How to Choose Pet Insurance: Selecting a Plan for Your Pet | ESA Pet

How to Choose Pet Insurance: Selecting a Plan for Your Pet

How to Choose Pet Insurance
Updated on November 13, 2024
Written by Jonalyn Dionio

fact checked by Esa Pet Staff

As a pet owner, you must ensure your pet’s well-being. Your pets rely on you for food, shelter, and attentive, timely healthcare. With the rising costs of veterinary care, affording medical expenses for pets can be hard. This is where pet insurance comes in.

Pet insurance is an insurance policy that helps cover the cost of vet care. This includes treatments for accidents and illnesses, depending on the policy. Choosing the right pet insurance offers peace of mind and financial protection.

Why Pet Insurance is Essential for Every Pet Owner

Pet insurance are just like human health insurance. It helps ensure pets’ well-being. Vet care is an essential part of keeping a pet. Pet care costs continue to rise significantly every year. According to the American Pet Products Association (APPA), there was a 6.7% increase in vet care costs in 2023.

The report shows pet owners spent around $147 billion on overall pet care in 2023. This includes vet care and products ($38.3 Billion), supplies and OTC medications ($32 Billion), pet food and treats, and other services like grooming and training.

The U.S. Bureau of Labor Statistics shows the cost of vet services increased 7.6% from May 2023 to May 2024. With these increasing vet-care expenses, pet insurance is crucial to cover unexpected care.

Pet insurance can make a significant difference in times of emergencies. These include unexpected illnesses and accidents. A survey from MarketWatch revealed that some pet owners paid as much as $1000 for an emergency pet visit. Not every pet owner can afford such heavy vet care costs.

Fortunately, pet insurance provides financial security for emergency vet visits. Owners can focus on getting the best care without worrying about vet bills. Some pet insurance policies cover routine vet visits and vaccinations, making it easier for owners to keep their pets healthy.

Factors to Consider When Choosing Pet Insurance

There are various options available when it comes to pet insurance. However, choosing an insurance plan that meets your pet’s healthcare needs is crucial. Here are some of the most important factors to consider when choosing a pet insurance policy:

Coverage Options and Limits

Coverage Options and Limits

Some pet breeds are at a higher risk for certain health issues. Dog breeds like bulldogs and pugs are more prone to respiratory issues. Choosing an insurance plan that covers everything your pet might need is crucial.

A comprehensive insurance plan covers accidents, injuries, hereditary issues, illnesses, chronic conditions, surgery and hospitalization, and prescription medications.

Reimbursement Options

Reimbursement Options

Reimbursement rates state how much of the total vet bill the insurance will cover after deductibles. Common reimbursement options include 70%, 80%, and 90%.

If your vet bill is $1,500 and you have an 80% reimbursement rate, the insurance will cover $1200. You’ll have to pay the remaining $300 from your pocket. Choosing a plan with a higher reimbursement rate is best, but it may come with a higher premium.

Exclusions

Exclusions

Almost every insurance policy has limitations and restrictions. Assess the plan’s annual limit to ensure it doesn’t exclude conditions or treatments that are essential for your furry friend.

Common exclusions include age limitations, breed-specific exclusions, congenital or hereditary conditions, dental coverage, and cosmetic procedures.

Waiting periods

Waiting periods

The waiting period is when you must wait before purchasing an insurance policy to make a claim. Waiting periods can range from one/two days to several weeks. It depends on the insurance company and the type of claim.

Accidents often have a short waiting period of a few days. The waiting time for illnesses is around 14 days. Some conditions, like orthopedic issues, might have even longer waiting periods. Ensure the policy’s waiting periods align with your pet’s health needs.

Cost

Cost

Cost is one of the most crucial factors to consider. Premiums depend on factors like your pet’s age, breed, location, and the level of coverage you select. A high-coverage plan with a high reimbursement rate and low deductibles will cost more.

Cheap options may look budget-friendly, but they come with limited coverage. So, choosing a plan that offers the right balance of cost and coverage options your pet might need is essential.

Understanding Pet Insurance Coverage Options

There are three main pet insurance options: accident-only, accident and illness, and wellness plans. Each has a different level of coverage tailored to different vet care needs.

As the name suggests, the accident-only plan covers vet costs for accidents. These include incidents like bone fractures, lacerations, swallowing objects or something harmful, and getting hit by a car. This plan suits younger pets or those at low risk for chronic health issues.

The accident and illness plan offers comprehensive coverage. It covers both accidents and illnesses. Accidents include all the types covered in the accident-only plan. Illnesses include cancer, diabetes, surgery, allergies, hospitalization, arthritis, and breed-specific conditions.

