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Uelzener Herden-OP-Versicherung für Pferde: the policy wording in full

Herden-OP-Versicherung für Pferde für ausgewählte Operationen wie Kolik, Kaiserschnitt, Arthroskopie und Zahnoperation, mit wählbarem Jahreslimit und Aufnahme bis zum 15. 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 Uelzener Herden-OP-Versicherung für Pferde.

Basics and reimbursement

PointRuleWording (German)Clause
Plan type: horse surgery only, colic surgery only or full horse health cover (surgery and treatment)yes„Versichert sind folgende Operationen: Arthroskopien einschl. Gelenkoperationen bei …“Fußnote 3, page 2
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 the sum insured„Die Erstattungshöhe ist pro Versicherungsjahr wählbar: 15.000 €, 25.000 € oder 50.000 €“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„bis zu 100 % Kostenübernahme unabhängig vom GOT-Satz“Leistungsübersicht, page 1
Reimbursement rate as a percentage of eligible costs (for example 80 or 100 percent)yes„bis zu 100 % Kostenübernahme unabhängig vom GOT-Satz“Leistungsübersicht, page 1
Fixed excess in euros (per invoice, per operation or per policy year)yes, up to the sum insured„Die Selbstbeteiligung ist pro Versicherungsjahr wählbar: ohne, 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 Wahl des Tierarztes / Tierklinik“Leistungsübersicht, page 2
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)not addressed
Maximum age of the horse at inceptionyes„bis zum 15. Geburtstag des Pferdes“Leistungsübersicht, page 1
End of cover or change of contract from a maximum agenot addressed
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„Allgemeine Wartezeit 2 Monate“Leistungsübersicht, page 2
Waiting period for colic and abdominal surgeryyes„Wartezeit für Kolik und Unfälle 5 Tage“Leistungsübersicht, page 2
Waiting period for accidentsyes„Wartezeit für Kolik und Unfälle 5 Tage“Leistungsübersicht, page 2
Special waiting periods for certain conditions (for example joints, tendons, navicular disease, airways)yes„Wartezeit für besondere Operationen (in der Krankenversicherung auch für besondere …“Leistungsübersicht, page 2

Surgery and clinic

PointRuleWording (German)Clause
Surgery costs (procedure, anaesthesia or sedation, materials)yes, up to the sum insured„Versichert sind folgende Operationen: Arthroskopien einschl. Gelenkoperationen bei …“Fußnote 3, page 2
What counts as surgery: general anaesthesia, standing surgery under sedation, minimally invasive procedures (arthroscopy, endoscopy, laser)not addressed
Colic surgery (abdominal surgery)yes, up to the sum insured„Operationen aufgrund von akuten Magen-Darm-Koliken“Fußnote 3, page 2
Conservative colic treatment without surgery, including inpatientnot addressed
Fracture repair after accident (osteosynthesis)yes, up to the sum insured„Operationen aufgrund von Griffelbein-Frakturen“Fußnote 3, page 2
Examination and diagnostics before surgery (how many days before)yes, up to the sum insured„versicherte Vorbehandlung vor der Operation“Leistungsübersicht, page 1
Aftercare after surgery (number of days)yes, up to the sum insured„Nachsorge / -behandlung ambulant / stationär“Leistungsübersicht, page 2
Inpatient stay and care in the equine clinicyes, up to the sum insured„Unterbringungskosten inklusive Ergänzungsfutter in der Tierklinik“Leistungsübersicht, page 2
Medication and dressings related to the surgerynot addressed
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„Kaiserschnitte, Operationen aufgrund von Griffelbein-Frakturen“Fußnote 3, page 2
Dental surgery (for example extraction under sedation or anaesthesia)yes, up to the sum insured„unfallbedingte Wundnähte, verletzungsbedingte Sehnennähte und Zahnoperationen“Fußnote 3, page 2

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 the sum insured„Versichert sind folgende Operationen: Arthroskopien einschl. Gelenkoperationen bei …“Fußnote 3, page 2
Kissing spines (impinging dorsal spinous processes)not addressed
Tendon and ligament injuries (conservative and surgical)yes, up to the sum insured„verletzungsbedingte Sehnennähte“Fußnote 3, page 2
Hoof conditions (laminitis, navicular disease, hoof surgery)not addressed
Airway surgery (for example roaring)not addressed
Tumour treatment (for example equine sarcoids, melanomas)not addressed
Exclusion of cosmetic surgery and performance enhancing proceduresnot addressed

Treatment without surgery

PointRuleWording (German)Clause
Outpatient treatment without surgery (examination, treatment, yard visit)not addressed
Medication and dressings outside surgerynot addressed
Diagnostic imaging (X-ray, ultrasound, endoscopy, scintigraphy, MRI, CT)not addressed
Physiotherapy, osteopathy and rehabilitationnot addressed
Alternative medicine (homeopathy, acupuncture, animal naturopath)not addressed
Regenerative therapies (stem cells, PRP, IRAP) and shockwave therapynot addressed
Remedial shoeing on veterinary prescriptionnot addressed
Dental treatment without surgery (rasping, correction)not addressed
Prevention (vaccinations, worming, health check) as an annual allowanceno„Vorsorgepauschale (vorbeugende Behandlungen) in Höhe von 500 € pro“Leistungsübersicht, page 2

Emergencies, abroad and end of life

PointRuleWording (German)Clause
Emergency fee and out-of-hours surchargesyes, up to the sum insured„Notdienstgebühr ja“Leistungsübersicht, page 2
Reimbursement for out-of-hours care up to four times the fee scalenot addressed
Cover abroad (competitions, holidays; duration, Europe or neighbouring countries)yes„weltweiter Auslandsschutz bis 12 Monate (auch geplante“Leistungsübersicht, page 2
Euthanasia on veterinary advice and carcass disposalnot addressed
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 horsenone„Beitragsdynamik: jährliche Anpassung des Beitrages aufgrund des Alters in“Leistungsübersicht, page 2
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
Uelzener Allgemeine Versicherungs-Gesellschaft a.G.
Distribution
not known

Full text of the wording

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

Volltext Uelzener Herden-OP-Versicherung für Pferde · As text (Markdown) Uelzener Herden-OP-Versicherung für Pferde