Evidence checklistExample
Healthy Paws claim appeals
Pet insurance denied your claim? Appeal it properly.
Upload your denial letter, your policy and your vet records — about 5 minutes. Within 1 hour you get a personalised appeal letter, a pre-filled letter for your vet to sign, and a step-by-step checklist. Each part is written around the specific reason your insurer gave.
Takes about 5 minutes to fill in. Your finished pack arrives within 1 hour.
About 5 minutes to upload. Pack ready within 1 hour. Free to start — you'll see the one-time price when your pack is ready. No card needed up front.
Independent service. Not affiliated with or endorsed by Healthy Paws. Not legal advice.
Appeal deadlines are in your denial letter — check yours.
Your records. Your policy. Your appeal.
Dated timelineExample
Vet letterExample
Pet Claim Appeal AidExample
Appeal letter
To the claims appeal team,
I am requesting reconsideration of the denial of Maple’s claim. The stated reason was a pre-existing condition. The attached records set out the clinical history relevant to that decision.
The policy wording
Please assess the documented first signs against the definition in the applicable policy, rather than treating an earlier, unrelated visit as evidence of the claimed condition.
The supporting evidence
The dated timeline and veterinary statement distinguish the earlier visit from the symptoms described in this claim. Each referenced record is included with this appeal.
Please confirm receipt and provide the policy clause and clinical evidence relied on in your response.
Sincerely,
Maple’s owner
Maple’s owner
Fictional example · Document preparation, not legal advice
An example pack. Built around your own documents.
What Healthy Paws says "pre-existing" means
- Healthy Paws' FAQ defines a pre-existing condition as an illness or condition that "developed or redeveloped prior to the pet policy effective date", plus pre-coverage injuries and their complications.
- Its coverage page says "there doesn't need to be a diagnosis": signs or symptoms before coverage started can be enough.
- It tells customers to see their State Amendatory Statement for their state's definition. For example, the Pennsylvania disclosure uses the narrower wording "signs or symptoms directly related to the condition for which a claim is being made."
The "curable condition" rule
Healthy Paws says certain curable conditions may become eligible if your pet has been free of clinical signs and symptoms and untreated for a continuous 365 days. It lists examples of curable conditions, such as parasitic infections, conjunctivitis, respiratory infections and kennel cough. It gives examples it does not treat as curable, such as cruciate conditions.
An appeal on this ground needs unbroken records covering the 365-day window. A single recurrence restarts the clock.
What we build for a Healthy Paws appeal
- A dated timeline comparing the first clinical sign to your policy effective date, or a 365-day symptom-free count for curable conditions.
- An appeal letter that quotes your state's definition, which may be narrower than the general FAQ wording.
- A pre-filled vet statement on first observed sign, or on resolution date and no recurrence.
- A checklist with Healthy Paws' published channels.
Healthy Paws process notes (check before you send)
- Published contact channels: Customer Care 855-898-8991, help@healthypaws.com. Claims documents: claims@healthypawspetinsurance.com, fax (888) 228-4129, mail PO Box 1156, Portland, ME 04104. If your denial letter gives a different address for appeals, use that one.
- Claim submission has its own time limit — check your policy. Don't confuse it with the appeal deadline.
- Appeal deadline: Appeal deadlines are in your denial letter — check yours.
How it works
- Step 1
Upload in about 5 minutes
Upload your denial letter, policy or declarations page, and available vet records. Phone photos are fine. If something is missing, we tell you what to request from your vet.
- Step 2
We read it against your policy
We identify the stated denial reason and connect your records to the relevant policy definitions. The dates and clinical history become a timeline that addresses the reason your insurer gave.
- Step 3
Finished pack within 1 hour
After your uploads, receive a personalised appeal letter, a pre-filled vet letter to edit and sign, a dated timeline and an evidence checklist. Your pack includes what to attach, how to send it and next steps.
- Step 4
You send it
Use the checklist to bring your attachments together and send the appeal to your insurer. Check the deadline in your denial letter. You stay in control; we never contact your insurer or vet.
Inside your pack
Pet Claim Appeal AidExample
Appeal letter
To the claims appeal team,
I am requesting reconsideration of the denial of Maple’s claim. The stated reason was a pre-existing condition. The attached records set out the clinical history relevant to that decision.
The policy wording
Please assess the documented first signs against the definition in the applicable policy, rather than treating an earlier, unrelated visit as evidence of the claimed condition.
The supporting evidence
The dated timeline and veterinary statement distinguish the earlier visit from the symptoms described in this claim. Each referenced record is included with this appeal.
Please confirm receipt and provide the policy clause and clinical evidence relied on in your response.
