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Congenital & Hereditary Condition Exclusions

Understanding congenital and hereditary conditions

We often confuse congenital and hereditary conditions with each other. How can we correctly classify them? We break down the differences between these medical jargon and how to tell them apart:

  • Congenital conditions are health issues that occur from birth and may manifest at any stage of a pet's life.
  • Hereditary conditions are disorders with the potential to be inherited from one generation to the next. It could be passed down from the pet's parents or caused by developmental issues before birth.

What's covered and what's not

Congenital conditions are never covered by Oyen pet insurance. These are problems your pet is born with, even if they only show up later.

Hereditary conditions are not covered either, except for these 6:

  1. Hip and elbow dysplasia
  2. Luxating patella (kneecap slipping)
  3. Glaucoma
  4. Cherry eye
  5. Intervertebral disc disease (IVDD)
  6. Conditions that need femoral head and neck excision

These 6 are covered only when all 3 of these are true:

  • Your pet was below 6 years old when their first Oyen policy started
  • The policy has been running for more than 12 months
  • The condition wasn't there, and showed no signs, before the policy started

If your pet joins at 6 or older, these 6 conditions aren't covered. Everything else that's new and not on the exclusions list is still covered as usual.

Breed examples

BreedCommon conditionCovered?
PomeranianLuxating patella✅ Covered if joined below 6, after 12 months, not pre-existing
PomeranianTracheal collapse❌ Not covered: hereditary, not one of the 6
Golden RetrieverHip dysplasia✅ Covered if joined below 6, after 12 months, not pre-existing
DachshundIVDD✅ Covered if joined below 6, after 12 months, not pre-existing
Pug, French BulldogBOAS (breathing)❌ Not covered
Cavalier King CharlesMitral valve disease❌ Not covered: hereditary, not one of the 6
Maine Coon, British Shorthair, RagdollHCM (heart)❌ Not covered: hereditary, not one of the 6
Persian, British ShorthairPKD (kidney cysts)❌ Not covered: hereditary, not one of the 6

If vet literature says a condition is usually inherited in your pet's breed, our insurer treats it as hereditary. Not sure about a specific condition? WhatsApp us on +60162996840 before you sign up and we'll check for you 😊

Why some conditions aren't covered

Insurance covers things that might happen, so conditions a pet is born with, or is almost certain to develop because of its breed, are usually left out. Our insurer, MSIG, added the 6 hereditary conditions above in January 2024 because they're common and very costly, especially for dogs. Most of what pets actually get sick with, like infections, tummy trouble, urinary problems, skin issues, cancer and accidents, is still covered.

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