Choosing the accident and illness plan is best if you have the budget. It will give you peace of mind that your pet is covered for unexpected injuries and long-term health concerns.

The wellness plan covers routine preventive care. This includes vaccinations, annual check-ups, dental cleanings, and tick treatments. Wellness coverage is often available as an add-on to accident or illness plans.

Accident-Only Coverage: When Is It a Good Option?

Any pet can have an accident. Covering the cost of accident treatment can be challenging without an insurance plan. The accident-only plan can provide the financial protection you need for emergencies.

Accident-only coverage focuses on injuries resulting from accidents. These can include broken bones, cuts, swallowing objects, and toxic ingestion. It does not cover illnesses and heredity conditions, routine check-ups, and preventive care.

If you’re mainly concerned about the costs of unexpected accidents rather than long-term health issues, this plan is the right choice. This type of coverage can be a good option for young, healthy pets and at a low risk of developing chronic conditions or hereditary issues.

Accident and Illness Coverage: Comprehensive Protection for Your Pet

If your pet is a breed vulnerable to certain illnesses or aging and likely to experience health problems, accident-only coverage may not be sufficient. In these cases, choosing a more comprehensive coverage is essential.

The accident and illness plan provides extensive coverage. It covers unexpected injuries and a wide range of illnesses. Accidents can include broken bones, car accidents, and lacerations. Illnesses include conditions like cancer, diabetes, arthritis, allergies, and genetic disorders.

This plan is especially beneficial for pets with breed-specific health risks. It’s also a good choice for older pets who may develop chronic conditions. With this plan, you can ensure that your pet receives timely care without worrying about medical and vet bills.

Wellness Plans: Are They Worth the Extra Cost?

Routine check-ups and preventive care are essential to keep your furry friend healthy. With a wellness insurance plan, you can cover the costs of regular pet check-ups. This plan includes annual vet visits, vaccinations, flea/tick treatments, wellness blood tests, and dental care.

Wellness coverage is usually available as an add-on to accident or illness plans. While it comes with an extra cost, it can help you manage the costs of annual vet visits. However, if your pet is young and healthy and doesn’t need frequent routine care, you can skip this plan.

Assessing your budget and pet’s health history before adding a wellness plan to your policy is important.

Pet Insurance Companies: What to Look For

Choosing a reliable pet insurance company is crucial for enjoying pet insurance benefits. Choosing the right one can be challenging since various pet insurance companies exist. Here are some of the key factors to consider when choosing a pet insurance company:

Research Customer Reviews

Research Customer Reviews

Research what current and previous customers say about the company and its plans. Pay attention to feedback on customer service quality, ease of claims processing, and coverage.

Check Claim Processing Time

Check Claim Processing Time

Check Claim Processing Time
Different pet insurance companies have different claim processing times. As a pet owner, you’ll want to choose a provider that processes claims quickly. Most pet insurance companies list their average claim processing time on their websites.

Evaluate Financial Strength

Evaluate Financial Strength

Choosing a financially stable insurance company is essential to ensure that they can cover claims when needed. You can assess the company’s financial strength by looking at ratings from independent agencies like A.M. Best.

Look for Transparency

Look for Transparency

Transparency in policy terms and conditions is crucial. A reliable pet insurance company will mention what is and isn’t covered in their plans. Carefully review the policy’s terms and conditions to check for exclusions, waiting periods, and hidden fees.

Customer Reviews: How to Gauge Reliability

Customer reviews are the best way to assess a pet insurance company’s reputation. They provide insights into the experiences of other pet owners who have used the service. You can better understand how the company handles claims and their coverage.

You might also come across negative reviews. A few negative reviews don’t necessarily mean the insurance company isn’t trustworthy. However, recurring complaints about delayed reimbursements can be concerning.

You can also assess customer feedback on independent review sites and pet forums. This will give you a better understanding of the company’s reputation.

Claim Processing Time: Why Speed Matters

Every pet owner wants to choose a pet insurance company that processes claims quickly. Quick claim processing is especially crucial in emergencies. When your pet requires urgent care, the last thing you want is to deal with slow claims processing.

Receiving reimbursement quickly provides peace of mind. It enables pet owners to make timely decisions about their pet’s treatment. It allows them to focus on their pet’s recovery instead of worrying about expenses.

Quick claim processing also helps pet owners check the company’s reliability and overall operational efficiency.

Comparing Pet Insurance Costs: Finding Affordable Coverage

When choosing a pet insurance policy, it is important to compare the costs of different plans across various companies. This will help you find the best coverage for your budget.

