Pet Health Insurance: Everything You Need To Know In One Place

Jan 24, 2018 (2) comments

pet health insurance

I'm sure that you can agree with me when I say that ​pet health insurance seems to be extremely hard to ​understand ​and ​probably even more frustrating to purchase.

But ​get this:
 
It turns out that ​pet health insurance has a framework similar to traditional health insurance and it doesn't change.

Once you learn it, ​pet insurance, in general, will be easier to understand and buy.

In this guide today I am going to go over exactly what ​pet health insurance is, how it works, and how to use this information to ​find the best policy for your furbaby.

I'm sure that you can agree with me when I say that term life insurance seems to be extremely hard to learn about and even more frustrating to purchase.

But is it?
 
It turns out that term life insurance has a framework that doesn't change and once you learn it, life insurance, in general, will be easier to understand and buy.

In this guide today I am going to go over exactly what term life insurance is, how it works, and how to use this information to get the best rates.

The History Of Pet Health Insurance

pet health insurance cost

In 1890 Claes Virgin, founder of the Länsförsäkrings Alliance wrote the first pet health insurance policy in Sweden, believe it or not, it was focused on horses and livestock at the time.

It's ok if you can't pronounce the name of his company, I didn't even try it; the meaning of the name is literally "County Insurance."

Britain would follow in 1947 with its first pet health insurance policy. 

​When it comes to being pet parents, the ​United States isn't at the top of the list for ​covering our furbabies.

The first policy written in the U.S. was in 1982 and the first pet to receive the coverage was good ole Lassie by Veterinary Pet Insurance. 

​We lag behind countries like Sweden and Britain drastically with only 0.7% of pets in the United States being covered by Pet Insurance.

I know we had a late start; however, I think it's a bit ridiculous to be so far behind.

pet health insurance reviews

​Lassie Getting Pet Insurance

​What Is ​Pet Health Insurance

When you first get your pet, the last thing on your mind is all of the future accidents or unexpected illnesses that may happen.

Mainly you are focused 100% on cuteness, everything your cat or dog does is cute.

For some, the cuteness of their pet never goes away.

However, the ​truth is that accidents will probably come and so will illness.

​When this happens will want to have already ​had your pet covered ​by Pet Insurance.

"In Plan English" - Pet ​Insurance is health insurance for your pet.

best pet health insurance

A Pet insurance plan will offer coverage for things such as illness, medications, hospitalizations, accidents and some even offer preventative care.

These policies usually only cover cats, dogs, and horses but you can sometimes find it for more ​exotic pets.

​How Does Pet Health Insurance Work

Now, I know this is probably going to rub a lot of pet parents the wrong way.

However, Pet Health Insurance is not considered a "Type of Health Insurance," it's actually considered a Property & Casualty Insurance because your pet is seen in the insurance companies eyes as a ​type of property that you own. 

Other than this distinct difference, the policies almost work ​the same.  I am going to go over each part a pet health insurance plan below:

Premium 

​Like all Insurance, each pet insurance policy will come with a monthly premium due.

​You usually can find savings if you pay the plan on an annual basis.

However, rates and premiums are going to vary based on the type of pet and the pets' age.

Deductible

​The deductible is​ the ​amount of money you must pay before the insurance company ​starts sharing in the costs of your coverage.​​​

​Each company will have different deductibles that can ​range from $50, $100, $200, $250, $500, $750, or $1,000.

​Just like with any type of insurance that has a deductible, the lower the deductible, the higher the premiums.

For example:

​If you purchase a pet insurance policy with a $100.00 deductible and your pet needs to see a vet because of an accident, you will be responsible for the first $100.00 of the bill.

If your pets' vet bill is $100.00 or below, then you will be responsible for the whole bill, and the insurance company will start assisting with their Reimbursement.

Reimbursement

​The Reimbursement is the amount of a vet's bill that an insurance company will pay once you reach your deductible​.

​Usually, you will have to pay the full amount and be "reimbursed" the difference by the insurance company.

Reimbursement levels range from​​​ 60%, 70%, 80% and 90%; I have yet to see any policy in the United States that offers a 100% reimbursement option.

Let's say your cat hurts ​her tail while playing around the house.  

You take her to the ​veterinarian, and your final bill comes out to around $2,500. 

You have the $100, deductible plan with 70% reimbursement, the way the breakdown would work goes like this: 

Traditionally, you are going to pay 100% of the final bill and wait for the insurance company to reimburse you.

​Based on the above plan you are responsible for the $100.00 deductible and also 30% of your pets bill.

