Potiki Pet Insurance

Pet Insurance that is so EXTRA!

Cover for your dog & cat is provided in collaboration with petinsurance.com.au


  • Get up to 70%, 80% or 90% back on eligible vet bills.^
  • Flexible annual benefit limits of up to $7.5K, $20k or $35k^
  • No sub-limitsmultiple annual excess options ($0, $200, $500 or $1,000)11.
  • Additional non-insurance Perks: 6 months of FREE tick, flea, and de-worming treatments for all new policyholders 2
Canstar Award
Canstar Outstanding Value
Mozo Experts Choice
Finder Award

Awards granted to petinsurance.com.au policies distributed by Potiki

Group 3299
Group 3322(1)

Pet people, backed by experts.

Potiki brings friendly, fuss-free pet cover to Australian families, backed by PetSure’s trusted experience.

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Trusted underwriting
Cover provided in collaboration with petinsurance.com.au, underwritten by Australia’s largest underwriting company, PetSure.

Group 3313

Made simple
Choose your cover, get a quote, done in minutes.

Group 3313(2)
Care beyond the claim LiveVet 24/7– and on-the-spot GapOnly* 3 claims.

Find the cover that fits.

Pick your plan and get up to 90% back on eligible vet bills.

Best in Show Cover

Cover for accidental injuries and illnesses with flexible features and optional benefits

Annual benefit limit

Group 3328

This is the maximum amount you can claim per policy period and is subject to any applicable excess. The limit resets to the full amount each time you renew. Refer to the PDS for claims examples.

Options: $7,500, $20,000 or $35,000

Benefit percentage (% of vet bill covered)

Group 3328

This is the portion we cover for eligible vet expenses or items, subject to any applicable excess. Note: The benefit percentage does not apply to non-insurance routine care items. Refer to PDS for claims examples.

Options: 70%, 80%, or 90%

Annual excess

Group 3328

This is the amount that you are required to contribute towards the cost of your claim(s) per policy period and is applied to each claim in the policy period until fully paid. The annual excess resets each time you renew. Refer to the PDS for claims examples.

Depending on your choice of annual benefit limit and benefit percentage, annual excess options may include: $0, $200, $500^ or $1,000*

*Not available for 70% cover levels with $20,000 or $35,000 annual limits, and not offered as an option for the $7,500 annual limit.  ^ Not available on 70% for $7,500 annual limit

Sub-limits

No sub-limits per condition

Eligibility

Group 3328

As long as we continue to provide the product, we’ll offer renewal of your policy every year.

Pets up to 9 years of age when you first apply. No age limits once cover has commenced.

Accidental injuries

Group 3328

Accidental injury means physical harm to your pet that results from:

• an unexpected and unintended external event that occurs suddenly at a specific time and place; or
• poisoning, intoxication, a venomous bite or sting or thermal-related conditions such as heatstroke or frostbite.

An accidental injury excludes any harm resulting from a behavioural condition, specified dental condition or any sickness or disease.

Cover for accidental injuries is subject to the benefit percentage, the annual benefit limit, annual excess (if any), waiting periods and exclusions.

Illnesses

Group 3328

Illness means a sickness or disease that is not an accidental injury, specified dental condition or behavioural condition.

Cover for illnesses is subject to the benefit percentage, the annual benefit limit, annual excess (if any), waiting periods and exclusions.

Consultations %

(No sub-limit)

Congenital and hereditary conditions

Diagnostic tests & radiology %

Hospitalisation, surgery & specialist care %

After-hours emergencies

Cruciate ligament conditions

(No sub-limit)

Tick paralysis

(No sub-limit)

Emergency pet boarding

Group 3328

If you require:
- unexpected hospitalisation for two or more consecutive days; and/or
- emergency accommodation due to family violence, during your policy period, we’ll cover the benefit percentage for your pet’s eligible pet boarding expenses at a licensed kennel or cattery, subject to the annual benefit limit and the annual excess (if any), for a maximum of 30 days per policy period.

