Pet Insurance: What it is, History, How it Works (2024)

What Is Pet Insurance?

Pet insurance is an insurance policy bought by a pet owner which helps to lessen the overall costs of expensive veterinary bills. This coverage is similar to health insurance policies for humans. Pet insurance will cover, either entirely or in part, the often expensive veterinary procedures. Evaluating and comparing pet insurance plans is necessary in order to find the right plan for you.

As with human health insurance, there is usually a deductible, which is an out-of-pocket expense before the coverage begins. Most providers will base the amount of the insurance premium on the average cost of veterinary care in the owner’s region. Also, the policy may not cover all veterinary procedures.

Key Takeaways

  • Pet insurance is a policy purchased by a pet owner to offset the overall cost of their animal’s medical bills.
  • Similar to human health insurance, pet insurance relates specifically to pets and veterinary costs.
  • There may be an out-of-pocket deductible payment before a plan pays a percentage of covered procedures.
  • Cost and coverage vary based on many factors.

Average Veterinary Care Costs

The connection between humanity and animals stretches back into the dawn of history as humans have taken them into their homes and hearts. In many cases, pet owners see their pets in the same way they see their children. Progress in veterinary science allows owners to seek out many procedures for their animals that were previously for humans only. These procedures can be expensive. A June 2022 article from Betterpet stated that an average emergency exam costs $100-$200 and an overnight stay costs averages between $1,000-$2,000.

Primary pet care includes annual exams and vaccines, blood work, and dental cleanings. However, there is explosive growth in specialized areas of pet care such as neurology and oncology. Also, pets may have medical emergencies, just like their human owners. According to the ASPCA, the 2021 annual costs for routine medical costs (vaccines, wellness visits, etc.) ranges from $160 to $220.

For some potential pet owners, the prospect of high medical expenses can be a deterrent to adopting a pet. Additionally, for those who do adopt, the possibility of expensive procedures and medicines can lead to a decision to put a pet down, known as “economic euthanasia.”

How Much Does Pet Insurance Cost?

To help with yearly costs and unexpected emergencies, a pet owner can buy a policy that will save some out-of-pocket expenses. As with human healthcare insurance, a pet owner will pay a yearly or monthly premium. Some of the factors impacting the cost of pet insurance include:

  • Species—Dogs usually cost more than cats because they are bigger and more claims are submitted for them.
  • Breed—Some breeds are predisposed to certain illnesses and injuries.
  • Gender—Statistically, more claims are submitted for males than females, so females cost less.
  • Age—The older the pet, the costlier the insurance, thanks to the ravages of age.
  • Location—Insurance costs more in major metropolitan areas than it does in the suburbs and rural areas.

Pet Insurance: What it is, History, How it Works (1)

The 2022 State of the Industry Report from the North American Pet Health Insurance Association (NAPHIA) stated that the average annual premium for pet insurance (accident and illness) in the U.S. in 2021 was $584 per year for dogs and $343 for cats. The gross written premium (in-force) for dogs was $2.3 billion and $300 million for cats.

According to NAPHIA, the average co-pay is 80% of the amount you claim, but some companies advertise that they offer 90% or even 100% coverage on some procedures.

For young pets who typically only need yearly checkups, the cost of insurance may outweigh the cost of services. However, should an emergency arise, the cost of veterinary care could surpass the insurance premium. Also, as senior pets usually need more procedures, the coverage could save money, whether there is an emergency or not.

70%

The number of American households that own a pet, according to a 2021-2022 American Pet Products Association (APPA) survey.

History of Pet Insurance

Pet insurance began in Sweden in 1890, but it didn’t reach our shores until 1982, when the canine screen star Lassie received the first pet insurance policy in the U.S. Since that beginning, the popularity of the product has grown. According to NAPHIA, 4.0 million pets were insured across North America in 2021.

Is Pet Insurance Worth the Price?

Even a healthy pet has necessary expenses that a new owner must cover. Consider this hypothetical example. When the Fosters adopted Rufus, an adult rescue dog, they knew that they would have some expensive first-year costs. They knew the dog would incur medical and preventative costs, such as routine medical treatment (vaccines, wellness visits, etc.) ($225 annually), preventative medication (heartworm, flea/tick) ($185 annually), and spaying or neutering ($300).

In total, the Fosters would need to shell out an estimated $710 for their new pet in its first year in their home. If the pet incurred any other issues during the year—such as more blood work, medication, or an emergency visit—the costs would end up being even higher. As the average price for pet insurance in 2021, as noted above, was $584, paying the insurance in the first year of owning Rufus made sense to the Fosters.

However, in year two, the Fosters decided to forego the pet insurance, and pay any medical costs out of pocket.

Pet Insurance: What it is, History, How it Works (2024)

FAQs

Pet Insurance: What it is, History, How it Works? ›

Pet insurance is a policy you can take out to cover your pet's health-related expenses. Although it may seem similar to human health insurance, the claims filing process differs—you pay for veterinary bills upfront and receive a reimbursem*nt later.

