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How Pet Insurance Works

Pet insurance isn't like human health insurance. Here's what you actually need to know.

🔑

The Key Difference

Pet insurance is reimbursement-based. You pay the vet first, then submit a claim to get money back. No networks, no referrals — use any licensed vet.

The Three Numbers That Matter

Every policy has these three components

$

Deductible

Amount you pay before insurance kicks in

$250-500
recommended
%

Reimbursement

Percentage insurance pays back

80-90%
most popular

Annual Limit

Max insurance pays per year

$15k+
or unlimited

📝 Example Claim

Surgery Cost
$3,000
You Pay
$1,000
$500 deductible + 20%
Insurance Pays
$2,000
80% after deductible

What's Covered?

Usually Covered

• Accidents
• Illnesses
• Surgery
• Hospitalization
• Prescriptions
• X-rays, MRIs
• Cancer treatment
• Chronic conditions

Usually NOT Covered

• Pre-existing
• Routine care*
• Spay/neuter
• Dental cleaning*
• Breeding
• Cosmetic
• Food
• Grooming
*Unless you add wellness coverage
⏱️

Waiting Periods

Coverage doesn't start immediately. This prevents people from buying insurance after their pet is already sick.

2-14 days
Accidents
14-30 days
Illnesses
6-12 months
Orthopedic (hips, knees)
6-12 months
Cruciate ligament

💡 Tip: Embrace has a 6-month orthopedic wait vs 12 months at most competitors. Important for breeds prone to hip issues.

⚠️

Pre-Existing Conditions

Anything diagnosed or showing symptoms before coverage started is never covered.

This is why insuring early matters. Wait until your dog limps? Hip dysplasia becomes pre-existing. Insure as a puppy? Conditions that develop later are covered.

How to File a Claim

1

Pay Vet

You pay upfront

2

Get Records

Invoice + medical records

3

Submit

App or online portal

4

Get Paid

5-14 days typically

💡 Pro tip: Trupanion can pay vets directly so you don't front the money. Ask if your vet supports this.

Choose the Right Policy

HIGH-RISK BREEDS

Bulldogs, Cavaliers, Berners

  • 90% reimbursement
  • Unlimited coverage
  • Short ortho wait
  • Hereditary covered
LOW-RISK BREEDS

Healthy Mixed Breeds

  • 80% reimbursement
  • $15k+ annual limit
  • Higher deductible OK
BUDGET-CONSCIOUS

Save on Premiums

  • Accident-only option
  • $500-1k deductible
  • Skip wellness add-ons

Common Mistakes to Avoid

Waiting too long
Every vet visit creates potential pre-existing conditions
Choosing cheapest policy
Low limits and exclusions leave you exposed
Not reading exclusions
Some exclude breed-specific conditions
Adding unnecessary wellness
Often costs more than it returns
Ignoring ortho waits
12 months is long if puppy develops issues at 8 months

Quick Summary

Pay → Claim → Reimburse
$250-500 deductible
80-90% reimbursement
$15k+ or unlimited
Insure early!

Find the Right Coverage for Your Breed

Different breeds need different coverage. Get specific recommendations for your pet.