The insurance company would deduct the $100.00 and then refund you 70% ​of the remaining bill which would be $1,680.

In all, you would have only paid $820.00 for a $2,500 bill.  As you can see the savings are amazing and the policy really pays for itself easily if you have one vet visit.

Recently ​a majority of pet health insurance companies have been offering the ability to ​have the payment made directly to the vet.

​Paying the vet directly is a great option, and I would suggest that anyone who can go this route to take it since it will allow you to avoid paying a large, unexpected bill out of pocket.​​​​

Annual Maximum

​Think of the annual maximum as a "Cap" on your coverage.  

​If your ​pets' veterinarian bills reach the maximum for that year, you are responsible for 100% of the costs for the rest of the year.

Annual ​maximums can range from $5,000, $10,000 or Unlimited.  

The higher the annual maximum, the more expensive the policy.

Now hear me out:

​If you can afford it, and the insurance company offers ​the option, I always recommend purchasing the Unlimited ​option.

​Insurance ​really protects us from ​uncertainty; it's much better for you to have no "Caps" on coverage for your pet.  

The worst thing that could happen is that you end up getting a $25,000 bill and you have a $5,000 annual cap, that's how you​ can easily slip into debt.

Claims

​Claims work a bit different with pet health insurance.  

You will want to know the exact process ​of filing a claim and how the claims process will work for whatever company​ that covers your pet.

Most pet health insurance companies now have mobile apps ​for Apple or Android.

These apps allow you to ​take a picture of your vet bill, upload it, and receive your reimbursement in as little as 1 to 5 days via direct deposit.

​If your pet insurance company doesn't have that option, usually you will want to go online and print out a claim form and send in all required documents via fax or mail.

No matter which option, filing the claim as soon as possible ​is important for getting your ​reimbursements back ​fast.

​Types Of Pet Health Insurance

​When you start looking for coverage for your pet, it's a great idea to understand exactly the type of coverage you are searching for and what types of coverage you may need for your pet.

You wouldn't search for personalized dog blankets if you didn't already have an idea of ​how you wanted it designed, so I suggest you do the same research for your pet insurance.

There are three main types of coverage, and ​I outline them below:

Accident

​Accident coverage is simply that, coverage for your pet if they are in an accident. 

This type of coverage is usually included within any basic pet insurance policy and can also be purchased separately with some companies.

​Someone who has a dog that can't qualify due to current medical issues would do great with just some sort of Accident policy on their pet.

Illness

​Illness coverage is also a standard benefit on ​all policies; this coverage is used to treat sickness, disease and any changes to your pets' normal ​well being.

It's important to review the illness guidelines and know what will and won't be covered.

Hereditary & Congenital Conditions

​You want to search the policy options for this benefit.

Although it isn't a type of coverage option, it is​​​ important to have this inside of your policy. 

You want to make sure that your pet can be covered for any hereditary conditions you won't be aware of when they are born.

Wellness

​Wellness care is also preventative or routine care.  This coverage can include things like vaccinations, ​exams, and dental work. ​

These policies aren't offered by every insurance company, so you need to check around to see if this benefit is offered if it's something you want.

Usually, there will be an additional fee to add this to the policy.

​What's Covered By Pet Insurance Plans

​Pet Insurance covers a large range of ​situations and below we give you a sample list of things covered. 

Policy Specific Benefits:

  • ​Emergency Visits
  • Hospitalization ​& Surgeries
  • ​​Rx Medications​
  • ​MRI, CAT And X-ray
  • ​​Specialist Care
  • ​Rehabilitative Therapies
  • ​Lab Tests
  • ​Outpatient Care
  • ​Medication injections
  • ​Cancer Treatments
  • ​Hereditary ​& Congenital Conditions
  • ​​Accident & Illness Exam Fees
  • ​​Alternative Therapies
  • ​Chronic Conditions

​As the above list shows, pet insurance is very flexible, and you can cover your pet ​with an assortment of ​benefits.  

On top of the above list, there are also additional benefits you can add to your policy for an additional cost.

These benefits are usually part of the Wellness coverage option we spoke about above.

Additional Benefits: 

  • ​Spay/Neuter
  • Teeth Cleaning
  • ​​Rabies
  • ​​Flea/Tick Prevention
  • ​Heartworm Prevention
  • ​Vaccination/Titer
  • ​Wellness Exam
  • ​Heartworm Test or FELV Screen
  • ​Blood Exam 
  • ​Microchip
  • ​Urinalysis or ERD
  • ​Deworming 
  • ​Parasite Exam
  • ​Fecal Exam

Keep in mind that ​the above list is just an overall showing of things covered.  

