Best Pet Insurance: How to Compare 5 Insurers (2026)
Advertiser disclosure: Paw Parent HQ may earn a commission when you sign up for a service or buy through links on this site. It never costs you extra, and it never changes our verdicts — we recommend what we'd use for our own pets, and we never take money from breeders or puppy sellers.

On this page
- Which pet insurance is best for my pet?
- When should I call a veterinarian instead of buying a policy?
- Which five things actually decide whether a policy fits?
- How did we choose these five insurers?
- How do the five plans compare side by side?
- What is each insurer good at, and who should skip it?
- How do I compare pet insurance quotes apples to apples?
- What will a covered vet bill still cost me?
- When is buying a policy the wrong move?
- Which pet insurance rules change from state to state?
- What should I check before I enroll?
- How do I choose a policy without guessing?
- Questions new pet owners ask about pet insurance
- Your next step
- Sources and last verified date
Which pet insurance is best for my pet?
There is no single best pet insurer, and any page that crowns one is telling you more about its own scoring spreadsheet than about your dog or cat. The policy that fits is the one that covers the risks you actually care about, leaves you with a deductible and a coinsurance share you can pay on the day of a claim, is sold for your pet's species, age and state, and stays competitive when every insurer is handed identical inputs.
The monthly premium on its own tells you very little. A price only means something beside the deductible, reimbursement percentage and annual limit it was quoted with, and beside the waiting periods and exclusions written into the policy form for your state. Two quotes that look a few dollars apart can be twenty minutes of policy reading apart.
The five insurers below are listed alphabetically. This page publishes no score, no star rating and no rank. Each insurer earned its place by publishing enough of its own terms to be checked, and each one carries a documented reason it may be wrong for you. Five things decide fit, and they are the spine of this page: coverage scope, a genuinely comparable premium, what a claim costs you in cash on the day, the waiting periods and exclusions that apply in your state, and the records and service terms you will still be living with in year three.
Everything below is written for US owners buying individually for a dog or a cat: accident-and-illness or accident-only cover bought direct from the insurer. Employer-provided plans, shelter or breeder gift policies and species other than dogs and cats are out of scope.
Your first action is the same whichever way you lean: write down one quote profile — species, breed, age, ZIP, deductible, reimbursement percentage, annual limit — and do not change a single field as you move from insurer to insurer. Below you will find the safety and eligibility gate, those five criteria in full, our selection method, three side-by-side comparison tables, five profiles, a quote worksheet, a worked claim example, a state-by-state law table and an enrollment checklist.
Wait and self-fund if your pet is young and healthy, you have several thousand dollars set aside for veterinary emergencies, and losing that money would not change what care you could say yes to. Call your veterinarian first — before any of this — if your pet is sick, injured or acting differently today, and contact an emergency veterinary hospital or an animal poison control service right now if you think your pet has swallowed something toxic. And if the real problem is that you cannot pay for care your pet needs today, skip ahead to what to do when you can't afford care right now — that is a different problem from choosing a policy, and it has its own answers.
| If this describes you and your pet | Where to start |
|---|---|
| Dog or cat owner who wants dental illness treated inside the base accident-and-illness policy rather than as an add-on | Embrace |
| Puppy or kitten owner who wants to tune deductible, reimbursement and annual limit across a wide published range and file in an app, in the 42 states plus D.C. where it is sold | Lemonade |
| Owner of a senior dog or cat who also wants the insurer's share sent to the clinic after the claim is processed | Pets Best |
| Owner of a senior dog or cat, or of a pet with a past curable condition that has since resolved | Spot |
| Cat owner whose main worry is a long-running illness such as diabetes or kidney disease, where an annual or per-condition payout cap would bite | Trupanion |
| Owner who cannot float a four-figure bill and whose veterinary hospital participates in point-of-care payment | Trupanion |
| Owner of a healthy young pet with a funded emergency reserve and genuine tolerance for a bad year | No policy yet — self-funding may fit better |
When should I call a veterinarian instead of buying a policy?
Insurance is not care. If your dog or cat is bleeding heavily or bleeding that will not stop within five minutes, struggling to breathe, seizing or staggering, straining unsuccessfully to urinate, showing eye injuries, unconscious, overheated, refusing to drink for 24 hours, or has vomited or had diarrhea more than twice in twenty-four hours — or once, combined with other signs of illness — the American Veterinary Medical Association lists those among thirteen situations that need immediate veterinary consultation or care (accessed August 7, 2026). If you think your pet ate something poisonous, that is on the same list, and two 24-hour services can advise: ASPCA Poison Control answers at (888) 426-4435, with a consultation fee that may apply, and Pet Poison Helpline answers at (855) 764-7661 for an $89 per-incident fee that includes follow-up consultations. One state exception: since July 1, 2025, Georgia law has stopped both national pet poison lines from advising Georgia pet owners directly, though both services have said they can still assist a Georgia owner through that owner's veterinarian — so in Georgia, call your veterinarian or an emergency hospital first and let them make the call. Confirm current status when you call. Buying a policy in that moment does nothing for the bill in front of you.
One of those signs runs on a different clock in cats. Straining to urinate is an emergency in both species, but a cat — most often a male cat — going in and out of the litter box and passing little or no urine may have a urethral obstruction. The AVMA states that males are at greater risk because their urethra is longer and narrower, and that without treatment the kidneys fail, toxins build up and electrolyte imbalances follow, leading to death often in less than 24 to 48 hours (accessed August 7, 2026). Go now, and do not wait for morning to see whether it settles.
