCC) if the dog is not sufficiently vaccinated as prescription medicines, medicines for desensitization (allergen- recommended in FASS Djurläkemedel. specific immunotherapy), inhalers and insulin syringes up to • complications due to illness, injury or treatment that would SEK 6,000 each insurance year. otherwise not be compensated, except for complications with vaccinations. Otherwise, the insurance is subject to the same terms as for the veterinary care insurance that you took out. The amount is C.8.3 Breed-specific restrictions not included in the total maximum benefit you selected in the A For Shar Pei, the costs for examination or treatment due veterinary care insurance. to eyes, ears or skin conditions are not covered. For Boston Terriers, English and French Bulldogs and Pugs, costs for examination, treatment or surgery of the trachea, soft E Agria Rehabilitation, palate, nasal cavities, nostrils or constrictions in the pharynx are not covered. supplementary insurance C.9 Excess This insurance can only be taken out as a supplement to Agria A The insurance has a fixed excess and a variable excess. We Dog Breed Insurance and Agria Veterinary Care. The insurance deduct one fixed excess amount per excess period. The variable policy document states whether you have chosen to take out excess is deducted from the costs that exceed the fixed excess. Agria Rehabilitation insurance. The fixed and the variable excesses are stated in your insurance policy document. An excess period is 125 days. We calculate Insurance cover the excess period from the date of the earliest costs incurred A The insurance covers rehabilitation ordered by the for which you have requested compensation. veterinarian in charge of the medical treatment. The forms of rehabilitation that are covered are exclusively swimming, mas- 12
sage, stretching and treadmill. For rehabilitation to be covered INSURANCE COVER it needs to be an established illness or accident concerning the joints, nerves, muscles or tendons, or due to a fractured limb or Boarding at kennel a herniated disc up to SEK 6,000 each insurance year. Cancellation protection Travel interruption Otherwise, the policy is subject to the same terms as for the Additional costs for extended stay veterinary care insurance that you took out. The amount is not included in the total maximum benefit you selected in the veterinary care insurance. a) Boarding at kennels A The insurance covers the cost of boarding your dog at Compensation is provided for a maximum of 4 months’ contin- kennels if the doctor decides that you are unable to look after uous rehabilitation per reimbursable injury. Rehabilitation must your dog. The insurance covers the costs with 75% from the be started within 2 months of being prescribed by the treating vet. third day of boarding. In addition to this the insurance covers up to a maximum of SEK 500 for travel expenses related to picking Rehabilitation carried out at a rehabilitation facility that is not up and dropping off your dog at the kennel each period. Several connected to the pet clinic must be referred to a specified successive periods of illnesses that has a medical connection rehabilitation facility/therapist and the referable document counts as one period. The kennel facility must hold a valid to that facility/therapist must be included with the claim's licence from Länsstyrelsen (County Administration Board). notification. For a female boarded at a kennel while she has puppies younger You can only be compensated for rehabilitating a chronic joint, than 10 weeks old, an additional SEK 80 each day will be com- spinal, nerve, muscle and tendon disease once during the dog's pensated for the expenses of the litter. life. It is the veterinary medical assessment that determines when the dog's injury is considered to be chronic. In the case of the policyholder's death, compensation is given for up to 60 days of boarding costs from the time death incurred. F Agria Security, supplementary b) Cancellation protection insurance A The insurance covers you if you are forced to cancel a private trip before departure from your home in Sweden due to an illness or injury that has given your dog acute symptoms This insurance can only be taken out as a supplement to Agria Dog and requires immidiate vetarinairy care. Breed Insurance, Agria Veterinary Care, Agria Mini Veterinary Care Agria Pack and Agria Pack Gold. The insurance policy document The insurance covers 75% of your travel costs. By travel costs states whether you have chosen to take out Agria Security insurance. we mean the amount you paid before the claim incident for travel, accommodation, lift pass, green fee, rental car, booked The insurance is valid for the policyholder who owns the dog events and excursions that you were not able to benefit from and the estate after the policyholder’s death. and for which you can not be compensated for by any other source, such as another insurance policy, the tour operator, F.1 Insurance cover transport company or hotel. You must declare the amounts A The maximum benefit is SEK 20,000 and this is the highest that have been repaid and specify other cost savings made. compensation you can receive from the insurance each insur- The insurance also covers fellow travellers included in your ance year. The amount is not included in the maximum benefit household and who are a resident and is registered at the same you selected in the veterinary care insurance. address as you. Unless otherwise is stated, the insurance is subject to the same c) Travel interruption terms as the veterinary care insurance you took out. A The insurance covers you if you are forced to interrupt 13