You would need to check directly with your pet health insurance company to see what benefits they offer.

Now that we know what is covered, lets review what isn't covered.

What's Not Covered By Pet ​Insurance ​Plans

​Pre-Existing Conditions

​​​​Before the Affordable Care Act, commonly known as Obama Care, was put into law, us pet-parents had to deal with the same situation.

No Pet Health Insurance Company will cover pre-existing conditions.  

Each carrier states what is considered a pre-existing condition.

However, they all basically say the same thing: 

​Pets Best

​Any illness or injury that begins before your policy is effective, or during your waiting period, will be considered “pre-existing”. Some conditions, like broken legs or kennel cough, heal or are curable and require no further treatment. Once healed or cured, these are not considered pre-existing conditions.

​Healthy Paws

​A pre-existing condition means that the condition first occurred or showed clinical signs or symptoms before your pet's coverage started. ​If there is a condition your pet is currently being seen for or has been seen for in the past, more than likely it would be considered pre-existing. ​period(s).

​Embrace

A pre-existing condition is any injury, illness, or irregularity noticed by you or your veterinarian before the end of your waiting period, even if your pet never went to see the veterinarian for it. No pet insurance company covers pre-existing conditions.

​Your pet having these pre-existing conditions does not eliminate them from getting covered.  

​The policy simply won't cover any vet bills associated with them.  

Mostly all other situations will be covered; please be sure to check the policy and benefit guidelines as some policies cover things that others won't.

Pet Health Insurance Enrollment Process

​The enrollment process is pretty straightforward.  

All of the pet insurance companies that I have reviewed or looked at online allows for a seamless application process. 

​Everything can be completed online, and your pet can be covered in minutes.

​You might have to go through a telephone process for more exotic animals, but overall you can get your pet covered in a matter of minutes.

​Check out the below videos for examples of how the enrollment process looks and works for two different pet insurance companies:

Pets Best Online Enrollment Process:

Healthy Paws Online Enrollment Process:

​Hopefully, you can see that enrollment for any type of coverage is very fast and simple.

The hardest part is figuring out what type of coverage your pet or pets will ​need.

Term Life Insurance Underwriting Outcomes

​How Much Does Pet Insurance Cost

What type of guide would this be if ​​​​we didn't write about pet health insurance cost?

After seeing how much ​protection your pet will have when you buy pet insurance you ​probably think it won't be affordable.

​But get this: 

​​The average pet insurance cost is only $27.00/month.

​This coverage is obtainable and affordable for anyone that has a pet.  

​Rates are going to be based mainly on pet type, age, and location.

​$27.00/month is the average so below I put together some sample rate charts that will show pet insurance cost based on pet type in the state of Georgia: 

​Sample Pet Insurance Cost For Dogs
*Rates are based on a mixed dog with a $250 Deductible, 70% Reimbursement, & Unlimited Annual Coverage. 

Age

Monthly Premium

4 Years Old

$24.82

​5 Years Old

$​30.00

6 Years Old

$36.12

​7 Years Old

$​43.64

8 Years Old

$53.03

​ 9 Years Old

$​64.37

10 Years Old

$76.87

16 Years Old

$​95.71

​Sample Pet Insurance Cost For ​Cats
*Rates are based on a mixed ​cat with a $250 Deductible, 70% Reimbursement, & Unlimited Annual Coverage. 

Age

Monthly Premium

4 Years Old

$​13.17

​5 Years Old

$​​14.81

6 Years Old

$​17.37

​7 Years Old

$​​20.29

8 Years Old

$​23.72

​ 9 Years Old

$​27.83

10 Years Old

$​32.77

16 Years Old

$​​61.25

You probably noticed that rates for cats are lower than rates for dogs.

This is probably ​because their average lifespan is 15 years compared to dogs which ​are 11 years.

The same can be said true about rates for pet parents who are women vs. those who are men.  

Rates for women are lower because on average they outlive men.

​Will my pets' ​premium increase due to Age? 

When pets age, they face the same risk that we do in regards to an ​increased risk of things like cancer, kidney failure, and heart disease.

​Depending on the specific policy you have, prices can increase as your pet gets older to cover increased vet visits and the aging needs of your pet. 

​It's also company specific how the increase is handled.  

Some companies will simply bill you based on the age of your dog while others will base it on a specific needs increase in a particular area or neighborhood. 