If the barrier is money rather than access, do not let that delay the visit: what to do when you can't afford care right now is further down this page.
Three eligibility rules decide whether shopping is even useful today.
Anything that already exists is excluded. Under the NAIC Pet Insurance Model Act, a preexisting condition is one a veterinarian gave advice on, that the pet was previously treated for, or for which the pet showed signs or symptoms before the policy's effective date or during a waiting period. Model language only binds in states that adopt it, but every policy in this review uses a definition of that shape.
Waiting periods run after the effective date, not from the day you fill in the form. A condition that appears during a waiting period is generally treated as preexisting. The California Department of Insurance tells consumers to ask about the waiting or affiliation period and the preexisting-condition exclusion before buying, and that is the right question everywhere.
Species, age, state and records gate the sale. Every insurer here covers dogs and cats only. Minimum ages start at six to eight weeks where the insurer publishes one. Upper enrollment ages differ. Availability differs by state. Some insurers require a recent examination or twelve months of records before a claim will be paid.
A rescue pet with thin paperwork is not uninsurable. Insurers apply their preexisting definition to what is documented and observed, not to guesses about breed or history — and neither this page nor a DNA result can diagnose anything.
Which five things actually decide whether a policy fits?
Five things, in this order. Everything else is detail you can settle later. We call this the Five-Field Fit Test, and the rest of the page runs every insurer through the same five fields in the same order.
| Criterion | What to check | Why it decides |
|---|---|---|
| Coverage scope | Is this accident-and-illness or accident-only? What is base coverage, what is a paid endorsement, and what is a non-insurance wellness product? | A cheap quote is often a narrower policy, not a better deal. |
| Comparable premium | Was every quote pulled with the same species, breed, age, ZIP, deductible, reimbursement percentage, annual limit and add-ons? | Mismatched inputs are the single most common shopping error. |
| Claim cash flow | On a large bill, do you pay the clinic in full and wait, or does the insurer's share reach the clinic sooner? What is the deductible you must produce that day? | This is the difference between a covered bill and an affordable one. |
| Waiting periods and exclusions | Accident, illness and orthopedic waits for your state; the preexisting definition; whether a cured condition can become eligible again; bilateral-condition language. | These decide what is actually payable in year one. |
| Service and records | Claim window, records requirement, renewal and cancellation terms, and how premiums change with your pet's age. | These decide whether the policy still works in year three. |
If any of those terms are unfamiliar, our guide to how pet insurance works covers deductibles, reimbursement mechanics, waiting periods and exclusions in full. This page assumes you already know you want coverage and are choosing between options.
What are the three things sold as "pet insurance"?
| Category | What it is | Who establishes it | What it changes for you and your pet |
|---|---|---|---|
| Accident-only | Covers injuries from unexpected events; illnesses are not covered | State insurance law and the insurer's policy form | Lowest-cost route and often the only option for very senior pets; cancer, diabetes and infections stay out |
| Accident-and-illness | Covers new injuries and new illnesses, subject to waits, exclusions and limits | State insurance law and the insurer's policy form | The plan most owners mean by "pet insurance"; what it excludes matters more than what it lists |
| Wellness or preventive-care add-on | Reimburses routine care such as exams, vaccines and cleanings, up to a set allowance | The insurer or administrator; the NAIC model act requires that wellness programs not be marketed as insurance, that their cost and terms be kept separate from any policy, and that they never be a condition of buying one | Budgeting, not risk transfer; it does not raise your illness coverage and is often not sold on its own |
One vocabulary rule holds all three together: "covered" never means paid in full. It means eligible under the policy after exclusions, the deductible, your coinsurance share and any annual limit.
How did we choose these five insurers?
Five inclusion gates, applied the same way to every insurer considered. An insurer had to sell accident-and-illness coverage for dogs and cats to individual owners; publish its own current terms in reachable first-party documentation; offer a distinct, describable reason a specific kind of owner would pick it; state its eligibility rules by species and age; and survive a disqualifier test, meaning we could name in public who should not buy it.
Evidence rules: coverage, eligibility, waiting-period, claim-workflow and fee statements on this page come from each insurer's own current documentation, verified July 30, 2026, with the fields added in this revision verified August 7, 2026. Regulatory statements come from the NAIC, the model act text itself, or a state insurance department. Health and emergency guidance comes from the AVMA or a poison-control service. Third-party review sites were read for orientation and are not cited here as authority for any policy term.
Ordering and scoring: none. The five are listed alphabetically. There is no weighted score, no star rating and no rank on this page, because a published order implies a comparison we have not completed.
Quote sampling: none published. Our quote worksheet below specifies one profile per persona — species, breed, age, sex, ZIP, accident-and-illness plan, a $500 annual deductible, 80% reimbursement and a $10,000 annual limit or the nearest comparable option, with add-ons priced separately. A standardized quote panel has not been collected for this version, so no premium figures appear anywhere on this page. A small sample of quotes would be a dated comparison panel, never a market average, and never a guaranteed price.
Refresh: at least quarterly, and sooner on any policy-form, price or state-availability change. Next scheduled review is October 20, 2026.
Who publishes this, and how it is paid for. How this page is funded: Paw Parent HQ is supported by advertising and, on some pages, disclosed referral links. No provider has paid for placement, ordering, or inclusion on this page, and compensation never determines what is included or how it is ranked — alphabetical order is the whole ordering rule. If a compensated link is added to this page, it will be disclosed here. The page is educational: it is not veterinary advice, not insurance advice, and no substitute for an examination by your own veterinarian or for the policy form issued to you.
