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Insurance broker / Horse surgery and horse health insurance in Germany / Policy wording archive

GHV Pferde-OP-Versicherung: the policy wording in full

Pferde-Krankenversicherung mit OP-Schutz der Stufe Premium mit 50.000 Euro Jahreshöchstleistung, Erstattung bis zum 2fachen GOT-Satz und im Notfall bis zum 4fachen, Vorsorgebudget und Aufnahme bis zum 16. Geburtstag.

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Everything about this policy

What the policy covers: 70 points, each with its clause

Quotes are shortened. The full German wording of each point is on the German page for GHV Pferde-OP-Versicherung.

Basics and reimbursement

PointRuleWording (German)Clause
Plan type: horse surgery only, colic surgery only or full horse health cover (surgery and treatment)yes„Pferde-Krankenversicherung 2025 - inklusive OP-Schutz“Leistungsübersicht, page 1
Animals insured (horses, ponies, donkeys, mules and other equines) and link to one identified animalnot addressed
Annual maximum (reimbursement limit per policy year)yes, up to EUR 50,000„Höchstleistung für alle versicherten Operationen und Heilbehandlungen; je …“Leistungsübersicht, page 1
Maximum per operation, per surgery day or per casenot addressed
Reimbursement up to which multiple of the veterinary fee scale (GOT in Germany; the applicable fee schedule in Austria and Spain)yes„Abrechnung der Tierarztkosten bis zum 2-fachen und in Notfällen bis zum 4-fachen Satz …“Leistungsübersicht, page 1
Reimbursement rate as a percentage of eligible costs (for example 80 or 100 percent)not addressed
Fixed excess in euros (per invoice, per operation or per policy year)yes, up to the sum insured„Selbstbeteiligung (SB); je Versicherungsjahr 250 €, 500 € oder 1.000 €“Leistungsübersicht, page 1
Percentage excess per invoice, with any minimum or maximum amountnot addressed
Higher excess or lower reimbursement from a certain age of the horsenot addressed
Free choice of vet, specialist and equine clinicyes„Freie Tierarzt- und Klinikwahl“Leistungsübersicht, page 1
Direct billing between insurer and vet or clinicnot addressed
Several horses in one policy (herd policy) and discount from the second horsenot addressed

Eligibility, age and waiting periods

PointRuleWording (German)Clause
Minimum age of the horse at inception (for example from birth or from the third month)yes„Aufnahmealter ab der vollendeten 9. Lebenswoche“Leistungsübersicht, page 1
Maximum age of the horse at inceptionyes„Bis einschließlich des 16. Geburtstag“Leistungsübersicht, page 1
End of cover or change of contract from a maximum agenone„Der Schutz bleibt, wenn Sie möchten, ein Pferdeleben lang bestehen.“Leistungsübersicht, page 1
Reduced benefits or depreciation for older horses (for example from 14 years)not addressed
Vet examination, certificate or health questions on applicationnot addressed
Requirement for an equine passport, microchip or brand as identificationnot addressed
Exclusion or loading by use (active racing, trotting and polo horses, competition, breeding, commercial use)not addressed
General waiting period for illness and surgery due to illnessyes„Sofortschutz bei Unfall und für versicherte Vorsorgemaßnahmen; Allgemeine Wartezeit: 1 …“Leistungsübersicht, page 1
Waiting period for colic and abdominal surgeryyes„Besondere Wartezeiten bei Koliken (7 Tage)“Leistungsübersicht, page 1
Waiting period for accidentsnone„Sofortschutz bei Unfall und für versicherte Vorsorgemaßnahmen“Leistungsübersicht, page 1
Special waiting periods for certain conditions (for example joints, tendons, navicular disease, airways)yes„Laborkosten (6 Monate), Gelenkoperationen bei vorliegen von isolierten Verschattungen …“Leistungsübersicht, page 1

Surgery and clinic

PointRuleWording (German)Clause
Surgery costs (procedure, anaesthesia or sedation, materials)yes, up to EUR 50,000„Höchstleistung für alle versicherten Operationen und Heilbehandlungen; je …“Leistungsübersicht, page 1
What counts as surgery: general anaesthesia, standing surgery under sedation, minimally invasive procedures (arthroscopy, endoscopy, laser)yes„inklusive Stand- und Vollnarkose“Leistungsübersicht, page 1
Colic surgery (abdominal surgery)yes, up to the sum insured„(478) Enterotomie (481) Darmresektion (483) Torsionsoperation Darm“Beispiele für versicherte Operationen nach GOT, page 2
Conservative colic treatment without surgery, including inpatientyes, up to the sum insured„Besondere Wartezeiten bei Koliken (7 Tage)“Leistungsübersicht, page 1
Fracture repair after accident (osteosynthesis)yes, up to the sum insured„(855) Frakturbehandlung operativ/Osteosynthese Fraktur“Beispiele für versicherte Operationen nach GOT, page 4
Examination and diagnostics before surgery (how many days before)not addressed
Aftercare after surgery (number of days)yes, up to the sum insured„Nachsorge / Nachbehandlung und verordnete Arzneimittel 15 Tage unmittelbar nach der …“Leistungsübersicht, page 1
Inpatient stay and care in the equine clinicyes, up to EUR 35„Unterbringung in der Tierklinik 35 € / Tag, unmittelbar nach der Operation bis maximal …“Leistungsübersicht, page 1
Medication and dressings related to the surgeryyes, up to the sum insured„Nachsorge / Nachbehandlung und verordnete Arzneimittel 15 Tage unmittelbar nach der …“Leistungsübersicht, page 1
Castration on medical grounds, including cryptorchidsnot addressed
Elective castration (contribution or flat amount)not addressed
Foaling assistance, caesarean section and surgery related to pregnancyyes, up to the sum insured„(586) Kaiserschnitt“Beispiele für versicherte Operationen nach GOT, page 2
Dental surgery (for example extraction under sedation or anaesthesia)yes, up to the sum insured„(952) Zahnextraktion Pferd“Beispiele für versicherte Operationen nach GOT, page 4