It's best to view your policy details to see how ​your particular policy will work.

​Is Pet Insurance Worth It

As we stated above, the average pet insurance cost is around $27 a month. 

Let's compare this to just a single ​visit to the vet for an emergency, ​chronic condition or ​an illness ​that can cost you over $20,000. 

​I can't think of any situation that would make sense for someone to not have pet insurance.

Pets have the energy, body and reflexes to create all sorts of chaos around the house and on themselves.

​How To Choose A Pet Healthcare Plan

When you start searching for the top pet insurance companies, you need to look for the following things:

Claims-Paying Speed How fast will this insurance company be able to reimburse you for the claim, the best pet insurance companies usually can pay a claim within ​five days. 

Highly Rated - You want to check to see the A.M. Best or Demotech rating for the company you are deciding on, the best pet health insurance companies will have an A rating or equivalent.  These ratings determine financial strength as well as claims-paying ability. 

Great Customer Service - This is one area you can't look past.  The way a company will treat you and how easy it is to speak to someone when you need help is fundamental. You want to be sure you have a team of people that appreciate your business and your pet. 

Waiting Periods - Be sure that your policy doesn't have a waiting period that is much longer than what other carriers offer.  Each policy will have their ​specific waiting periods so be sure to find the one with the shortest waiting periods.

Additional ​Benefits - Be sure to see what additional benefits can be added to your policy. Not all insurance companies offer wellness care, if that's important to you, don't budge and be sure to go with a carrier that offers it.

Can You Choose Your ​Veterinarian - For the most part, the best companies will not limit you to specific veterinarians, as with any policy, please check before you purchase that your vet is either in-network or the product will work for any vet.

​Money Back Guarantee - I don't think you will find any pet insurance company that won't offer some type of 30 day money back guarantee; however if you find yourself in that position, move on to another carrier.  The best companies will offer one.

Price That Matches Coverage - Most of the time people think they want to have "cheap" coverage; however, the trust is that we actually just want our money's worth.  Be sure that the price you pay is worth the amount of coverage you receive for your pet.  

When ​you start shopping for pet health insurance, don't just go on price, go on total value.  

​Can You Trust Pet Insurance Reviews

​I believe that you can trust the accuracy of how the product works and its benefits.  

You can also trust the reviews that customers leave on a companies page.  

​Most reviews really try to give you the answers to all of your questions without you having to ​scour the web or the insurance company website for the answer to a specific question that may be holding you back.

What I don't think you should try to trust a review on is how great that product would be for your pet because, in all honesty, your ​mileage may vary.

​Now, ​with that being said: 

Let me ​say that I have two pet insurance reviews one here​ ​on Pets Best and another one here ​on Healthy Paws.  

​These reviews are two of the most detailed reviews that you will find online about each product, and I recommend checking them out ​when you get a chance.

One thing that I try to do is put the "Hard to find" information in one place so that you can make a solid decision at the end of each review.

​*Full disclosure* - I am a partner with both insurance companies and will be ​compensated if you purchase coverage through ​any of the links inside of the reviews.

The Future of Term Life Insurance

Life Insurance for HIV patients:
Just recently a few insurance carriers have decided to start covering customers with HIV.  As long as their numbers are right and they get consistent checkups, their policy stays active.  It’s very new; however, it’s definitely something that was missing from the market.

No Exams
More and more companies are rolling out products that require no exam.  Some companies are even offering the same rates with an exam or without an exam up to a certain amount of coverage.  As technology grows and information becomes more accessible the need for an exam is probably going to go away for the average insurance policy.

Consumer Facing Applications
Haven Life, Ladder Life, Fabric and a few others are focusing on consumer facing applications and sign ups.  You will no longer need to work with an agent to do your research and sign up for coverage, It's really been a long time coming, but  I think the life insurance industry is finally catching up.
No Life Insurance Agents
The current advancements in technology and information will eventually create an environment where needing a life insurance agent to complete the sale of life insurance will no longer be needed.  My statement doesn’t mean that advisors won’t exist for more complicated products.  I just see them become more specialized and offering life insurance in addition to their other services.

Wearables
Life insurance companies are looking to give you a discount if you use wearables and allow them to get better data on your health.  I am not sure where they are going with this process, but only time will tell if it’s a viable process for life insurance.
Most Common “Rookie” Mistakes When Buying Term Life Insurance
Not Doing Enough Research

Not doing research ahead of time is the worst thing you can do when you start searching for a term life insurance plan.  Even though the framework of life insurance is straightforward, going into it unprepared will put you in a position of possibly purchasing the wrong product or a product that isn’t the best fit for you and your family.