Editorial review and corrections. Written and fact-checked by the Paw Parent HQ editorial team against the sources listed at the foot of this page. Veterinary review status: not yet reviewed. When a veterinary review of this page is completed, it will be credited here by name, credential, and date. Until that review is recorded here, treat the veterinary-escalation guidance in the section above as a routing aid to help you decide whether to call, not as clinical advice, and call your own veterinarian with any concern about your pet. Corrections, disputed figures and updated insurer terms: hello@pawparenthq.com. Last updated August 7, 2026.
Considered and not included.
| Option | The gate it failed | As of |
|---|---|---|
| Pawlicy Advisor | Not the insurer. It describes itself as an independent marketplace, comparison tool and education platform rather than an insurance carrier, so it cannot be compared on policy terms it does not issue. It appears in its own section below | July 30, 2026 |
| Any insurer whose current policy form or sample policy was not publicly reachable at review | Terms not readable in first-party documentation, so no field could be verified | July 30, 2026 |
| Any insurer that would have been added or removed on price | Not applied. The comparable-quote gate could not be closed before publication, so price moved nothing either way | July 30, 2026 |
These five are not the market. This page does not name insurers it did not evaluate, because publishing a failed gate for a carrier we did not check would be a claim we cannot support. If a name you have seen elsewhere is missing, run it through the five gates above and the Twenty-Minute Policy Read yourself — the gates work on any carrier, and an insurer that will not let you read its state policy form before you buy has already told you something.
How do the five plans compare side by side?
Three tables carry the repeated detail — who each insurer will sell to, what you choose, and what happens when you claim. The profiles that follow interpret them rather than repeat them. Terms vary by state, and the policy form issued to you controls.
Nine words these tables use. A deductible is what you pay out of pocket before reimbursement starts — annually for four of these insurers, and once per condition for Trupanion. A reimbursement percentage (or co-insurance) is the share of an eligible bill the insurer pays once the deductible is handled; the remainder is your copay. An annual limit is the most a policy will pay in a policy year. A waiting period is the stretch after your effective date before a category of coverage starts. A preexisting condition is anything a veterinarian advised on or treated, or that showed signs, before the effective date or during a waiting period. A bilateral condition affects a paired body part — two knees, two ears, two eyes — and most policies treat a problem on one side as making the other side preexisting too. Orthopedic covers bones, skeletal muscle, cartilage, tendons, ligaments and joints; the NAIC model act's definition names elbow and hip dysplasia, intervertebral disc degeneration, patellar luxation and ruptured cranial cruciate ligaments, and excludes cancers and metabolic, hemopoietic and autoimmune disease. A free look is the window after delivery in which you can return the policy for a refund. And the underwriter is the licensed insurance company carrying the risk, which is often not the brand on the website — the brand is frequently an agency or administrator. Full mechanics are in how pet insurance works.
Four words these tables use for gaps. Not published means the insurer does not publish the value. Not verified at review means we could not reach it in first-party documentation on the review date. Quote required means the value is specific to your pet and appears only in a quote. Varies by state means the value is set by the policy form issued in your state.
Eligibility and availability
| Field | Embrace | Lemonade | Pets Best | Spot | Trupanion |
|---|---|---|---|---|---|
| Species and minimum age | Embrace: dogs and cats from 6 weeks | Lemonade: dogs and cats; minimum age Not verified at review | Pets Best: dogs and cats from 7 weeks | Spot: dogs and cats from 8 weeks | Trupanion: dogs and cats only; minimum age Not verified at review |
| Upper enrollment age | Embrace: accident-and-illness to age 14; accident-only at 15 and older | Lemonade: Not verified at review; confirm in the quote flow | Pets Best: no upper age limit | Spot: no upper age limit | Trupanion: under 14 years of age |
| Where it is sold | Embrace: Not verified at review; confirm in the quote flow | Lemonade: 42 states plus Washington, D.C. | Pets Best: Not verified at review; confirm in the quote flow | Spot: Not verified at review; confirm in the quote flow | Trupanion: United States, Canada and Puerto Rico, including military bases |
| Plan types | Embrace: accident-and-illness; accident-only; non-insurance Wellness Rewards, not sold standalone and not available in RI | Lemonade: accident-and-illness base policy; optional insurance add-ons; separate preventive-care packages | Pets Best: accident-and-illness; accident-only; wellness add-ons | Spot: accident-and-illness; accident-only; Gold and Platinum preventive-care add-ons | Trupanion: one accident-and-illness plan; optional riders |
| Underwriting company | Embrace: administered by Embrace Pet Insurance Agency, LLC and underwritten by a licensed insurer of American Modern Insurance Group | Lemonade: Not verified at review; read your declarations page | Pets Best: the sample accident-and-illness booklet is underwritten by American Pet Insurance Company | Spot: underwritten by Independence American Insurance Company or United States Fire Insurance Company, and produced by Spot Pet Insurance Services, LLC | Trupanion: Not verified at review; read your declarations page |
What you choose: deductible, reimbursement and limits
| Field | Embrace | Lemonade | Pets Best | Spot | Trupanion |
|---|---|---|---|---|---|
| Annual limit choices | Embrace: Quote required for accident-and-illness; the option list is Not published. Accident-only is fixed at $5,000 per year | Lemonade: $5,000 to $100,000 | Pets Best: $2,500, $5,000, $10,000 or no annual limit in the sample accident-and-illness policy booklet | Spot: $2,500, $3,000, $4,000, $5,000, $7,000, $10,000 or unlimited — published guidance, not the policy form, which sets the limit on your declarations page | Trupanion: no annual, lifetime or per-condition payout limit |