Agria Dog a private trip because the insured dog, which is at home, has G Agria Life become acutely ill or injured and needs life-sustaining veteri- nary care. G.1 The insurance applies to A The insurance covers the policyholder in their capacity as You will be compensated 75% of the additional costs for the the owner of the dog, or a policyholder that is not the owner of immediate return home using standard means of transport. the dog but who has a significant financial interest in the dog. d) Additional costs for extended stay In addition, the insurance only covers another owner of the dog A The insurance covers you if the insured dog which is who is a member of the policyholder's household. travelling with you has become acutely ill or injured and needs life-sustaining veterinary care and can not or is not allowed to G.2 When the insurance applies be moved, based on the treating vet’s instructions. You will be A The insurance is valid for insurance cases that occur dur- compensated for necessary and reasonable additional costs ing the insurance term and that are covered by the insurance. for meals and accommodation arising from the third day that The insurance can not be taken out for dogs that have reached your stay had to be extended because of the dog's condition. the age of 6 years. For breeds in the 8 years age group, life Compensation is provided of up to SEK 500 each day. insurance can not be taken out for dogs that have reached the age of 4 years. The insurance covers 75% of the additional costs of travel if you must return to Sweden by another transportation than you The insurance is terminated at the end of the insurance period planned, because of your dog's condition. from the year in which the dog reaches the age of 8, 10 or 12 years, depending on the breed. F.2 Limitations A The insurance does not cover: 8 years age group: • the costs of boarding if the policyholder's inability to take Bernese Mountain Dog, Great Dane, Irish Wolfhound, Leon- care of the insured dog is a result of an illness, occurrence or berger, Newfoundland, Pyrenean Mountain Dog, Neapolitan situation that arose within 12 months of the insurance came Mastiff and St Bernard. in to force. • if the dog's illness/injury that incurred the costs existed be- 10 years age group: fore the insurance was taken out or has been excluded from The breeds that are not listed in the 8 years or 12 years age group. the insurance as a result of an exclusion. • a cost that arose as a result of the dog's illness or injury that 12 years age group: existed previously, displayed symptoms or could have been Havanese, Border Terrier, Cairn Terrier, Chihuahua, Chinese predicted when the journey started. If the dog’s health de- Crested Dog, Miniature Schnauzer, Finnish Lapphund, Finnish teriorates severely during the trip and it was not possible to Spitz, Fox Terrier, Icelandic Sheepdog, Jack Russell, Lhasa predict this, compensation is provided for costs attributable Apso, Toy-, Miniature and Medium Poodle, Münsterländer, Norr- to the deterioration. bottenspets, Norwegian Buhund, Papillon, Phalène, Schnauzer, • if compensation can be provided by another insurance. Shih Tzu, Soft-Coated Wheaten Terrier, Tibetan Spaniel, Tibetan • costs for an interrupted trip or extended stay, if the dog's Terrier, Swedish Vallhund, Welsh Springer, West Highland White illness or injury is not life-threatening according to Terrier and Whippet. veterinary medical assessment. G.3 Where the insurance is valid F.3 Excess A The insurance is valid in Sweden. It is valid for a maximum A The insurance does not have an excess. period of one year in other EU countries, the United Kingdom, Norway or Switzerland, starting from the day of departure from Sweden. 14
G.4 Insured animal G.6.1 Special conditions A The insurance covers the dog or dogs that are specified in the insurance policy document. SPECIAL CONDITIONS Obstetric complications and caesarean section G.5 Maximum benefit Joint diseases A The maximum benefit is stated in your insurance policy Other degenerative spinal, knee and joint diseases document and is the highest compensation that you can receive from the insurance. The amount covered by the insur- Hidden defects ance is reduced upon every yearly renewal from the age 5, 7 or 9 years, depending on the age group of your dog. See section a) Obstetric complications and caesarean section G.2. The amount is reduced by 20 % each year until it reaches A The insurance covers obstetric complications and caesar- SEK 5,000. When reducing the amount, it is rounded to the ean section for a female dog from 20 months to 10 years of age. nearest hundred SEK. From the beginning of the insurance year A female dog aged over 7 years must have had at least one litter the dog reaches 7, 9 or 11 years of age depending on the breed of puppies between the ages of 20 months and 7 years, in addi- the highest amount of the life insurance is SEK 10,000. If you tion to this there is a requirement of the female undergoing a have been compensated by the supplementary insurance Agria veterinary exam within 30 days prior to mating. The certificate Utility or Agria Breeding Life, the maximum benefit is reduced of the veterinary examination must show that the female is in a by the amount you received