PawPaw is an innovative Pet Insurance product for South Africa that provides cover for veterinary costs that South African pets may incur due to illness or injury. PawPaw is an affordable solution for any family with cats or dogs.
Cost per animal per month:
R217 for dogs & R161 for cats
Age Limit: - Up to 8 Years. (All pets under the age of 8 years will be covered by PawPaw Pet Insurance)
- All insured pets who turn 8 years old, will continue to enjoy lifetime cover and or for as long as the policy is active.
With PawPaw Pet Insurance you get:
- A pet health insurance that treats pets as patients, not property.
- A one page policy wording that is clear and concise with no hidden clauses or small-print.
- Our dedicated clinical case management ensures the most appropriate care is given to your pet at the time of need.
- Straight forward pre-authorisations for non-emergency treatments ensure that you do not face unexpected costs.
- Approved claims can be settled directly with the vet keeping out-of-pocket contributions to an absolute minimum.
- Pre-existing conditions are assessed by a qualified veterinarian, ensuring that the most appropriate cover is given to each and every pet.
|Most common conditions||Average cost of treatment||PawPaw Benefits||Other Insurance|
|Entropian (Rolling in of eyelids)||R 4 300||R 4 300||not covered|
|Corneal Perforation ( Tearing of eye)||R 4 000||R 4 000||up to R2500|
|Diaphragmatic Hernia (Trauma to cats in MVA)||R 9 000||R 9 000||up to R2500|
|Cryptorchidism (retained testicle)||R 3 000||R 3 000||not covered|
|Fractures||R 9 000||R 9 000||up to R 2 500|
|Cruciate Ligament Rupture (knee cap)||R 5 000 to R 15 000||appropriate cost||R 6 000 (1 per yr)|
|Elbow Dysplasia||R 6 000||R 6 000||not covered|
|Spinal disc prolapse||R9000 to R15000||appropriate cost||not covered|
|Dog bites||R1500 to R10000||appropriate cost||up to R2500|
Please read this carefully
- This policy will incept on the first day of the next calendar month following the acceptance of the application. The policy terms and premiums payable will be reviewed on the 1 June each year. The premiums are subject to inflation.
- There is an excess fee of 10% for every claim with a minimum of R150 per claim that you must pay.
- All non-emergency treatments must be pre-authorised by P.Uma.
- You agree to disclose all information relating to your pets health and condition at the time of signing up for cover and thereafter. Failure to do so could result in cancellation of your policy due to-non disclosure.
- You must notify P.Uma of any emergency treatments within 72 hours of the event.
- All claims must be submitted to P.Uma within 60 days of the date of treatment.
- P.UMA pays claims in accordance with the South African Veterinary Councils Guideline of Tariffs and reserves the right to request a second opinion from a vet of our choice regarding treatment and fees charged. If the fees are deemed excessive or the treatment deemed inappropriate we will pay the lesser amount with the balance being for your account.
- P.UMA reserves the right to refuse payment for repeated treatments if they are, under advice, deemed as ineffective or likely to cause the cat/dog undue distress.
- As the person responsible for the cat/dog you are expected to take all reasonable steps to prevent injury and illness. Failure to do so may result in rejection of claims and/or the cancellation of this policy.
- If there is another insurance policy covering the same claim, only the rateable proportion of that claim will be paid in terms of this policy.
- This policy may be terminated upon giving a one month written notice of cancellation and the cancellation shall be effective from the first day of the calendar month following the notice.
PawPaw covers the cost of veterinary treatments required to appropriately treat illness or injuries that the insured pet cat or dog may suffer. The treatments covered include, but are not limited to, consultations, investigations, surgery and medication.
Rehabilitation treatments, chemotherapies and radiotherapies are only covered subject to a detailed treatment plan being submitted and pre-approved by P.Uma. Chronic treatment plans may be purchased at an additional premium as a complement to this insurance. Chronic treatment plans are subject to a maximum annual limit.
- Any non-emergency treatment undertaken without the prior approval of P.Uma.
- Any costs other than the costs of veterinary treatments for the pet listed on the policy.
- The costs of the treatment of any illness occurring within the first 30 days of joining PawPaw. The costs of treatments for trauma resulting from accidental injury are covered in this period.
- Any invoices submitted more than 60 days after the date of treatment.
- The costs for any treatments for injuries and illness incurred outside of the Republic of South Africa.
- Any injury caused by abuse or negligence. We will report all abuse to the relevant authorities.
- The treatment of pre-existing conditions including any condition that manifests during any waiting period.
- Any treatment that continues for longer than three months unless approved by P.Uma and subject to clinical protocols.
- Any complementary treatments, experimental treatments or any treatments not forming part of mainstream veterinary science such as acupuncture, homoeopathy or chiropractic.
- The treatment of behavioural disorders.
- Any routine care such as vaccinations, dental scale and polish, anal gland expression, de-worming, grooming, tick and flea control or any food costs.
- Any elective or cosmetic treatments.
- Any treatments in connection with pregnancy, birthing and fertility and breeding such as sterilisation, artificial insemination and injuries resulting from breeding.
- House calls, after-hours consultation or hospitalisation unless a vet confirms it as necessary in terms of the pet's health.
- Any surgical items that can be used more than once. These are non-chargeable items.
- The costs of any prosthesis, implants or transplantation unless explicitly approved by P.Uma.
- Any costs after death, including post mortem examinations and cremation or burial.
- Any treatment by person/s not registered with the South African Veterinary Council.
- We will not, under any circumstance, cover euthanasia unless recommended by a veterinarian.