| Deductible | Embrace: annual. Amount Quote required; the option list is Not published. Accident-only uses a fixed $100 annual deductible | Lemonade: annual; minimum $100 | Pets Best: annual, $50 to $1,000 per pet in the sample policy booklet | Spot: annual; $100, $250, $500, $750 or $1,000 — published guidance, not the policy form | Trupanion: lifetime per-condition — paid once for a given condition, never again for that condition, and changeable within the first 30 days. Amount options Not published |
| Reimbursement percentage | Embrace: Quote required; the accident-and-illness option list is Not published. Accident-only is fixed at 90% | Lemonade: 70%, 80% or 90% | Pets Best: 70%, 80% or 90% in the sample policy booklet | Spot: 70%, 80% or 90% — published guidance, not the policy form | Trupanion: 90%, not adjustable |
| How a claim is calculated | Embrace: deductible first, then the copay | Lemonade: copay first — (eligible claim amount × co-insurance) − remaining annual deductible | Pets Best: co-insurance first — the sample policy applies your chosen co-insurance, then subtracts your deductible | Spot: deductible first — the sample policy subtracts the annual deductible from covered expenses before applying the reimbursement percentage, subject to the annual limit | Trupanion: per condition — that condition's deductible first, then 90% of eligible costs for that condition for the pet's lifetime |
What happens on a claim: waits, exclusions and payment
| Field | Embrace | Lemonade | Pets Best | Spot | Trupanion |
|---|---|---|---|---|---|
| Waiting periods | Embrace: accidents from the effective date; illness 14 days; orthopedic Varies by state, six months where it applies, reducible to as few as 14 days via a veterinarian-completed Orthopedic Report Card | Lemonade: no accident waiting period; illness 14 days; orthopedic 30 days. Lemonade states periods Varies by state and its general FAQ also lists 2 days for accidents and 6 months for cruciate ligament events | Pets Best: 3 days for injuries, 14 days for illnesses and 6 months for cruciate ligament events in the sample policy booklet; waived on continuous renewals, and reducible or waived where a participating veterinarian certifies your pet's health. Applicable waits can also be waived using a form and a veterinary exam taken up to 3 days before or 7 days after the effective date, returned within 30 days | Spot: 14 days for accidents, illnesses, and ligament and knee conditions, per the sample policy | Trupanion: 5 days for injuries and 30 days for illnesses in most states; Varies by state |
| Preexisting-condition treatment | Embrace: curable conditions may become eligible again after 12 months symptom-free; a preexisting instance of a bilateral condition keeps the other side excluded | Lemonade: curable conditions may become eligible again after 12 consecutive months free of signs, symptoms and treatment | Pets Best: not covered. The sample policy looks back 18 months, and chronic, bilateral and intervertebral-disc conditions are treated as preexisting if they were ever present | Spot: a curable, cured condition free of treatment and symptoms for 180 days is treated as a new occurrence; this does not apply to chronic conditions or to ligament and knee conditions | Trupanion: preexisting conditions are not covered; the definition is Varies by state — confirm it in your state policy |
| Dental, exam fees and complementary care | Embrace: dental illness up to $1,000 per policy year, subject to deductible and reimbursement; routine cleanings excluded; exam fees are an optional add-on; complementary treatment covered for a covered condition | Lemonade: dental care, behavioral conditions, physical therapy and vet visit fees are optional add-ons, several with their own annual limits | Pets Best: exam fees, take-home prescriptions and rehabilitation, acupuncture and chiropractic care are optional supplemental benefits at extra premium; periodontal-disease coverage requires a cleaning and examination under anesthesia in the 13 months before treatment from age three | Spot: the sample policy lists alternative therapy performed by or under a veterinarian, FDA-approved prescription medications, and prescription pet food to treat a covered condition but not for general maintenance or prevention, among eligible expenses. Dental and exam-fee treatment Not verified at review | Trupanion: Not verified at review; confirm in the quote flow and policy |
| How the insurer's share reaches the vet | Embrace: reimburses you; no networks; check or direct deposit | Lemonade: reimburses you; you pay the clinic upfront and file in the app | Pets Best: Vet Direct Pay sends the eligible amount to your clinic after the claim is processed, with a signed veterinarian reimbursement release form; you still owe deductible, coinsurance and non-covered items | Spot: reimburses you by direct deposit or check after the claim is approved | Trupanion: VetDirect Pay settles the insurer's share at checkout where the hospital participates; otherwise you file a claim |
| Fees and discounts | Embrace: Not verified at review; confirm any enrollment fee in the quote flow | Lemonade: Not verified at review; confirm any fees in the quote flow | Pets Best: $2.00 processing fee on monthly, quarterly and semi-annual premium payments; not charged on annual payment or in AK, MD and NH | Spot: 10% multi-pet discount on all pets after the first; other fees Not verified at review | Trupanion: Not verified at review; confirm any fees in the quote flow |
Where a cell says a value was not published or not verified, that is a gap in the public documentation we could reach on the review date — not a claim about the insurer, and not a reason to prefer one over another. One thing these tables deliberately do not carry: there is no premium row, because no standardized quote panel was collected for this version. Three of the five underwriting companies were verifiable in reachable documentation and appear above; yours is named on your own declarations page and state policy form either way. Look it up with your state insurance department for license and complaint history; California publishes a lookup for pet insurers doing business in the state, and other departments publish equivalents.