If you don’t know the basics of life insurance, you really shouldn’t be looking into purchasing it.  Take a few days learning the basics, like by reading this post and get a better understanding of what you are going to experience.

Giving Payment Information Before Approval
I have seen this happen time and time again. The first agent you speak to sounds like they know their stuff and that they have the best rates.  You sign up and give all of your information, but you still haven’t gotten an answer on your approval.  You wait for one week and haven’t heard anything, so you start looking for more coverage elsewhere.  You find an agent that quotes you an even better rate and they get you approved in a few days.  Two weeks later you get approved for that original policy you purchased and the premiums draft; now you are upset. It’s best not to submit payment information when applying for life insurance until you have an approval and policy number.  Why pay for something you essentially don’t have yet.

Not Using the Free Look Period
You get a free look period with every life insurance policy you purchase.  This time gives you the ability to return the policy for your premium payment if you decide you no longer want it.  Most of them are 30 days; sometimes they can be shorter.  Almost like a 30-day money back guarantee.  Use this if you need to, you don’t have to purchase the policy just because you were approved.

Requesting Quotes The Wrong Way
The worst thing to do is to go to several sites and request life insurance quotes.  You first need to make sure the sites require no personal information otherwise you will get the “100 phone calls of doom” in a week.  I wrote a post about this specifically about how to avoid this.  The worse situation you can put yourself in is getting so many calls and having information overload that you don’t make any decision.

Not Writing Down the Quotes
It’s important that you write down all the quotes or put them in a spreadsheet.  You should track:
Carrier Name
Name of Product
Term Length
Coverage Amount
Health Rate Quoted
The reason for this is so that you can compare apples to apples.  Be sure to get the same quote from everyone, don’t get all over the place with multiple quotes.

Going with Large Property and Casualty Companies
It’s awesome to think that you can get a discount for bundling services. However, more substantial property and casualty insurance companies aren’t always the best answer.  Usually, you can find much more affordable rates from carriers that focus specifically on the Life and Health side of the industry.

Just as an example:

Running a quick quote with Statefarm - $250,000 in coverage for 30 years is $28.50/month, however, with Haven Life, the same policy is $21.63/month or Standard Life the same policy is $21.82/month.

The latter carriers focus specifically on life insurance, and their rates are much more affordable with a savings of over $81/year. If you had that policy for 30 years, you would spend around $2,400 more than if you would have gone with a company focused specifically on life and health insurance.

Test your life insurance knowledge
Quiz Creator

​Does Pet Insurance Have Waiting Periods

#605b5e

​Yes, pet health insurance policies all come with some sort of waiting period. 

These periods are going to be based solely on the type of product and the type of condition.

For instance, some carriers give:

​A four day waiting period for​ accident and illness while others may give a two day or ​ten day waiting period for the same thing.

Waiting periods can last up to 6 months for things like cruciate ligament events and any related conditions or Hip ​Dysplasia. 

The waiting periods are going to vary based on the company so please be sure to read the details for each policy.

​How To Find Free Emergency Pet Care

​If you find yourself in need of free vet care for low income families or free emergency pet care, then we have compiled a list below of places that can assist you:

Banfield ​Hospital - Usually can be found inside of a PetSmart store will assist with vet care.  

HumaneSociety.Org - They have both Local and Nationwide lists of places that can help.

Tree House Humane SocietyThey have a list of places that can assist you. 

Animal Humane Society - List of resources that can assist you.

Best Friends - List of local resources that can assist you.

​Brown Dog Foundation - A Foundation that helps with pet care

This list will continue to grow.  

Feel free to reach out to us if you know of a place that we can add to the above list.

Demystifying Pet Life Insurance

According to Trusted Choice, it's probably not worth it to get a life insurance policy on your pet.

​Unless your pet is a show ​animal and brings in revenue, the likelihood that their death will affect you financially is very low.

​Check out the below list for costs associated with pet funerals:

  • ​Cost to cremate a pet: $60 to $150
  • ​Cost for an urn for a pets' ashes: $35 to $400
  • ​Cost for a burial plot in a pet cemetery: $400 to $600
  • ​Cost for a pet casket: $50 to $500

​If you look at this list, you can see that you will probably pay anywhere between $85 to $550 to cremate your pet and around $450 to $1,100 to bury your pet.  