Note:You need to be the sole carer of your pet. Cover is subject to the policy terms and conditions. Refer to your PDS for further information.

Dental conditions

Up to the optional Booster Care limit of $2,000 per policy period

Specialised therapies

Up to the optional Booster Care limit of $2,000 per policy period

Common accidental injuries we cover
Motor vehicle incidents
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Injuries caused by another animal (including rough play)
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Falls from heights
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Cuts, lacerations and stick injuries
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Grass seed embedment or entrapment
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Traumatically fractured teeth
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Near drowning
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Burns, heatstroke or frostbite
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Exposure to venomous bites such as snake bite and tick paralysis
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Reactions to bites or stings from insects, or other critters
checkexcluding infestations such as mites or fleas
Toxicity from ingesting harmful substances like chocolate, rat bait or grapes
checkexcluding any illicit drugs
Ingestion of foreign objects
checkexcluding instances of gastroenteritis caused by ingestion of inappropriate food items or common environmental substances such as garbage
Waiting periods: 2 days for accidental injuries (excluding cruciate ligament conditions), 6 months for cruciate ligament conditions
Common illnesses we cover
Skin allergies
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Ear infections
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Gastrointestinal conditions such as gastroenteritis, intestinal parasites or pancreatitis
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Masses, lumps and cancer
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Eye conditions such as conjunctivitis, entropion or cataracts
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Musculoskeletal conditions such as arthritis, hip dysplasia, elbow dysplasia, intervertebral disc disease (IVDD) or patella luxation (dislocating kneecap)
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Infectious diseases such as leptospirosis, heartworm, cat flu or kennel cough
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Urinary diseases such as urinary infection, blood in urine or blocked bladder
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Endocrine diseases such as diabetes, Cushing’s or hyperthyroidism
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Emergency situations such as gastric dilatation and volvulus (GDV), seizures and anaphylactic reactions
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Urogenital diseases such as pyometra, hooded vulva or enlarged prostate
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Kidney diseases such as chronic kidney disease, acute kidney injury or kidney stones
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Respiratory diseases such as asthma, bronchitis or pneumonia
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Waiting period: 30 days
Optional benefit: Booster Care
Provides cover for costs of treatment of specified dental conditions and specialised therapies like physiotherapy, acupuncture and behavioural therapies. Annual limit of $2,000 applies.
Specified dental conditions:
Gingivitis
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Abscesses
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Odontoclastic resorptive lesions
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Dental disease arising from infection
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Retained deciduous teeth
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Cavities
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Fractured teeth due to dental disease
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Specialised therapies:
Physiotherapy or physical therapyiTreatment to improve mobility and strength after injury or surgery.
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Chiropractic manipulationiManual therapy to adjust the spine and joints for pain relief and mobility.
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AcupunctureiNeedle therapy used to relieve pain and support recovery.
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HydrotherapyiWater-based exercise therapy to aid rehabilitation and joint mobility.
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Treatment of behavioural conditionsiTherapy and management for anxiety, aggression or other behavioural issues.
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Consultations with a veterinary behavioural specialist
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Waiting period: 2 days for accidental injuries. 30 days for illnesses. 30 days for behavioural conditions. 6 months for cruciate ligament conditions. 6 months for specified dental conditions.
Optional benefit: Routine Care (non-insurance benefit)
Provides a contribution towards preventative and expected routine care items for your pet such as vaccinations and annual check-ups. Routine Care is a non-insurance benefit. Annual limit of $150 applies.
Includes the following items:
Desexing
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Vaccinations
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Health checks
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Microchipping
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Heartworm prevention
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Prescription diets
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Puppy pre-school and obedience training
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Flea/tick/worm control
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FeLV/FIV and heartworm tests
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Wellness blood screen
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Nail clippings
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Waiting period: 0 days

