What's Covered vs. What's Excluded
Typically Covered
Must be normal wear and tear, not neglect
Indoor blower motor and outdoor fan motor
Common failure item, usually covered
Electrical relay that powers compressor
Usually just basic replacement, not upgrades
Control boards, wiring issues from normal wear
Furnace component, covered if no cracks from neglect
Motor, wheel, and housing when failed from wear
Typically Excluded
Understanding Exclusions
Exclusions are where home warranties reveal their limitations. Here's why each exclusion matters.
Refrigerant leaks and recharge
Why excluded: Companies often consider this a "consumable" or blame it on poor installation
Your cost impact: Common denial—can cost $200-600 out of pocket
Ductwork repair or replacement
Why excluded: Most policies explicitly exclude ducts as "non-mechanical"
Your cost impact: Duct leaks cause 20-30% efficiency loss but aren't covered
Pre-existing conditions
Why excluded: Any issue that existed before policy started
Your cost impact: Inspectors look for signs of prior issues
Improper installation issues
Why excluded: Original installer at fault, not equipment failure
Your cost impact: Common for homes 2-10 years old
Code upgrades required by law
Why excluded: Bringing system to current code is "improvement" not repair
Your cost impact: Can add $500-2,000 to replacement cost
R-22 refrigerant systems
Why excluded: Refrigerant phased out in 2020; companies exclude obsolete systems
Your cost impact: Most R-22 systems are 12+ years old
Maintenance-related failures
Why excluded: Dirty filter, neglected maintenance voids coverage
Your cost impact: Inspectors check filter condition and service records
Secondary damage (water damage)
Why excluded: Damage caused by AC leak to floors, ceilings excluded
Your cost impact: Need homeowner's insurance for water damage
Permits and inspection fees
Why excluded: Regulatory costs considered homeowner responsibility
Your cost impact: $100-300 in most Texas municipalities
Disposal of old equipment
Why excluded: Often not covered or limited to small amount
Your cost impact: $50-150 typical disposal cost
Common Claim Denial Reasons
Understanding why claims get denied helps you protect yourself or decide if warranty is worth it.
Pre-existing condition
Appeal success: Low-Medium (30-40%)What it means: Warranty company claims problem existed before coverage started
How to fight it: Provide home inspection report showing system working, utility bills showing normal usage, any prior maintenance records
Lack of maintenance
Appeal success: Medium (40-50%)What it means: Dirty filter or no evidence of regular maintenance caused the failure
How to fight it: Provide receipts for filter purchases, any maintenance records, technician statement that failure wasn't maintenance-related
Improper installation
Appeal success: Low (20-30%)What it means: Original installation was incorrect, causing premature failure
How to fight it: Independent HVAC inspection showing installation was proper, or building permit proving code compliance
Not covered component
Appeal success: Low (20%)What it means: The specific part that failed isn't listed in policy
How to fight it: Review policy language carefully—sometimes exclusions are ambiguous. Request supervisor review.
Replacement cap exceeded
Appeal success: Very Low (10%)What it means: Cost to replace exceeds policy maximum payout
How to fight it: Difficult to appeal—policy limits are clear. May negotiate partial coverage.
Unauthorized repair
Appeal success: Medium for emergencies (40%)What it means: You called your own contractor instead of warranty company's
How to fight it: Show you attempted to reach warranty company first, document emergency situation if applicable
Policy Limitations You Should Know
| Limitation | Typical Range | Impact on You |
|---|---|---|
| Service call fee | $75-150 per visit | You pay this regardless of whether claim is approved or repair made |
| Replacement caps | $1,500-3,000 max | Average AC replacement costs $6,000-12,000—you pay the difference |
| Repair vs. replace | Company decides | They'll repair even when replacement makes more sense |
| Contractor choice | Their contractor only | Can't use your preferred local HVAC company |
| Parts quality | Cheapest compatible | Generic parts, not manufacturer OEM |
| Wait times | 24-72 hours, longer in summer | Can be days without AC in Texas heat |
| Annual premium | $400-700/year | May exceed actual repair costs over time |
| Efficiency matching | Minimum required | Won't match to existing outdoor unit efficiency |
The Math: Warranty vs. Direct Payment
Let's compare actual costs in common scenarios over 5 years.