​In all honesty, you could probably save for this event than actually purchasing a life insurance policy for your pet.

No one wants to think about their furbaby dying; however, when it happens its best to be prepared financially.

Your Pet Health Insurance Questions... Answered

​I know there are plenty of questions out there in regards to pet health insurance. 

Hopefully ​I have answered ​all the ones you could think of.  

​If you still have questions; below are some that ​I didn't touch on:

​​Should You Cover Your PetSmart Pet Adoption With Pet Insurance?

​Will Pet Insurance Cover Newborn puppy care? 

​Will Pet Insurance Cover Newborn kitten care? 

​Does Pet Insurance Start Immediately?

​Does Pet Insurance Cover Shots?

​We will also continue to update this list with more FAQ's when we get them.  

If you have a question, fell free to ask us and we will ​answer you directly and add it ​to the list.

​Additional Pet ​Resources

​Below is a list of resources that can assist your pet, they won't all have something to do with pet health insurance; however, they will be beneficial: 


​Pet Health Insurance Glossary "In Plain English"

A   B   C   D   E   F   G   H   I   J   K   L   M 

N   O   P   Q   R   S   T   U  V  W  X   Y   Z


A Back To Top

Accident​: an accident is something that happens by mistake and is usually unintentional. 

Accident Only Plan: ​This is a type of pet insurance plan that will only pay your vet bills if they are caused by an accident.

Adjuster: A representative of the insurance provider who seeks to determine the extent of the insurer’s liability for loss when a claim is submitted.

Age-Related Deductibles: ​A specific deductible that can apply to your pet based on their age.  

​Alternative Therapy: Treatments or medications that are not considered a part of traditional medicine. 

Annual Coverage Limits: Some health insurance policies only pay for health care up to a certain dollar amount per year. The insured pet may be expected to pay any charges in excess of the pet health plans maximum.

Annual: Periods of one year, or part of a year, starting with the date this Policy was first issued, or starting with the effective date of a change in Coverage Plan.

Annual Deductible: This is the amount you must pay each year before the insurance company starts paying.

Associated Condition: Any medical problem that is directly related to and caused by a primary medical condition. ​


​B Back To Top

Benefit: Compensation you receive, or are guaranteed to receive, from the insurance company for incurring costs specified in your pet’s insurance policy.

Benefit Period: The number of days for which benefits are paid to the named insured.

Benefit Schedule: This is the maximum amount of money the insurance company will reimburse based on predetermined listed fee structure. Companies that use this structure tell you ahead of time the specific amounts they will pay for certain diseases.

Bi-Lateral Condition: Any Condition affecting body parts of which your pet has two, one on each side of the body (examples: ears and eyes).

Breed: Some breeds of animals are more susceptible to certain illnesses than others.


​​C Back To Top

Caps: Upper limits on the amounts of money an insurance company will pay under certain circumstances. ​Often insurance companies also have annual caps and lifetime (the life of the insured pet).

Casualty: Liability or loss resulting from an accident.Chronic Diseases: Chronic diseases are diseases of long duration and generally slow progression. They are usually not curable.

Chemotherapy and Radiation Treatment Allowance: The schedule of benefits will also list the maximum reimbursement limit for chemotherapy and radiation treatment as they apply to specific conditions. These two amounts are generally split into two allowances with the allowance for radiation being much higher than that for chemotherapy.

Chronic Diseases: Chronic diseases are diseases of long duration and generally slow progression. They are usually not curable.

Claim: A request you make to the insurance company for payment of the benefits as provided by the policy.

Claim Form: The form you submit to the pet insurance company to request reimbursement for veterinary costs.

Clinical Signs: Changes in a Pet’s normal healthy state, bodily function or behavior.

Co-Insurance: The percentage of Your claim that You must pay before any applicable Deductible is applied. Sharing in the financial risk ensures that you make informed, responsible decisions about your pet’s health and treatment.

Condition: All manifestations of Clinical Signs resulting from the same diagnostic classification or disease process, regardless of the number of incidents or areas of the body affected (example: all cancer is considered one Condition).

Co-Pay: A predetermined, flat fee the pet owner pays for pet health-care services, in addition to what insurance covers.   An example would be a $10 copayment for each office visit to the vet, regardless of the type or level of services provided during the visit. Copayments are not usually specified by percentages, but are stated in dollar amounts.

Coverage: The scope of protection provided under an insurance policy. In property insurance, coverage lists perils insured against, properties covered, locations covered, individuals insured, and the limits of indemnification. In life insurance, living and death benefits are listed.