Waiting period

  • 2 days for accidental injuries
  • 30 days for illnesses
  • 6 months for cruciate ligament conditions

For Booster Care:

  • 6 months for specified dental conditions
  • 30 days for behavioural conditions
  • Waiting period that applies for specialised therapy items is dependent on the waiting period for the covered condition

 

Exclusions

Group 3328

Pre-existing condition means a condition that first existed or occurred:
• prior to the commencement date of the first policy period; or
• within any applicable waiting period;
AND
• of which you were aware of, or a reasonable person in your circumstances would have been aware, irrespective of whether the underlying or causative condition has been diagnosed.

A pre-existing condition also includes a related condition or bilateral condition of a pre-existing condition.

  • Pre-existing Conditions
  • Desexing and birth related procedures
  • Other General exclusions

Pre-existing condition review

Note: Summary only. Pre-existing conditions are excluded from cover.  Please read the Product Disclosure Statement for full terms and conditions. Exclusions, limits and excess may apply. Booster Care is in addition to your annual benefit limit and is subject to the benefit percentage, annual excess (if any), waiting periods & exclusions.

% This is an example of treatment which is covered if provided in relation to conditions covered by your policy, subject to policy T&Cs, limits, exclusions, excesses and waiting periods. See PDS for further information

Claim on the
spot and pay the gap3

Innovating the pet insurance claims experience, GapOnly® reviews and calculates your pet insurance claim while you’re still at the vet. You simply pay the gap (the difference between the eligible vet invoice and your claim benefit under your policy) and go.3
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98.8%

of claims are processed within 5 business days

85%

average claims acceptance rate

> 50%

of all claims are now handled by GapOnly

Why pet parents pick Potiki

Three things that make caring for your pet easier, from the vet visit to everything after.

Free tick, flea &
de-worming treatments

6 months of free tick, flea, and de-worming treatments for all new policyholders.2
Group 3313
Group 3313(1)
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GapOnly®
Claim on the spot. Settle eligible claims at the vet and only pay the gap — no waiting for reimbursement3.

LiveVet 24/7~ Support

Vet help, anytime. Talk to a licensed Australian vet by video or chat, day or night, at no extra cost.~

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myPetPass®

Savings made simple. Unlock discounts on prescription medication, pet essentials and more.**

Customer Reviews

See what our customers have to say about their experience.

Get Cover Today

Protect your pet with insurance plans & keep them happy and healthy.

Group 3315

Optional Non-Insurance Routine Care

Add a little extra love to help contribute to some of your pet’s routine expenses, subject to a $150 annual limit.

$150 Annual Limit Per Benefit Category

Desexing
Microchipping
Heartworm Preventative
Flea/Tick/Worm Treatments
Prescription diets
FeLV/FIV and Heartworm tests
Vacinations
Health Checks
Puppy Pre-School & Obedience Training
Wellness Blood Screen
Nail Clippings
Group 3317

$2,000 Annual Limit for Booster Care

Includes scaling, polishing, dental x-rays and tooth removal for the following specified dental conditions:

Gingivitis
Abscesses
Removal of teeth where medically necessary due to:
Dental disease arising from infection
Retained deciduous teeth
Cavities
Fractured teeth
Resorptive lesions

Includes specialised therapies:

Physiotherapy or physical therapy
Chiropractic manipulation
Acupuncture
Hydrotherapy
Treatment of behavioural conditions
Consultations with a veterinary behavioural specialist
Group 3318

Easy to understand, easy to claim

Ask yourself “What happens if… ?” We listened to pet owners who want what’s best for their pet and their pocket.

Yes, total hip replacements are covered under Best in Show Cover up to your selected annual benefit limit.

Policy Terms and Conditions, limits, waiting periods, exclusions and excesses apply.

As a bonus to your pet insurance cover, Potiki offers additional non-insurance benefits via Potiki Perks # at no additional cost to cover eligible vet expenses. Currently all new policyholders receive 6 months of free tick, flea and worm treatments.