Pre-existing and typical equine conditions

PointRuleWording (German)Clause
Cover for pre-existing conditions and findings known at inceptionnot addressed
Cover for earlier conditions after a symptom-free periodnot addressed
Congenital and hereditary conditions and developmental disordersnot addressed
Osteochondrosis (OCD), chips and Birkeland fractures, often with a separate limit per surgery dayyes, up to EUR 1,500„OC, OCD, Chips oder Birkelandfrakturen bis 1.500 € für den Tag des chirurgischen Eingriffs“Leistungsübersicht, page 3
Kissing spines (impinging dorsal spinous processes)not addressed
Tendon and ligament injuries (conservative and surgical)yes, up to the sum insured„(894) Sehnen- und Muskelnaht“Beispiele für versicherte Operationen nach GOT, page 4
Hoof conditions (laminitis, navicular disease, hoof surgery)yes, up to the sum insured„(881) Hornsäulenoperation“Beispiele für versicherte Operationen nach GOT, page 4
Airway surgery (for example roaring)yes, up to the sum insured„(913) Luftröhre, chirurgische Behandlung“Beispiele für versicherte Operationen nach GOT, page 4
Tumour treatment (for example equine sarcoids, melanomas)yes, up to the sum insured„(412) Tumor-Operation“Beispiele für versicherte Operationen nach GOT, page 2
Exclusion of cosmetic surgery and performance enhancing proceduresnot addressed

Treatment without surgery

PointRuleWording (German)Clause
Outpatient treatment without surgery (examination, treatment, yard visit)yes, up to EUR 50,000„Höchstleistung für alle versicherten Operationen und Heilbehandlungen; je …“Leistungsübersicht, page 1
Medication and dressings outside surgerynot addressed
Diagnostic imaging (X-ray, ultrasound, endoscopy, scintigraphy, MRI, CT)yes, up to EUR 2,000„Bildgebende Verfahren (z. B. Röntgen ) bis; 2.000 € je Versicherungsjahr“Leistungsübersicht, page 1
Physiotherapy, osteopathy and rehabilitationyes, up to EUR 300„Physiotherapie; je Versicherungsjahr 300 €“Leistungsübersicht, page 1
Alternative medicine (homeopathy, acupuncture, animal naturopath)yes, up to EUR 300„Alternative Heilmethoden; je Versicherungsjahr maximal 300 €“Leistungsübersicht, page 1
Regenerative therapies (stem cells, PRP, IRAP) and shockwave therapyyes, up to EUR 1,500„Regenerative Therapien bis je Versicherungsfall/Operation (z. B. IRAP, PRP …“Leistungsübersicht, page 5
Remedial shoeing on veterinary prescriptionnot addressed
Dental treatment without surgery (rasping, correction)not addressed
Prevention (vaccinations, worming, health check) as an annual allowanceyes, up to EUR 100„Impfungen und Wurmkuren bis 100 €“Leistungsübersicht, page 1

Emergencies, abroad and end of life

PointRuleWording (German)Clause
Emergency fee and out-of-hours surchargesyes, up to the sum insured„In Notfällen ist auch ein Wegegeld bis zum 3-fachen GOT-Satz gemäß § 10 Abs. 2 GOT 2022 …“Leistungsübersicht, page 1
Reimbursement for out-of-hours care up to four times the fee scaleyes„Abrechnung nach GOT-Satz in nachgewiesenen Notfällen bis 4-fach“Leistungsübersicht, page 1
Cover abroad (competitions, holidays; duration, Europe or neighbouring countries)yes„EU-weiter Versicherungsschutz inklusive der Schweiz und Norwegen“Leistungsübersicht, page 1
Euthanasia on veterinary advice and carcass disposalyes, up to the sum insured„Zusatzbaustein Bestattungsversicherung 1.000 €, 2.000 € oder 3.000 €“Leistungsübersicht, page 1
Benefit on death or emergency slaughter of the horse due to accident, illness or colic (equine mortality cover)not addressed
Theft of the horsenot addressed

Contract and duties

PointRuleWording (German)Clause
Horse owner liability includednot addressed
Insurer's right to cancel after a claimnot addressed
Premium increase by age band of the horsenot addressed
Premium adjustment when treatment costs rise (for example new fee scale)not addressed
Term, minimum term and notice periodsnot addressed
Deadline for submitting invoices and reporting claimsnot addressed
Duties on keeping and care (vaccinations, worming, hoof care, appropriate housing), otherwise reductionnot addressed
Notification before planned surgery or cost estimate requirednot addressed
Duty to provide vet report, X-rays or examination by the insurer's vet when claimingnot addressed

Evaluated by NAMMERT from published policy wordings.

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Policy wordings and provider

Legal entity
GHV (Tierversicherung, Risikoträger am Text prüfen)
Distribution
available through brokers

Full text of the wording

The full text exists only in German. It is printed on the German page for GHV Pferde-OP-Versicherung and available as plain text.

Volltext GHV Pferde-OP-Versicherung · As text (Markdown) GHV Pferde-OP-Versicherung