What is each insurer good at, and who should skip it?

Embrace: dental illness inside the base policy
Annual deductible · dental illness inside the base accident-and-illness policy to $1,000 per year · six-month orthopedic wait in states that apply it, reducible with a veterinarian's form.
Best for a dog or cat owner who expects dental disease to be the expensive problem and wants it treated as part of the accident-and-illness policy rather than an add-on. Embrace covers eligible dental illness — extractions, gingivitis, periodontal disease — up to $1,000 per policy year, subject to your deductible and reimbursement rate, with routine cleanings excluded. Complementary treatment for a covered condition is included, while exam fees are an optional add-on and are not covered on every policy. Not ideal for an owner of a dog with heavy orthopedic risk who will not complete the extra step: the orthopedic waiting period runs six months in states that apply it, reducible to as few as 14 days only if a veterinarian completes the Orthopedic Report Card. Confirm in the quote: your state's orthopedic waiting period and the report-card process; whether that $1,000 dental cap applies in your state; the exam-fee and prescription add-on prices; and the deductible, reimbursement and annual-limit choices offered to your pet.
Lemonade: the widest published set of policy dials
Annual deductible from $100 · co-insurance and annual limits published across the widest range here · reimburses you, not the clinic.
Best for a puppy or kitten owner in one of the 42 states plus Washington, D.C. where Lemonade sells pet insurance who wants to tune the policy to a budget. Co-insurance runs 70%, 80% or 90% and annual limits run from $5,000 to $100,000, with a minimum $100 annual deductible. Lemonade also publishes a curable-condition path: a condition can become eligible again after 12 consecutive months free of symptoms, treatment and signs. Not ideal for an owner who needs coverage breadth in the base policy: dental care, behavioral conditions, physical therapy and vet visit fees are separate paid add-ons, and Lemonade reimburses you rather than the clinic, so you front the whole bill. Confirm in the quote: whether Lemonade is sold in your state and to your pet's breed and age; the maximum enrollment age for your pet's breed, which we could not verify from Lemonade's own documentation; your state's actual waiting periods, including any cruciate ligament period; each add-on's price and separate annual limit; and the records Lemonade needs before your first claim.
Pets Best: senior enrollment plus a route to the clinic
Annual deductible from $50 · no upper enrollment age · co-insurance applied before the deductible, and a documented route for the insurer's share to reach the clinic after processing.
Best for an owner of an older dog or cat who also wants the insurer's share to land at the veterinary hospital rather than in their own account. Pets Best sets no upper age limit and enrolls dogs and cats from 7 weeks. Its Vet Direct Pay option sends any eligible reimbursement to the clinic once the claim has been processed, provided you submit a signed veterinarian reimbursement release form — and you still owe your deductible, your coinsurance share and any non-covered items. Not ideal for an owner who expects that money to be waiting at checkout: this is post-adjudication payment, so on the day of a large emergency you may still need to settle the bill yourself. Confirm in the quote: your state's waiting periods and the exam-based waiver window; the deductible, reimbursement and annual-limit choices; what your chosen plan tier excludes; and whether the $2.00 payment processing fee applies to you.
Spot: no upper age, and a documented path back from a cured condition
Annual deductible · no upper enrollment age · a 180-day route back from a cured condition, with knees and chronic conditions carved out.
Best for an owner of a senior pet, or of a pet whose past problem has genuinely resolved. Spot accepts dogs and cats from 8 weeks with no upper age limit and publishes its plan menu: deductibles of $100, $250, $500, $750 or $1,000 and reimbursement at 70%, 80% or 90%, with annual limits from $2,500 to unlimited — published guidance rather than the policy form, which sets your own amounts on the declarations page. Its sample policy sets a 14-day waiting period for accidents, illnesses, and ligament and knee conditions, and treats a curable condition that has been cured and free of treatment and symptoms for 180 days as a new occurrence — with chronic conditions and ligament and knee conditions carved out of that path. Not ideal for an owner whose main worry is a knee: that carve-out means a ligament or knee problem occurring before coverage or during a waiting period stays excluded. Confirm in the quote: the annual-limit and deductible choices offered for your pet; your state's waiting periods in the sample policy for your state; how the 180-day rule is worded there; and whether any direct-payment option exists, since Spot's published claims process reimburses you.
Trupanion: a per-condition deductible and payment at the counter
Lifetime per-condition deductible · 90% fixed with no annual, lifetime or per-condition payout limit · settles at checkout where the hospital participates.
Best for an owner whose real problem is producing thousands of dollars on the worst day of the year, and whose hospital participates. Trupanion covers 90% with no annual, lifetime or per-condition payout limits, and uses a lifetime per-condition deductible you pay once for a given condition rather than every year — which is why it suits chronic illness. Where a hospital uses VetDirect Pay, the insurer's share is settled at checkout instead of weeks later. Waiting periods run 5 days for injuries and 30 days for illnesses in most states, and enrollment is open to cats and dogs under 14 years of age in the US, Canada and Puerto Rico. Not ideal for a pet who develops several unrelated conditions in quick succession: a per-condition deductible is paid again for each new condition, so three separate problems in one year means three deductibles. Confirm in the quote: whether your usual and nearest emergency hospitals participate in VetDirect Pay; your state's waiting periods; the deductible amounts offered; and which riders you would need for the benefits you assumed were included.