Yes. You can go to any vet licensed to practice in Australia (not yourself). This is a big advantage if you take your pet on holidays and need immediate care in the area. If you need to find a participating vet, simply visit gaponly.com.au

You can cancel your policy with us at any time by contacting our customer service team. The cancellation will be effective once we provide you with a written confirmation of your request, either by email or letter. 

We’ll retain the portion of the premium that relates to the period that you’ve been insured up to your cancellation date. Where you have paid for a period in advance (e.g., for the full fortnight, month or year), we’ll refund that proportion of premium for the time remaining on the policy (less any non-refundable government or statutory charges). 

There are many quick and easy ways to make a claim.

Please click here to see all options.

If you have a complaint
We hope that you never have reason to complain, but if you do we will do our best to work with you to resolve it. Our complaints resolution process has three steps. Please let us know if you require additional assistance to lodge a complaint.

1 – Immediate Response 
Usually when you have a concern, we can resolve it immediately on the phone. If we can’t immediately resolve your concern we will treat it as a complaint and take steps to resolve your complaint as soon as possible. We will acknowledge your complaint within one business day of receiving it.

Please contact us using one of the following means:
Phone: 1300 855 663
Writing: Petinsurance.com.au, Customer Service Complaints, Locked Bag 9021 Castle Hill NSW 1765

Please supply your policy number, if applicable, to enable the complaint or enquiry to be dealt with promptly. Your complaint or enquiry will be dealt with by someone with appropriate authority.

2 – Internal Dispute Resolution
If we haven’t resolved your complaint to your satisfaction, at your request (refer to contact details provided for ‘1– Immediate Response’), we will escalate your complaint for review by our Internal Dispute Resolution team. All escalated complaints will be acknowledged within one business days of being escalated. The Internal Dispute Resolution team will review your matter and any supporting evidence. After full consideration of the complaint a written final response will be provided that will outline the decision reached and the reasons for the decision.

3 – External Dispute Resolution
In the event that your complaint is not resolved to your satisfaction, or a final written response has not been provided within 30 days, you can refer your complaint to the Australian Financial Complaints Authority (AFCA), provided your complaint is within the scope of the AFCA Rules.

AFCA is an independent dispute resolution service provided free of charge. You may contact AFCA at: 
Australian Financial Complaints Authority (AFCA)
Mail: GPO Box 3, Melbourne VIC 3001
Phone: 1800 931 678
Website:www.afca.org.au
Email:[email protected]

As with most insurance products, there are certain situations where you will not be covered.

Pre-existing conditions

Pre-existing conditions are health problems that you or a person in similar circumstances would have been aware of before your pet insurance started, or during any applicable waiting period at the start of the policy. Some conditions may be eligible for review after 18 months.

 Other general exclusions

General exclusions are not covered under your policy.

Examples:

  • Dental care (unless Booster Care is selected)
  • Behavioural conditions (unless Booster Care is selected)
  • Desexing (unless Routine Care (non-insurance benefit) is selected)
  • Breeding or obstetrics
  • Elective treatments (cosmetic procedures, declawing, tail docking)
  • Injuries from organised fighting or hunting

Yes. You can use any vet who is licensed to practice in Australia, other than yourself.

No, but for further information about what we cover, please read the Product Disclosure Statement (PDS).

When making a claim, you will be reimbursed up to 70%, 80% or 90% of the eligible vet expenses for your pet, subject to the annual benefit limits listed on your Certificate of Insurance. If you have selected an annual excess amount, this will also apply. Refer to your Product Disclosure Statement for more information.

Yes, as long as we continue to offer the product, and you renew your policy each year without any break or lapse, we will continue to offer renewal/replacement your policy. Cover and renewal/replacement is subject to the applicable terms and conditions of the policy for each policy period. See your Product Disclosure Statement for full details.