in compensation. suitable condition to have a litter of puppies without risking her health. For caesarean section, it must be proven that the female Dogs are valued based on the purchase price and market value. is provenly unable to give birth herself or can not give birth The market value means the amount that it would have cost herself after receiving medical treatment. The female must not to purchase an equivalent dog immediately before the claim have given birth twice by caesarean sections previously and for incident. The market value is determined by the merits of the dog Boston terriers, English and French Bulldogs and Chihuahuas life and is based on the Swedish Kennel Club’s valuation list. You are insurance will only cover if the female previously has given birth responsible for ensuring that the dog is valued correctly by us. to one or more litters and all the litters have been born without caesarean section. G.6 Insurance cover A Compensation is provided up to the maximum benefit if b) Joint diseases the insured dog is subject to severe illness or injury and can A Hip disease, elbow disease, patellar luxation, osteochon- not be treated or is not viable for a prolonged life and therefor drosis and short ulna or Perthes disease is covered under the must be euthanised according to veterinary medical assessment. condition that the dog has been covered by a life insurance since before the age of 4 months, and has continued to be The term accident refers to a traumatic injury that is caused insured without interruption. In the case of hip dysplasia by a sudden external event. If the vet confirms that the dog (HD), the X-ray images of the registered pedigree dog must be has swallowed a foreign object or the dog suffers from acute scanned and registered with the Swedish Kennel Club (SKK). poisoning, this is also considered to be an accident. If the elbow or hip has previously been declared healthy after An accident does not include heat stroke or a tick bite and an X-ray examination and the result is registered with the SKK consequences thereof. An accident does not include conditions or another Nordic kennel club affiliated to the FCI, you will be which, even if they are found after an accident, are the result of compensated if problems occur in the previously healthy joint. an illness, according to veterinary medical assessment. c) Other degenerative spinal, knee and joint diseases If the dog has both life insurance and veterinary care insurance, A For other degenerative spinal, knee and joint diseases, we may compensate the life insurance if it is clear that com- such as herniated disc, it is covered under the condition that pensation from valid veterinary care insurance would exceed the dog has been covered by a life insurance since before the the maximum benefit in the life insurance. You must contact us age of 4 months, and has continued to be insured without for an assessment. interruption. 15
Agria Dog If the dog has not been insured before the age of 4 months, You can not receive compensation if the dog has disappeared there is a waiting period for the insurance of 12 months from as a result of unlawful disposal. If the dog is found, you are the date the insurance is taken out. This means that other responsible for notifying us of this and pay back the insurance degenerative spinal, knee or joint disease must not have started compensation. during the first 12 months of insurance. G.7 In the event of a claim d) Hidden defects A If you have not complied with the conditions of due A The insurance covers hidden defects, under the condition diligence requirements or instructions at the time of or prior that the dog has been covered by a life insurance since before to the claim incident, the compensation could be reduced in the age of 4 months, and has continued to be insured without accordance with the provisions of the Insurance Contract interruption. The dog must have been examined without any Law (FAL). See section S.5 and S.6 in the General Terms and comment by a vet in a Nordic country between the ages of Conditions. 7 weeks and 4 months. The certificate must not be issued more than 7 days prior to or 7 days after delivery. If the dog is deceased or must be euthanised, the following applies: If the requirements stated in the paragraph above are not a) Post-mortem examination fulfilled, the insurance is subject to a waiting period of 12 You must contact us for an assasement. You will not need to months from the date the insurance was taken out with Agria. have a post-mortem examination carried out if we grant an This means that the dog must not have shown symptoms of the exemption. We can request post-mortem examination if: hidden defect during the first 12 months of insurance. • the dog is deceased or was euthanised without the underlying cause of illness or injury had been determined. By hidden defect we mean a disease or defect which has • the dog is deceased as a result of a sudden, unforeseen event. started to develop before the examination and delivery but has • the insurance cover has been increased in the last year. not given any symptoms or otherwise been known. • the amount of the dog's life value exceeds SEK 30,000. • the dog has been insured with us for less than one year. A hidden defect is not a disease or defect that is noted or should have been seen on the veterinary examination, according The costs for the post-mortem examination, transport and to established norms within