| Scenario | With Warranty | Paying Direct | Better Value |
|---|---|---|---|
| 5 years, no major issues | $2,500-3,750 in premiums + $150-450 in service fees | $200-400 for minor repairs | Direct |
| One capacitor failure | $500-700 annual + $100 service fee | $150-350 for capacitor | Direct |
| Compressor replacement | $500-700 annual + $100 fee + code upgrades not covered | $1,500-3,000 for compressor | Depends on cap |
| Full system replacement | $1,500-3,000 max payout (you pay rest) | $6,000-12,000 | Warranty helps some |
Key insight: Home warranties provide value only for major covered repairs that exceed accumulated premiums and fees. For minor repairs and maintenance, direct payment is almost always cheaper. For major replacements, caps limit the benefit.
Better Alternatives to Home Warranties
HVAC emergency fund
Set aside $50-100/month into savings account dedicated to HVAC repairs
Advantages:
- • You control the money
- • Choose your own contractor
- • No exclusions or denials
- • Earns interest
- • Can use for any home repair
Disadvantages:
- • Need discipline to save
- • Major failure early could exceed fund
Best for: Homeowners with stable income and newer systems
Manufacturer extended warranty
Purchase extended warranty from equipment manufacturer at installation
Advantages:
- • Covers specific equipment comprehensively
- • No pre-existing condition issues
- • OEM parts guaranteed
- • Often transferable
Disadvantages:
- • Must purchase with new equipment
- • Only covers that equipment
- • Usually $500-1,500
Best for: New system installations, especially premium brands
Annual maintenance agreement
Pay HVAC company $150-300/year for maintenance visits and discounts
Advantages:
- • Regular maintenance prevents failures
- • 10-20% repair discounts
- • Priority scheduling
- • Relationship with reliable contractor
Disadvantages:
- • Doesn't cover major repairs
- • Must still pay for parts/labor
Best for: All homeowners—pairs well with other strategies
Credit card strategy
Keep a credit card with high limit specifically for home emergencies
Advantages:
- • Immediate access to funds
- • Rewards/cashback on spending
- • Purchase protection
- • Interest-free with 0% APR cards
Disadvantages:
- • Requires good credit
- • Interest if not paid off
- • Temptation to use for other things
Best for: Homeowners with good credit and financial discipline
When Warranty Makes Sense
You just bought a home with old HVAC (10+ years)
High likelihood of failure, limited inspection history
The seller is paying for warranty as part of sale
Free coverage for first year—no downside
You have no emergency fund saved
Some coverage better than none while you build savings
You can't qualify for credit
May be only option for emergency repairs
When to Skip Warranty
Your HVAC is under 5 years old
Still under manufacturer warranty, low failure probability
You have $3,000+ in emergency savings
Can self-insure against most repairs
You know a reliable HVAC contractor
Direct relationship beats warranty contractor quality
Your system uses R-22 refrigerant
Most warranties exclude R-22 systems anyway
You're planning to replace system soon
Warranty won't cover full replacement anyway
Texas-Specific Warranty Issues
Frequently Asked Questions
Is a home warranty worth it for HVAC coverage?
For most Texas homeowners, home warranties for HVAC are not cost-effective. Annual premiums of $400-700 plus $75-150 service fees, combined with common exclusions (refrigerant, ductwork, code upgrades) and low replacement caps ($1,500-3,000), often result in paying more than direct repairs would cost. The math works better if you have an older system (10+ years) with high failure probability, or if the seller is paying for warranty. For newer systems or homeowners with emergency funds, paying a quality HVAC contractor directly typically provides better value and faster service.
What HVAC repairs are not covered by home warranties?
Common exclusions include: refrigerant leaks and recharge (often the most needed repair), ductwork repairs, pre-existing conditions, improper installation issues, code upgrades required by law, R-22 refrigerant systems, maintenance-related failures, permits and inspection fees, and equipment disposal. Additionally, replacement caps of $1,500-3,000 mean you'll pay most of any major replacement cost yourself. Always read the exclusions section of your policy carefully before purchasing.
Why do home warranty companies deny HVAC claims?
The most common denial reasons are: pre-existing conditions (claiming problem existed before coverage), lack of maintenance (dirty filter or no service records), improper installation (blaming original installer), not a covered component, replacement cap exceeded, and unauthorized repair (you called your own contractor). To minimize denials: document your system condition when policy starts, keep all maintenance records, change filters regularly and save receipts, and always call the warranty company first before arranging repairs.