Sincerely,
Maple’s owner
Maple’s owner
Fictional example · Document preparation, not legal advice
Appeal letter
Policy wording. Record-based evidence.
Pet Claim Appeal AidExample
Vet letter
To the claims appeal team,
Re: Maple’s clinical history
This draft accompanies the owner’s appeal and is intended for the treating veterinarian to edit and sign only if accurate.
First clinical signs
[Vet to confirm the date and relevant clinical findings from the patient record.]
Relationship to earlier records
[Vet to explain whether the earlier visit relates to the condition in this claim, with the clinical basis for that opinion.]
Veterinarian signature
Clinic · Licence · Date
Clinic · Licence · Date
Fictional example · Document preparation, not legal advice
Vet letter
A clear clinical statement, ready to sign.
Pet Claim Appeal AidExample
Dated timeline
Coverage begins
Policy effective date
From the declarations page
Earlier visit
Routine examination
Record included for context
First clinical signs
Symptoms documented
Vet record to confirm onset
Claim denied
Denial letter received
Stated reason and policy clause
Your pack uses the dates in your uploaded records. This is a fictional example.
Fictional example · Document preparation, not legal advice
Dated timeline
The sequence that makes your case clear.
Pet Claim Appeal AidExample
Evidence checklist
Personalised appeal letter
Denial letter and claim reference
Applicable policy wording
Relevant dated veterinary records
Vet statement, if agreed and signed
Medical timeline
Sending instructions from your insurer
Before you send
Check the appeal deadline in your denial letter and keep a copy of everything.
Check the appeal deadline in your denial letter and keep a copy of everything.
Fictional example · Document preparation, not legal advice
Evidence checklist
Everything together. Nothing overlooked.
About 5 minutes to upload. Pack ready within 1 hour. Free to start — you'll see the one-time price when your pack is ready. No card needed up front.
The wording matters
Built around your policy wording
Your denial letter identifies the reason. Your policy defines the terms. Your records provide the context. Your appeal pack brings those pieces together.
The appeal letter connects the stated denial reason to the applicable policy wording and the supporting records, with a dated timeline and a pre-filled vet letter.
Example only. Maple and the case details are fictional. Your pack is prepared from your own uploaded documents.
Pet Claim Appeal AidExample
Appeal letter
To the claims appeal team,
I am requesting reconsideration of the denial of Maple’s claim. The stated reason was a pre-existing condition. The attached records set out the clinical history relevant to that decision.
The policy wording
Please assess the documented first signs against the definition in the applicable policy, rather than treating an earlier, unrelated visit as evidence of the claimed condition.
The supporting evidence
The dated timeline and veterinary statement distinguish the earlier visit from the symptoms described in this claim. Each referenced record is included with this appeal.
Please confirm receipt and provide the policy clause and clinical evidence relied on in your response.
Sincerely,
Maple’s owner
Maple’s owner
Fictional example · Document preparation, not legal advice
30-day “useful or refunded” guarantee
If you don't find your pack useful, contact us within 30 days of delivery for a full refund. Covers the pack’s usefulness, not the insurer’s decision.
Secure, private upload
Your uploaded documents are stored privately, not shared through public links.
Document preparation, not legal advice
You stay in control of what you send. We do not represent you.
No insurer affiliation
Independent of every insurer. No affiliation or endorsement.
An honest start
Be one of our first customers
Early customers get a founding-customer discount. Start with your denial letter, policy wording and available vet records.
Healthy Paws questions
My vet never diagnosed anything before the policy started. Isn't that enough?
Not by itself. Healthy Paws says a diagnosis isn't required; signs or symptoms can count. The appeal has to show the earlier note wasn't a sign of this condition, which is why the vet letter matters.
Which state definition applies to me?
Usually the one for the state where your policy was issued. It should be in your policy documents. We use whatever your documents say.
How fast?
Uploading takes about 5 minutes. Your finished pack is delivered within 1 hour after you complete your uploads.
How much does it cost?
You'll see the one-time price once your pack is ready, before you pay anything.
Healthy Paws® is a trademark of its owner. Pet Claim Appeal Aid is independent and not affiliated with, endorsed by, or acting for Healthy Paws Pet Insurance or its underwriters. Information comes from Healthy Paws' public website as of October 2026 and may not match your policy. Not legal advice.
Make your appeal specific.
Start with the reason in your denial letter. Bring the policy clause and your records together in a complete appeal pack.
Takes about 5 minutes to fill in. Your finished pack arrives within 1 hour.
About 5 minutes to upload. Pack ready within 1 hour. Free to start — you'll see the one-time price when your pack is ready. No card needed up front.
Have a question? Contact us