veterinary medical assessment. cremation are compensated in addition to the maximum benefit, up to a maximum of SEK 5,000 if we have requested The insurance is not valid if the veterinary examination is per- the post-mortem examination. A post-mortem examination formed without any comment after the dog has fallen ill or has means a macroscopic and microscopic examination of the dead been treated for the hidden defect. It does not cover hidden animal's body. We do not accept post-mortem examinations defects that are discovered or have shown symptoms before performed on a dog that has been frozen, buried or that is the insurance came into force. otherwise unsuitable for examination. G.6.2 Runaway or stolen dog b) Identification A Compensation is provided up to the maximum benefit if If the dog does not need to have a post-mortem examination, your dog has run away or been stolen and has not been found you must get a vet to certify that he/she has seen and iden- within 3 months. If your dog is also covered by Agria Utility tified the dead dog. The veterinary certificate must contain a section I, compensation may be provided if your dog has not description of the claim incident, details about the dog's name, been found within 30 days of disappearing. breed and colour, as well as the chip- or ID-number. You must report the dog’s disappearance to the police within G.8 Limitations a week, look for the dog and put an advertisement about G.8.1 Waiting period the disappearance in the local press or media with a suitable A The insurance has a waiting period of 20 days unless the coverage. terms state otherwise, see section G.6.1 c and d. The waiting 16
period means that the insurance will not cover illnesses that The insurance terminates at the end of the period of insurance started during the waiting period from the time the insurance from the insurance year in which the dog reaches the age of 8, came into force. For more information, see the General Terms 10 or 12 years, depending on the breed. and Conditions section S.1.4 and S.1.5. 8 years age group: G.8.2 General restrictions Bernese Mountain Dog, Great Dane, Irish Wolfhound, Leonberger, A The insurance cover does not apply if the dog is deceased Newfoundland, Pyrenean Mountain Dog, Neapolitan Mastiff and or was euthanised as a result of: St Bernard. • behavioral disorders, temperament issues or other bad habits. • poor oral and dental status or malocclusion. 10 years age group: • parvo (parvovirus), distemper or infectious hepatocellular The breeds that are not listed in the 8 years or 12 years age group. carcinoma (HCC) if the dog is not sufficiently vaccinated as recommended in FASS Djurläkemedel. 12 years age group: • complications due to illness, injury or treatment that would Havanese, Border Terrier, Cairn Terrier, Chihuahua, Chinese otherwise not be compensated. Crested Dog, Miniature Schnauzer, Finnish Lapphund, Finnish Spitz, Fox Terrier, Icelandic Sheepdog, Jack Russell, Lhasa G.8.3 Breed-specific restrictions Apso, Toy, Miniature and Medium Poodle, Münsterländer, Norr- A Breed-specific restrictions: bottenspets, Norwegian Buhund, Papillon, Phalène, Schnauzer, • For Shar Pei life insurance does not cover if the dog is Shih Tzu, Soft-Coated Wheaten Terrier, Tibetan Spaniel, Tibetan deceased or is euthanised as a result of eye, ear or skin Terrier, Swedish Vallhund, Welsh Springer, West Highland White conditions. Terrier and Whippet. • For Boston Terriers, English and French Bulldogs and Pugs, life insurance does not cover if the dog is deceased or was H.3 Where the insurance is valid euthanised as a result of causes related to the dog's trachea, A The insurance is valid in Sweden. It is valid for a maximum soft palate, nasal cavities, nostrils or constrictions in the period of one year in other EU countries, the United Kingdom, pharynx. Norway or Switzerland, starting from the day of departure from Sweden. G.9 Excess A The insurance does not have an excess. H.4 Insured animal A The insurance covers the dog or dogs that are specified in the insurance policy document. H Agria Mini Life H.5 Maximum benefit A The maximum benefit is stated in your insurance policy H.1 The insurance applies to document and is the highest compensation that you can r eceive A The insurance covers the policyholder in their capacity as from the insurance. The amount covered by the insurance is the owner of the dog, or a policyholder that is not the owner of reduced upon every yearly renewal from the age 5, 7 or 9 years the dog but who has a significant financial interest in the dog. depending on the age group of your dog. See section H.2. The amount it reduced by 20 % each year until it reaches SEK 5,000. H.2 When the insurance applies When reducing the amount, it is rounded to the nearest hundred A The insurance is valid for insurance cases that occur during SEK. From the year the dog reaches the age of 7, 9 or 11 years, the insurance term and that are covered by the insurance. The depending on the breed, the highest amount is SEK 10,000. insurance can not be taken out for dogs that have reached the age of 6 years. For breeds in the 8 years age group, life insur- Dogs are valued based on the purchase price and market value. ance can not be taken out for dogs that have reached the age of The market value means the amount that it would have cost 4 years. to purchase an equivalent dog immediately before the claim incident. 17
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