How do I compare pet insurance quotes apples to apples?
The comparison only works if the inputs never move. Write one profile down before you open the first quote form, and treat it as fixed. We call it the Fixed Quote Profile.
| Input | What to record |
|---|---|
| Quote date and time | Date, local time, and the site you used |
| Location | State and ZIP code |
| Pet | Species, breed or expected adult size, age, sex, and spay or neuter status if asked |
| Policy design | Accident-and-illness; $500 annual deductible; 80% reimbursement; $10,000 annual limit or the nearest comparable option |
| Add-ons | None in the base comparison — price wellness, dental, exam-fee and physical-therapy add-ons separately |
| Price | Monthly and annual premium, any enrollment or transaction fee, and any discount applied |
| Result | Completed, approximate, blocked, or personal information required |
Four rules keep the panel honest. First, if an insurer does not offer your exact deductible or limit, take the nearest option and write down what you substituted — never quietly change the profile to make a number look better. Second, never fold an add-on premium into a base quote; a base policy with a dental add-on is a different product from a base policy without one. Third, record failed and blocked quotes rather than dropping them, because an insurer you could not quote is a finding about that insurer. Fourth, note anything labeled introductory, promotional or first-year, and ask what the renewal basis is.
Then read one document per insurer: the sample policy or policy form for your state. That is where waiting periods, the preexisting definition, bilateral-condition language and the exclusions list actually live, and it is what the California Department of Insurance points consumers toward when it tells them to ask about exclusions, waiting periods and hereditary-disorder coverage before buying.
Before the quotes come back, it helps to know which way each input pushes. This page publishes no premium figures, but the direction of travel is documented by the insurers themselves.
| What you change | Which way the premium moves | Why |
|---|---|---|
| A higher deductible | Down | You absorb more of each policy year before reimbursement starts |
| A higher reimbursement percentage | Up | The insurer pays a larger share of every eligible bill |
| A higher annual limit | Up | The insurer carries more exposure in a bad year |
| All three levers set to their cheapest | Down, sharply | The cheapest quote for a given pet is almost always the highest deductible, lowest reimbursement percentage and lowest annual limit an insurer will sell — which is also the narrowest cover. This is our reading of the three rows above, not an insurer statement |
| Your pet's age at enrollment, and each renewal | Up, with one stated exception | Embrace states premiums increase with your pet's age at renewal, and the Pets Best sample policy lists the renewal date, based on age and the overall cost of care, as a premium-change trigger. Trupanion states its rates do not rise simply because a pet ages — worth confirming against your own renewal notice |
| Species and breed, or expected adult size | Varies | Embrace states initial premiums may be affected by species or breed |
| Your address | Varies | Both insurers list an address change as a premium-change trigger; local veterinary costs and state rules differ |
| Each add-on | Up | Every add-on is a separate product with its own price, and often its own annual cap |
| Insuring more than one pet | Varies | Spot publishes a 10% multi-pet discount on all pets after the first. Ask each insurer whether it offers one, how much it is, and whether it survives renewal — a discount is a price change, not a coverage change |
Finally, put the premium beside your other costs rather than treating it as a separate decision. Food, preventive care, training, supplies and the first round of veterinary visits all land in the same twelve months; our breakdown of first-year puppy costs shows where a premium sits among them. If you are still in week one, the new puppy checklist and the new kitten checklist put enrollment in sequence with everything else you are juggling.
What will a covered vet bill still cost me?
Here is a neutral, hypothetical example — not a quote, not a claim promise, and not a typical bill. Say your pet runs up a $2,000 eligible bill, you chose a $500 annual deductible and 80% reimbursement, you have met none of the deductible yet, and none of the charges are excluded.
Apply the deductible first, and the reimbursement is ($2,000 − $500) × 80% = $1,200, leaving you $800. Apply the reimbursement percentage first, and you get a different answer. Lemonade publishes its own formula as (eligible claim amount × co-insurance) − remaining annual deductible, which on the same numbers gives ($2,000 × 80%) − $500 = $1,100, leaving you $900. Same bill, same deductible, same percentage, $100 apart — because the order of operations is a policy term, not a convention. Ask every insurer for a worked example on your own numbers.
Both orders are in live use, and both are published. Embrace states it subtracts the deductible first and then takes off the copay. The Pets Best sample accident-and-illness policy defines the deductible as the amount you pay after your co-insurance has been applied, which is the other order. This is not a small print detail you can settle later; it is a line in the contract that changes what lands in your account.
You are entitled to find it, at least in some states. The NAIC model act requires an insurer to disclose a summary of the basis or formula it uses to determine claim payments inside the policy, before the policy is issued, and through a clear link on the main page of its own or its administrator's website. Where your state has enacted that, the order of operations should be findable before you buy rather than discoverable on your first claim — so if you cannot find it, ask, and treat an insurer that will not answer as having answered.