How long does a home warranty HVAC claim take in Texas?
Expect 24-72 hours for initial contractor dispatch during mild weather. During Texas summer (June-August), wait times of 3-5 days are common as warranty contractors are overwhelmed. If parts need to be ordered, add another 3-7 days. Total resolution can take 1-2 weeks or longer. Compare this to calling a local HVAC company directly, which typically provides same-day or next-day service. For emergency situations with vulnerable household members, this delay can be dangerous.
Can I use my own HVAC contractor with a home warranty?
Generally no. Most home warranty contracts require using their network contractors. If you call your own contractor without authorization, the claim will likely be denied. However, most policies allow you to request reimbursement for emergency repairs if: you attempted to reach the warranty company first, the situation was truly urgent (vulnerable person without AC in extreme heat), you documented the emergency, and the repair was reasonable. Success rate for reimbursement claims varies widely.
What is the maximum payout for HVAC under home warranty?
Most home warranties cap HVAC payouts at $1,500-3,000, though some premium policies go up to $5,000. Given that a full AC replacement in Texas costs $6,000-12,000 and a furnace replacement costs $3,000-6,000, the cap covers only a fraction of major replacements. Additionally, code upgrades ($500-2,000), permits ($100-300), and disposal ($50-150) are typically excluded and add to your out-of-pocket cost. Read your policy's dollar limits carefully.
Does home warranty cover refrigerant recharge?
Usually no, and this is one of the most frustrating exclusions. Refrigerant issues are among the most common AC problems, especially in Texas heat. Most warranties either exclude refrigerant entirely or cover only minimal amounts. The reasoning varies: some classify it as a 'consumable,' others claim leaks indicate prior damage. If your system needs refrigerant, expect to pay $200-600 out of pocket for leak repair and recharge, even with an active warranty.
Should I buy home warranty for a new home?
For a new home with new HVAC, a home warranty is generally unnecessary. New equipment comes with manufacturer warranties (typically 5-10 years on parts, 1 year on labor) that provide better coverage than home warranties. New homes also have builder warranties. Your money is better spent on a maintenance agreement with a local HVAC company ($150-300/year) which prevents problems and builds a relationship for when service is needed. Start building an emergency fund instead.
What happens if my AC fails and the warranty company takes too long?
You have limited options: 1) Document all communication attempts with timestamps, 2) Escalate to a supervisor and request emergency authorization, 3) If someone vulnerable is in the home (elderly, infant, medical condition), document the safety concern in writing, 4) In true emergencies, you may need to call a contractor directly and seek reimbursement—success varies. Consider the liability of waiting vs. paying out of pocket. Some homeowners file complaints with the Texas Department of Insurance for unreasonable delays.
Can home warranty deny a claim for lack of maintenance?
Yes, and it's a common denial reason. Warranty companies send technicians who inspect the system before approving repairs. Signs they look for: extremely dirty filter, dirty coils indicating years without cleaning, no evidence of professional maintenance, and obvious neglect like vegetation growing into the outdoor unit. To protect yourself: change filters monthly and save receipts, schedule annual maintenance and keep records, and document your system's condition with photos when the policy starts.
Is there a home warranty that actually covers HVAC well?
Some premium policies offer better HVAC coverage with higher caps ($5,000+), refrigerant coverage, and fewer exclusions, but premiums are correspondingly higher ($800-1,200/year). Even the best policies still have limitations around pre-existing conditions, code upgrades, and contractor choice. For most homeowners, the premium difference would be better allocated to an emergency fund. If you do shop for warranty, look specifically at: HVAC cap amount, refrigerant coverage, code upgrade policy, and contractor network reviews in your area.
What should I do if my home warranty claim is denied?
Steps to appeal: 1) Request the denial in writing with specific policy language cited, 2) Review your policy to verify the exclusion applies, 3) Gather supporting documentation (maintenance records, inspection reports, photos), 4) Call back and request supervisor review, 5) Submit a formal written appeal with documentation, 6) File a complaint with the Texas Department of Insurance if you believe the denial is unjustified. Success rates vary—pre-existing condition denials are hardest to overturn; maintenance-related denials have better appeal success with proper documentation.