Coverage Plan: The Coverage and Benefits as specified and defined in the Policy.

Covered Expenses: Treatment and procedures that are covered by the pet insurance policy. Not all treatments and procedures are covered. Let say you went to the vet for anal sac expression and treatment of a laceration on the foot. If the insurance policy states that it does not cover anal sac treatment but does cover laceration, the insurance would cover the expenses for treatment of the laceration, but not the anal sac treatment. The cost of the anal sac treatment would be paid 100% by you.

Customer: A policy holder.

Customer Card: A printed carrying card which holds pertinent customer and insurance information, for ease of use and accessibility. This should not be construed as a legal document or as proof as a customer.


Claim Form: The form you submit to the pet insurance company to request reimbursement for veterinary costs.


​​​D Back To Top

Deductible​: is the amount that is not insured and needs to be paid out of pocket before the health insurer pays their share. For example an annual deductible of $100 is the amount the insurance company will require off the top of the bill. Most pet insurance are annual but some are also per incident.

​Diagnostics​: are the tests used to diagnose a condition, disease or illness. These tests may include laboratory tests, radiographs (x-rays), Urinalysis, MRI or CT scans.

Document of Insurance: The Policy page which identifies the Policy number, the insured, the insured. Pet, the Coverage Plan and the Period of Insurance.


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Endorsements: Depending upon the insurance company you choose, you may be given the opportunity to purchase an “endorsement.” Usually this comes in the form of a cancer endorsement. This is like an add-on to your purchased insurance plan and extends the amount of coverage your pet receives for the specific illness listed – in this case, cancer.

​Exclusions: Exclusions are items that are not covered by your policy. This can include: pre-existing conditions, certain musculoskeletal disorders, congenital disorders, hereditary disorders, intentional injuries caused by you or your family and elective or cosmetic procedures. Again, be sure to request a quote and go over any exclusions in detail before signing up.

Eligibility​: The term eligibility generally refers to if a pet will quality for the pet insurance coverage. Eligibility will generally refer to if the pet meets the age limitations and lives in the country of coverage.

​Explanation Of Benefits​: A document explaining what is covered for a medical service, and how payment amount and patient responsibility amount were determined.


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Flea Control: Flea control is generally considered part of wellness benefits.


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Genetic Condition​: is a medical disorder that is inherited.

​Guarantee​: is the warranty or promise that if you are not satisfied with the pet insurance policy that you can cancel without penalty or obligation. Most (but not all) pet insurance companies offer a 30 day guarantee providing no claims are made during that period of time.

Guaranteed Renewable: A policy provision which guarantees the pet owner the right to renew coverage at every policy anniversary date. The company does not have the right to cancel coverage except for nonpayment of premiums by the policyowner; however, the company can raise rates if they choose provided they have specified this rate increase in the policy.

General Anesthesia Allowance: On the schedule of benefits, companies will also outline the maximum limit for general anesthesia costs as they apply to specific conditions.


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Hereditary Condition​: is a medical disorder that is inherited by your pet. It can present early or later in life.

Heartworms: A common ailment frequently covered by pet insurance companies.


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Incidents: The term incident is used to refer to the condition that is causing you to visit the veterinarian. Chronic conditions such as skin allergies are considered to be a single incident even if you pay your veterinarian multiple visits.

Illness: Sickness, disease and any changes to a Pet’s normal healthy state.

Insurer: The insurance company that underwrites the policy or assumes the risk.


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​Lifetime Coverage Limits​: Some health insurance policies only pay for health care up to a certain dollar amount in a pets lifetime. The insured pet may be expected to pay any charges in excess of the pet health plans maximum. 


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Maximum Claimable Amount: The most You can claim for, as set out and explained in the Document of Insurance and the Schedule of Maximum Benefit Amounts. Any applicable Co-Insurance and Deductible may be applied to this amount.

Maximum Lifetime Payout: This is the maximum amount of money the insurance company will reimburse you during the lifetime of your pet. Once you reach this limit, you will not receive any more money and your policy will be terminated.

Maximum Payable Amount: The most an insurance company will pay, as outlined in the plan’s policy.

Maximum Payout Per Body System: This is the maximum amount of money the insurance company will reimburse for a body system, such as the digestive, musculoskeletal system, or nervous system. Once you reach this limit for a body system, you will no longer be reimbursed for an injury or illness relating to that body system.

Maximum Payout Per Incident: This is the maximum amount of money the insurance company will reimburse you for each new illness or injury. Once you reach this limit, that particular injury or illness will no longer be covered and you will not receive any more money for that particular injury or illness.