The gap does not grow with the bill, which surprises most people. It is your deductible multiplied by your copay share — here, $500 × 20% = $100 — so it is the same $100 on a small bill and on a catastrophic one.
| Eligible bill | Deductible applied first | Co-insurance applied first | Difference in your share |
|---|---|---|---|
| $800 — a low scenario, one treated injury | You pay $560 | You pay $660 | $100 |
| $2,000 — a base scenario, a short hospital stay | You pay $800 | You pay $900 | $100 |
| $8,000 — a high scenario, emergency surgery | You pay $2,000 | You pay $2,100 | $100 |
| What this table is not | Not a quote, not a claim promise, and not a typical bill | Assumes a $500 annual deductible not yet met, 80% reimbursement, every charge eligible, and the annual limit not reached | Excludes anything the policy does not cover |
Three things that example does not show. Exam fees, prescription food, supplements and anything the policy excludes may not count as eligible expenses at all, so your real share is usually higher than the arithmetic suggests. An annual limit caps the year, not the bill. And unless the insurer's share reaches the clinic at checkout, you pay the full amount first and wait for the rest.
That last point is the cash-flow test, and it is the one first-time owners underestimate: could you put the whole bill on a card today and carry it for several weeks without changing what care you could say yes to? If not, weight the payment workflow more heavily than the premium. The mechanics of deductibles, coinsurance and limits are covered in full in how pet insurance works.
The three numbers that decide whether you can afford a policy. No premium figure is needed to work these out, and the third one is where most first-year budgets break.
- The premium you could sustain for your pet's whole life, not just the first year. Premiums for most of these insurers rise as your pet ages, so the test is the renewal you will face at eight, not the quote you see today.
- The deductible you could produce in cash on the day of a claim, this month. A $1,000 deductible that buys a cheaper premium is only a saving if the $1,000 exists when the emergency does.
- Your copay share on a bad-year bill. At 80% reimbursement with a $500 annual deductible, a $5,000 eligible bill leaves you $1,400 before anything the policy excludes — that is the deductible plus 20% of the remainder. Change the reimbursement percentage or the deductible and that number moves with it. The $5,000 figure is our planning scenario, not an observed average bill.
Whichever way you go, a policy does not replace a reserve. The deductible and the copay come out of the same account either way, and the money has to be there on the day.
When is buying a policy the wrong move?
Some situations argue against enrolling now, and a page that only sells you something would not say so.
- Skip it for now if your emergency reserve is already large enough that a $5,000 veterinary bill would be inconvenient rather than impossible, and you would genuinely leave that money untouched.
- Skip it if the only plan you can afford is one whose deductible you could not produce on the day of a claim, since an unaffordable deductible converts coverage into a monthly bill with no payout.
- Skip it if your pet's main risk is a condition that is already documented, because that condition will be excluded whichever insurer you choose.
- Weigh it carefully if what you actually want is help with routine care — wellness allowances reimburse spending you were already planning, and are not a substitute for illness coverage.
The trade-off between premiums and a dedicated savings account is worked through in is pet insurance worth it.
Switching carriers deserves its own caution. A new policy starts new waiting periods, and anything your pet developed while insured with the old carrier is generally preexisting under the new one — so re-shopping after a diagnosis usually trades a known policy for a narrower one. Re-shop at renewal if your pet is still healthy, or if your state or circumstances have changed. Think much harder once there is a condition in the file.
What if I can't afford care right now?
If your honest answer to the cash-flow test is no and your pet needs care today, that is a different problem from choosing a policy, and a policy bought this afternoon will not touch it. It is also an ordinary problem: veterinary teams have this conversation constantly, and the options below only exist if someone knows you need them. Delaying the visit is the one move that reliably makes both the outcome and the bill worse.
- Say it out loud at the practice, before you decline care. The AVMA's guidance to owners is that a range of care options is usually available for the same problem, and that many clinics offer payment plans, deferred payment or financing (accessed August 7, 2026) — not all of them advertise it. Ask which tests and treatments change today's decision and which can wait.
- Look for a nonprofit or low-cost clinic. The AVMA notes these exist in many areas for owners with limited incomes, and that they usually focus on preventive care with limited capacity for emergencies or advanced diagnostics.
- Check the assistance funds. The AVMA compiles a list of organizations that may help — among them Banfield Foundation, Best Friends Animal Society, Brown Dog Foundation, Frankie's Friends, Paws 4 a Cure, RedRover Relief and The Pet Fund, plus cancer-specific and breed-specific funds. The AVMA does not endorse any particular program, each sets its own eligibility rules, and its advice is to read the criteria carefully, apply with documentation, and keep asking even after a refusal.
- Ask about a veterinary teaching hospital. Veterinary schools sometimes offer assistance or lower-cost routes to specialty care; the AVMA publishes the list of accredited veterinary colleges (accessed August 7, 2026).
- Treat medical credit cards and financing as credit, not coverage. Check the interest rate, the length of any promotional period and what happens to deferred interest if the balance is not cleared in time, before you sign anything at the counter.
None of this is a reason to feel judged, and none of it is a reason to treat something at home that needs an examination.
What about a marketplace like Pawlicy Advisor?
A marketplace is a different kind of business from an insurer. Pawlicy Advisor describes itself as an independent marketplace, comparison tool and education platform rather than an insurance carrier, and as a licensed insurance brokerage paid a commission by the insurer when you buy through it. That is a legitimate way to collect several quotes at once, and it can be genuinely useful if the direct-shopping process is more than you have energy for.
Two limits are worth knowing. A marketplace can only quote the carriers it has integrated, so its shortlist is not the market, and it is not a solicitation in states where it is not licensed. Ask which carriers are available in your ZIP code, how the platform is compensated, and whether the quote and terms match what the carrier would offer you directly. Then read the same state policy form you would have read anyway.
Which pet insurance rules change from state to state?
Pet insurance is regulated state by state, so several answers on this page are answered properly only in your own jurisdiction.