First, shortlist a few providers based on coverage, claim processing time, and reputation. Then, compare the costs of insurance plans of all the shortlisted providers. Make sure you choose similar coverage options across all providers for a fair comparison.

Remember that the cheapest option may not always be the best when comparing pet insurance plans. A lower premium often has limited coverage and higher deductibles. This could cost you more in the long run.

Focus on finding a balance between affordable premiums and comprehensive coverage. Ensure that it meets your pet’s specific needs.

Many pet insurance companies also offer discounts. Some providers offer discounts for paying your premium annually rather than monthly. Some companies have multi-pet discount offers. Be aware of these discounts and factor them in when evaluating costs.

Understanding the factors that affect pet insurance premium pricing is crucial. These include age, breed, and the pet’s health history. Older pets have higher premiums, as they need more medical care. Certain breeds that are more prone to genetic illnesses can have higher premiums.

Customizing Your Pet Insurance Plan

Different pets have different healthcare or vet care needs. Customizing your pet insurance plan according to your pet’s specific needs is crucial. Sometimes, a basic insurance policy may not include specific risks to which your pet is vulnerable.

Many insurance providers allow you to add coverage for specific risks. These are known as riders. If your pet breed is prone to dental illnesses, you can add coverage for dental procedures. Similarly, you can add wellness coverage if your pet needs regular preventive care.

Another way to customize your pet insurance plan is to adjust the deductible. A deductible is paid out of pocket before your insurance coverage kicks in. Choosing a higher deductible can reduce your monthly premium.

A lower deductible may be better if your pets need regular vet visits or treatments. Consider your pet’s age, health, and likely medical needs when deciding on a deductible amount. Reimbursement percentage is another factor to consider when customizing your policy.

Common reimbursement options include 70%, 80%, and 90%. A higher reimbursement percentage means you have to pay less out of pocket. However, insurance plans with a high reimbursement percentage tend to cost more.

Common Pet Insurance Exclusions to Watch Out For

Many pet insurance plans have some exclusions. When choosing an insurance plan, it’s essential to understand what’s not covered. This will help you avoid unexpected expenses later.

One of the most common exclusions is pre-existing conditions. These include your pet’s medical issues before the policy’s start date. This can include chronic illnesses or previous injuries. Some pet insurers may cover pre-existing conditions, but most policies exclude them.

Many pet plans exclude hereditary and congenital conditions. Checking the plan for this exclusion is crucial, especially if your pet is prone to genetic issues. For example, hip dysplasia is common in larger breeds. Some policies offer riders for hereditary conditions at extra cost.

Elective and cosmetic procedures are also generally not covered in pet insurance plans. These can include services like ear cropping, tail docking, or declawing.

Selecting Pet Insurance Plans for Your Pet’s Breed and Age

When selecting a pet insurance plan, it’s important to understand that your pet’s breed and age significantly affect the coverage and premium costs.

Some pet breeds are at a higher risk for specific health issues. Most insurers consider this when determining coverage options and costs. For example, larger breeds are usually more prone to joint issues. Similarly, certain breeds might face respiratory problems.

Understanding how your pet’s breed affects insurance options can help you choose the right policy. You can choose a policy that covers your pet’s breed-related conditions. If the insurance plan doesn’t cover the specific health issue, you add coverage for it for an extra cost.

Age is another factor that affects the cost and coverage options. Younger pets are usually eligible for lower premiums, as they are less likely to have chronic health issues. As pets age, the likelihood of medical issues increases, and so do insurance costs.

Insurance plans for older pets often have higher costs and coverage restrictions. Insurers often exclude certain conditions or need higher deductibles for senior pets.

Comparing Pet Insurance Companies

When it comes to pet insurance, knowing what each company offers can help you make an informed decision. Consider factors like coverage options, claim processing time, and extra perks. Here are some of the top pet insurance providers:

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Healthy Paws

Healthy Paws is a well-known pet insurance company that offers coverage for dogs and cats. The company covers accidents, illnesses, and emergency care. It also covers breed-specific conditions, genetic and hereditary conditions, cancer, and alternative care.

Healthy Paws offers reimbursement of up to 90% on vet expenses. It’s known for its unlimited coverage caps and no per-incident limits. However, the company doesn’t cover routine care, pre-existing conditions, and veterinary exam fees.

Embrace Pet Insurance

Embrace Pet Insurance

Embrace Pet Insurance is known for its customizable plans for accidents, illnesses, and wellness care. It offers various discounts, including 10% off for multiple pets and 5–10% off for healthy pets. There is also a 5% discount for active or former military members.