Maximum Payout Per Year: Also called Maximum Annual Payout, this is the maximum amount of money the insurance company will reimburse you each policy year. Once you reach this limit, you will not receive any more money for any injury or illness for that policy year.

MRI and CT Scans: Diagnostic tests and scans performed to determine the cause of an illness or injury are provided for in your benefits for covered conditions.


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On-Going Conditions: Unlike injuries, on-going conditions (like skin conditions, allergies, epilepsy) often require treatment over many years.


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​Policy Period​: is the period of time that your coverage or your policy is in effect.

​Pre-Existing Condition​: is any illness, injury, condition or disease that was present prior to the pet insurance policy being in effect.

​Premium​: Is the amount the policyholder pays to the health plan to purchase health coverage. Most premiums are charged monthly however some companies offer discounts if you pay yearly.

Per-Incident Deductible: This is the amount you must pay for each new illness or injury before the insurance company starts paying. This deductible is paid once for each new illness or injury. If a pet is hit by a car, that is considered one incident and has one deductible regardless of how many times the owner must return to the veterinarian.

Policy: The written contract between you and the insurance company of your pet insurance, including all clauses, riders and endorsements.

Policy Year: 12 months starting on the date your policy begins.


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Reimbursement: Is the amount compensated or recompensed to you after submission of a claim.

Renewal: The automatic re-establishment of an insurance policy at the end of term of the policy. This usually occurs when the policyholder pays another premium. Most renewals are automatic if you continue to pay the premium, but the cost of the premium may increase if there is a provision in the policy for rate increases tied to certain variable factors, such as inflation, increases in vet fees and increases in the cost of commonly prescribed medicines.

Requirements: Things you must do to remain insured (e.g. annual exams, submission of medical records, adherence to the vaccination recommendations, etc).

Routine and Preventative: Refers to preventive procedures such as vaccinations, annual exams, heartworm testing/medications, spaying/neutering, etc. These procedures helps keep your pet healthy and in turn reduces your veterinary bills.


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Schedule of Benefits: The schedule of benefits is a document that is provided to you when you sign up for your policy. This document outlines conditions that are covered under your plan and the monetary allowance you are provided for each diagnosis.

Secondary Diagnosis or Condition: If your pet is treated for a second condition that occurs as a result of the primary diagnosis then it will be covered under the benefits listed as a secondary diagnosis or condition. This secondary condition will receive financial reimbursement in addition to the primary diagnosis or condition.


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Terms & Conditions (T&Cs): A document outlining all the restrictions and legally binding aspects of an insurance plan. It’s important to review your policy terms and conditions to ensure you have the right coverage for your pet.

Treatment: Veterinary care, hospitalization, dentistry, surgery, diagnostics, medication, nursing, specialist referral, medical devices, alternative therapies and behavioural therapies performed by a Veterinarian.


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Underwriter: The individual trained in evaluating risks and determining rates and coverage's for them. Also, an insurer. The underwriter is not always the insurance company itself. An insurance company may re-sell policies to underwriters.


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Veterinarian: A physician or surgeon who is licensed to practice Veterinary medicine where that practice is located.

Veterinary Services: Veterinary care professional fees, hospitalization, dentistry, surgery, diagnostics, medication, nursing, specialist referral, medical devices, alternative therapies and behavioural therapies performed by a Veterinarian.

Veterinary Specialists: Veterinary specialists are board certified in a specific field of veterinary medicine such as internal medicine, surgery, dermatology, ophthalmology. Their certification gives them a higher level of expertise in their area of specialty than a general practitioner.


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Waiting Period: The time you have to wait before coverage starts. If something happens to your pet during the waiting period, that condition will not be covered. There can be one waiting period for accidents/injuries and another for illnesses. There can also be waiting periods for certain injuries or illnesses like Anterior Cruciate Ligament Injuries and Intervertebral Disk Disease.

Wellness: Wellness plans often provide coverage for preventive treatments to prevent your pet from becoming ill as well as providing benefits in case they do become ill or suffer an accident or injury.


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X-Rays: Veterinary medicine relies upon x-rays to help diagnose conditions. Many pet insurance companies cover this diagnostic procedure. Benefits may be available for MRIs, CT Scans and other advanced diagnostic procedures if medically necessary.


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Zoonotic: A word referring to any illness that originates from an animal that can be transferred to a human, so by protecting your pets you are protecting yourself and your family.


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