Your policy will commence at 11:59pm on the day that your application is accepted by us.

The waiting periods that apply are:

·        2 days for accidental injuries

·        30 days for illnesses

·        6 months for cruciate ligament conditions^

·        Booster Care (where selected)

o   6 months for specified dental conditions

o   30 days for behavioural conditions like anxiety, phobias or compulsive disorders

 

The waiting period that applies to specialised therapy treatments is based on the condition being treated, whether an illness or an accidental injury.

When you first apply, your pet needs to be under the age of 9 years. If so, your policy will continue as your pet ages, provided your policy is renewed each year.

Pre-existing condition means a condition that first existed or occurred prior to the commencement date of the first policy period or within any applicable waiting period.

AND of which you were aware of, or a reasonable person in your circumstances would have been aware, irrespective of whether the underlying or causative condition has been diagnosed. A pre-existing condition also includes a related condition or bilateral condition of a pre-existing condition.

Whether it is a pre-existing condition will depend on its nature and experience. If your pet has a temporary condition that has not existed, occurred or shown noticeable signs, symptoms or an abnormality in
the 18-month period immediately prior to your claim treatment date, it will no longer be excluded from cover as a pre-existing condition. Chronic Conditions and several other specified Conditions cannot fall
within this category.

See your Product Disclosure Statement for more information and examples of pre-existing conditions. You can apply to have Pre-existing Conditions
Reviewed. See the
Pre-existing Conditions page for more
information please refer to the useful links section in the footer of the webiste below.

Unless otherwise specified, your commencement date is the date when cover for your pet started in the current policy period as shown on your certificate of insurance. The start time is 11:59PM on that date. However, accidental injuries have a 2-day wating period, illnesses have a 30-day waiting period and where applicable, cruciate ligament conditions are subject to a 6-month waiting period. If Booster Care is selected, a 6-month waiting period applies for specified dental conditions and 30 days for behavioural conditions. 

The waiting period that applies to specialised therapy treatments is based on the condition being treated, whether an illness or an accidental injury. See PDS for further details on waiting periods.

For your convenience you can insure multiple pets under your Petinsurance.com.au policy. Each pet can have their own policy with their individual choice of cover. To activate a multi-pet policy, you will need to call into our friendly customer service team on 1800 973 427 who will be happy to organise it for you.

You may pay your premiums either by credit card or direct debit. you can choose to pay fortnightly, monthly or annually.

As long as we continue to provide the product, we’ll offer renewal and/or replacement of your policy every year. Unless you’ve told us beforehand that you’ve chosen not to automatically renew or not automatically accept the offer of a replacement policy, your policy will automatically renew or, where applicable, your replacement policy will automatically commence on those terms.  

 

We will also remind you that: you can opt out of the automatic renewal/replacement process; to check the information we have on your certificate of insurance is correct; and the review and consider if the policy limits and level of cover is still right for you. 

Yes. Provided they have not shown noticeable signs, symptoms or an abnormality at any time before the Commencement Date of the First Policy Period or during any applicable Waiting Period.

If your pet has had a temporary condition that was subject to the pre-existing condition exclusion, you can apply to have it reviewed.

Your vet will need to certify and provide veterinary records verifying that the condition remains a temporary condition and has not existed, occurred or shown noticeable signs, symptoms or an abnormality for a period of 18 months.

This can also automatically be reviewed when you submit your first claim.

The pre-existing condition exclusion(s) will not be deemed to have been lifted unless agreed to by us in writing.  You can download a copy of the Pre-existing Condition Review form in the useful links in the footer section below.

If your pet has a chronic condition that existed or occurred before the commencement date of the first policy period or during any applicable waiting period, that condition will always be excluded from your policy.

Yes. If your pet requires treatment and you wish to seek pre-approval of those costs, you can provide us with the itemised estimate of costs from your vet, along with the treatment required and relevant clinical records and/or veterinary history, and we will respond to you in writing with the outcome.