However, Embrace Pet Insurance has a single policy with an annual coverage limit. The coverage excludes pre-existing conditions and cosmetic conditions.

Nationwide Pet Insurance

Nationwide Pet Insurance

Nationwide is a popular company that offers pet insurance in all 50 states. It provides insurance for dogs, cats, birds, and exotic animals. Moreover, it offers various coverage options, including wellness, accident, and illness plans.

However, Nationwide’s premiums can be higher than some other providers. This is especially true for certain breeds and older pets.

Lemonade

Lemonade

Lemonade is another top pet insurance provider. It offers accident and illness coverage and wellness plans for cats and dogs. The company is known for its affordable and straightforward approach to coverage.

Lemonade offers affordable rates and 70%, 80%, and 90% co-insurance options. Thanks to its AI-powered app, it also processes claims quickly. However, the service is currently only available in certain states.

ASPCA

ASPCA

ASPCA offers customizable plans with multiple reimbursement and annual deductible options. It covers illnesses, accidents, behavioral issues, and more. It also includes coverage for hereditary and congenital conditions. However, ASPCA’s waiting period is typically 14 days.

Find the Best Insurance Company for Your Pet

Example: Lemonade vs. ASPCA

Lemonade and ASPCA are two major pet insurance providers. Both companies offer unique coverage plans, reimbursement options, and pricing. In terms of coverage, Lemonade offers basic accident and illness policies.

These cover emergency vet visits, procedures, diagnostic tests, medications, and hospitalization. Lemonade also offers optional add-ons for wellness and preventive care. In contrast, ASPCA’s plans are more comprehensive.

It offers accident-only and accident-and-illness plans and includes wellness care options. ASPCA’s plans cover a wide range of conditions. These include accidents, illnesses, behavioral issues, hereditary conditions, vaccinations, dental cleanings, and alternative therapies.

How to File a Pet Insurance Claim: Step-by-Step Guide

Filing a pet insurance claim with a reliable pet insurance company is straightforward. It helps you receive reimbursement for eligible veterinary expenses. Here’s a step-by-step guide to filing a pet insurance claim:

  1. Review Your Policy
    Before filing a claim, check your pet insurance policy to ensure that the treatment your pet received is covered under your policy. This will help avoid misunderstandings during the claims process.
  2. Gather Documentation
    Collect all the necessary documents required to file an insurance claim. These include bills from the vet, medical records, and payment receipts.
  3. Fill Out the Claim Form
    Complete the claim form provided by your pet insurance provider. Ensure you enter accurate details about the visit, treatment, and costs incurred. This will help avoid processing delays.
  4. Submit Your Claim
    Submit the completed claim form and documentation. Some insurers offer mobile apps and online portals for claim filing, while others prefer email.
  5. Follow up if needed
    After submission, check your account or follow up with customer service to confirm the claim’s status. This is especially important if you don’t receive a response within the expected time frame.

Frequently Asked Questions (FAQs)

Is Pet Insurance Worth It for Older Pets?

Yes. Older pets are more likely to suffer from medical issues. Getting your pet insured for these issues provides financial protection. With pet insurance, you don’t have to pay heavy vet care costs out of pocket.

What Are the Three Types of Pet Insurance?

Three types of pet insurance include accident-only, accident and illness, and wellness plans. The accident-only plans cover injuries. The accident and illness plan covers both unexpected injuries and illnesses. The wellness plan covers routine pet check-ups.

Which Pet Health Insurance Companies Are the Best?

Some of the best pet insurance companies include Healthy Paws, Embrace Pet Insurance, Nationwide Pet Insurance, Lemonade Insurance, and ASPCA. Each company has its unique coverage options, pros, and cons.

What Is the Best Level of Pet Insurance?

It depends on your pet’s healthcare needs. If your pet is prone to certain illnesses, it’s best to get a plan covering them. An accident and illness plan is the best choice for most pet owners. It provides a good balance of affordability and coverage.

What Should You Look for in Dog Insurance?

When choosing a pet or dog insurance, it’s crucial to consider different factors. These include coverage options, reimbursement options, exclusions, waiting periods, costs, and the company’s reputation.

Conclusion: Making the Best Decision for Your Pet’s Health

Pet insurance is important for ensuring your pet’s well-being. It helps cover the cost of vet care, such as treatments for accidents and illnesses. Some companies also offer wellness care as an add-on. Many pet owners now opt for pet insurance as vet care costs are increasing.

When choosing pet insurance, consider coverage, reimbursement options, deductibles, exclusions, and premiums. The pet’s breed and age also significantly affect coverage and premium costs.