How do pet insurance companies know about preexisting conditions? ›

If you've had the pet longer than 18 months, then the collected medical records will date back 18 months prior to policy inception through any applicable waiting periods. A claims specialist on our team then reviews your pet's provided medical history to assess whether a condition is pre-existing or not.

How does it work with pet insurance? ›

Pet insurance protects you financially if your pet needs veterinary care. With pet insurance, you pay a monthly or annual premium to your insurer. The amount you pay will vary depending on factors like your pet's age, any pre-existing health conditions, and the type of pet insurance you choose.

What does pet insurance actually cover? ›

Insurers cover diagnostic tests, surgery, hospitalization and even physical therapy if it's necessary to treat injury or illness. But even the best pet insurance companies exclude checkups, vaccinations, grooming and other recurrent pet care expenses.

What are the three types of pet insurance? ›

Background: Pet insurance companies typically divide their products into 3 main categories: accident-only, accident and illness, and wellness coverages. Each level offers specific services that are covered and excluded and will vary by price. Insurance policies are usually broken down by the type of pet being insured.

Can I be denied coverage for a preexisting condition? ›

Under the Affordable Care Act, health insurance companies can't refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.

How do insurers find out about pre-existing conditions? ›

If you claim that you suffered injuries in a crash resulting of someone else's negligence, the insurance company may dig into your medical history. Your medical records will show what injuries or conditions you have endured in the past and compare them with your current claim.

What is a disadvantage of pet insurance? ›

Pet insurance reimburses you for veterinary expenses, meaning you have to pay them upfront. Pet insurance doesn't cover pre-existing conditions, meaning once your pet is sick, it's too late to sign up. Not all health issues are covered by pet insurance.

How soon after getting pet insurance can you use it? ›

What Are Typical Pet Insurance Waiting Periods? The typical waiting period is 14 days, particularly for illness coverage. Some pet insurance providers have a waiting period of only a few days for accident coverage. Hereditary conditions such as hip dysplasia typically have much longer waiting periods — up to a year.

Is it worth claiming on pet insurance? ›

It's usually not too difficult to know when you should claim, and you can always check your policy documents or speak to your insurance provider if you're not sure. The only time it might not be worth claiming is if your policy excess – that's the amount you pay to make a claim – is more than the cost of the treatment.

Do you think pet insurance is worth it? ›

Bottom line. Pet insurance can help both your animal companion and your wallet. But it doesn't cover every situation and it can get pricier as your pet gets older. Knowing what a policy includes (and excludes) and getting multiple price quotes can help you make an informed decision.

What voids pet insurance? ›

Some of the most common things pet insurance does not cover are: Pre-existing illness or injury - In general, insurers will not cover illness or injury that your pet had or showed signs of having before the policy started.

Do you get money from pet insurance? ›

Only a select few pet insurance companies offer vet-direct pay. Most companies require that you submit vet expenses for reimbursem*nt after paying the bill. If your provider covers the accident or illness, the company will reimburse you 50% to 100% of the bill, depending on your policy selections.

Does pet insurance cover monthly medication? ›

The Bottom Line: Does Pet Insurance Cover Medication? Pet insurance covers medication as long as the condition it's prescribed for is covered under your policy. Medication for preexisting conditions isn't covered, and you'll need add-on coverage for preventive medication.

How do I get the best out of my pet insurance? ›

These three tips will ensure you get the best experience possible.
  1. Pay Upfront Treatment Costs On A Credit Card, And Pay It Off With Your Reimbursem*nt. ...
  2. Make Sure Your Vet Knows About Your Pet Insurance Coverage. ...
  3. Make Sure Your Policy Makes Sense For Your Breed, Location, Age, And Any Pre-Existing Conditions.

Does pet insurance cover MRI? ›

A comprehensive pet insurance plan would usually include all the diagnostic tests such as MRIs and CT Scans for detection of neurological or musculoskeletal conditions. Included in the policy documentation, you will find all the details about what things and tests are covered in the insurance plan.

How does pet insurance get medical records? ›

When you purchase a pet health insurance policy, you agree to let your provider contact current or previous vets on your behalf, and obtain all of your pet's medical records if needed.

What counts as a pre-existing condition? ›

A pre-existing medical condition (PEMC) is an illness or injury you had before your policy began or was renewed. Examples of pre-existing medical conditions include, diabetes, asthma, high cholesterol or a long-term back condition.

What are 4 factors that go into determining your monthly premium for pet insurance? ›

Four factors that affect pet insurance cost:
  • Your location. Veterinary care is more expensive in certain parts of the country. ...
  • Your pet's age. ...
  • Your pet's breed. ...
  • Your deductible and reimbursem*nt level.

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