Just like health insurance for you or a family member, there are several types of pet insurance policies. A pet health insurance policy reimburses the pet owner for covered veterinary care. As with your health insurance policy, these policies typically itemize covered treatments, deductibles (the amount you’re responsible to pay) and lifetime or per illness maximums. The cost of a pet health insurance policy will vary based on the amount of coverage, the type of coverage, the species and age of the pet, and even what breed of animal.
A pet life insurance policy covers end of life costs for your animal. This can include burial or cremation expenses and even bereavement counseling for you and your family.
Pet injury coverage is a new type of coverage that may be part of your auto insurance policy. It covers the treatment of a pet injured in a car accident up to a set limit. Generally, this coverage is automatically part of your auto insurance policy. Check with your insurance agent or company to determine if your auto policy includes coverage for a pet traveling in the car with you.
Covered conditions – Some pet health insurance policies may reimburse covered medical expenses for accidents, illnesses, surgeries, X-rays, prescriptions, hospitalizations, emergencies or cancer treatments. Other pet insurance plans may only cover accident and illness after a waiting period.
Pre-existing Conditions – Hereditary conditions and certain medical conditions are considered pre-existing conditions. Ask about pre-existing conditions and review the policy to see if they are covered. Look to see if the conditions are considered curable (stable or controlled pre-existing conditions) or incurable (terminal pre-existing conditions). For pre-existing conditions considered curable, the company may choose to enforce a waiting period before coverage kicks in. Conditions considered incurable such as diabetes or cancer may be excluded entirely or may be covered on a limited basis. A vet may have to examine your pet to certify its health before it can be insured.
Renewable Benefits – If your pet is treated for a covered condition during the policy term, some companies will then consider that condition a pre-existing condition when the policy renews and will exclude coverage for that condition in the renewal policy.
Exclusions – Treatments not covered by pet insurance can vary by type of pet or breed. Not all pet insurance plans cover preventative care, dental care not associated with an accident or injury, treatment of behavioral problems, breed-specific hereditary conditions or elective procedures. Treatment of congenital conditions (a condition your pet is born with) or hereditary conditions may have a limited benefit.
Reimbursement – What the insurance company will pay per treatment is explained in a benefits schedule. This list outlines how much by percentage of cost or dollar amount the company will pay for treatments. You may also be responsible for co-payments or deductibles. Make sure you understand how the policy makes payments. Some companies will pay the vet for services, but often you’ll be responsible for the full amount at the time of treatment and then the company will reimburse you for the covered amount.
Veterinarian Networks – Some pet health insurance policies will require you to use a specific network of vets. Check to make sure there is a vet in your area or that your family vet is in your network if you don’t want to change.
Begin by considering if you need pet health insurance. Add up the costs of the policy for the expected life of your animal. Take into consideration how much you could afford to pay for emergency treatment or a long illness.
Shop around, comparing the policy benefits, deductibles, limits and exclusions.
If you choose to purchase pet health insurance, take the time to read the terms and conditions including co-pays, deductibles, limits and exclusions, and double-check the amount of coverage shown in your insurance policy.
Questions to ask the insurance agent or company:
If you have questions about pet insurance available in your state, contact your insurance department.
Don’t be a victim of insurance fraud! Before you sign a contract or write a check for coverage, STOP. CALL your state insurance department and CONFIRM that the agent and company you are working with are licensed to do business in your state.
The Minnesota Department of Commerce Consumer Response Team (CRT) is ready to help. Our experts help consumers with questions about laws concerning industries regulated by the Department of Commerce.
Phone: (651) 539-1700 or (800) 657-3602 (Greater Minnesota)
Fax: (651) 539-0105
Address: Minnesota Department of Commerce, Consumer Protection and Education Division, 85 7th Place East, St. Paul, MN 55101
About the NAIC
Formed in 1871, the National Association of Insurance Commissioners (NAIC) is a voluntary organization of the chief insurance regulatory officials of the 50 states, the District of Columbia and five U.S. territories. The NAIC has three offices: Executive Office, Washington, D.C.; Central Office, Kansas City, Mo.; and Securities Valuation Office, New York City. The NAIC serves the needs of consumers and the industry, with an overriding objective of supporting state insurance regulators as they protect consumers and maintain the financial stability of the insurance marketplace. For more consumer information, visit insureUonline.org.