What genuinely varies: whether an insurer is licensed and selling where you live; the policy form issued to you, including its waiting periods and exclusions; whether your state has any pet-insurance statute at all, which is what decides whether the NAIC model act's protections are binding rather than advisory; and whether particular non-insurance products are offered — Embrace's Wellness Rewards, for example, is not available in Rhode Island. Premium rates are filed with your state as well.
What does not vary: every policy in this review excludes conditions that already exist in some form, a quote is never a guaranteed price, and no state requires an insurer to cover a preexisting condition.
What the model act requires where a state has adopted it. The NAIC Pet Insurance Model Act is a template, not a law, and it binds only where a legislature has enacted it. Where it has been enacted substantially as written, it sets floors that are worth knowing because several of them cut against terms elsewhere on this page:
- Waiting periods for accidents are prohibited, and waiting periods for illnesses or non-accidental orthopedic conditions may not exceed 30 days. Insurers using a waiting period must also offer a route to waive it on completion of a veterinary examination.
- Fifteen days to change your mind. Unless you have filed a claim, you may examine and return the policy within 15 days of receiving it and have the premium refunded, with the refund sent within 30 days.
- The insurer carries the burden of proving a preexisting-condition exclusion applies to the condition you are claiming for.
- A condition already covered cannot become preexisting at renewal, and waiting periods may not be applied to renewals of existing coverage.
- No veterinary examination may be required to renew.
- The underwriting company must be disclosed where it differs from the brand name used to market the product, along with whether the insurer reduces coverage or raises premiums based on claim history, the pet's age, or a change in your address.
If you live somewhere the model has not been enacted, none of that is guaranteed — which is exactly why the table below is worth thirty seconds before you shop.
This page publishes no state-by-state table of premiums, waiting periods or availability. Those values live in policy forms and rate filings issued per state rather than in one public dataset, and we do not publish figures we cannot verify per state. What follows instead is the one state-by-state fact that is on the public record.
Pet-insurance law by state and territory
The NAIC maintains the official chart of state activity on the Pet Insurance Model Act. The table below reproduces, for all 56 NAIC member jurisdictions, the statute or bill each one is cited for in the NAIC's Pet Insurance Model Act state page, Summer 2025 edition (accessed August 7, 2026).
Read it as a starting point, not a verdict. The NAIC sorts these citations into three separate columns — full adoption of the current model, an earlier version, and related activity that addresses the subject without adopting the model — and this table does not reproduce that column assignment. A citation therefore tells you your state has legislated on pet insurance; it does not by itself tell you that every protection listed above applies to your policy. "No current activity" is the NAIC's own label and does mean what it sounds like. For your own jurisdiction, open the NAIC chart and ask your state insurance department. One state gets a fuller reading here: our guide to California's pet insurance rules works through that statute in full — the accident waiting-period ban, the 30-day illness-wait cap, the required disclosure document, and the return right.
| Jurisdiction | Pet-insurance law cited on the NAIC state page (Summer 2025) |
|---|---|
| Alabama | No current activity |
| Alaska | No current activity |
| American Samoa | No current activity |
| Arizona | No current activity |
| Arkansas | No current activity |
| California | Cal. Ins. Code §§ 12880.0 to 12880.6 (2020) |
| Colorado | No current activity |
| Connecticut | No current activity |
| Delaware | Del. Code Ann. tit. 18, §§ 8801 to 8809 (2023) |
| District of Columbia | No current activity |
| Florida | Fla. Stat. Ann. § 627.71545 (2025) |
| Georgia | No current activity |
| Guam | No current activity |
| Hawaii | Haw. Rev. Stat. Ann. § 431:-102 (2025) |
| Idaho | Idaho Code Ann. § 41-1003 (2017) — pet insurance covered under limited lines insurance |
| Illinois | No current activity |
| Indiana | No current activity |
| Iowa | No current activity |
| Kansas | No current activity |
| Kentucky | No current activity |
| Louisiana | La. Stat. Ann. §§ 22:1371 to 22:1375 (2023) |
| Maine | Me. Rev. Stat. Ann. tit. 24-A, §§ 3151 to 3161 (2022) |
| Maryland | Md. Code Ann., Ins. §§ 19-1101 to 19-1107 (2024) |
| Massachusetts | No current activity |
| Michigan | No current activity |
| Minnesota | No current activity |
| Mississippi | Miss. Code Ann. §§ 83-87-1 to 83-87-9 (2023) |
| Missouri | No current activity |
| Montana | HB 78 (2025) |
| Nebraska | Neb. Rev. Stat. Ann. §§ 44-6501 to 44-6510 (2023) |
| Nevada | No current activity |
| New Hampshire | N.H. Rev. Stat. Ann. §§ 402-P:1 to 402-P:6 (2023) |
| New Jersey | No current activity |
| New Mexico | N.M. Stat. Ann. § 59A-7-4 (2017) — pet insurance listed under kinds of property insurance |
| New York | No current activity |
| North Carolina | No current activity |
| North Dakota | No current activity |
| Northern Mariana Islands | No current activity |
| Ohio | Ohio Rev. Code Ann. §§ 3970.01 to 3970.08 (2025) |
| Oklahoma | No current activity |
| Oregon | No current activity |
| Pennsylvania | 40 Pa. Stat. and Cons. Stat. Ann. §§ 4701 to 4711 (2024) |
| Puerto Rico | No current activity |
| Rhode Island | SB 649; HB 5569 (2025) |
| South Carolina | No current activity |
| South Dakota | No current activity |
| Tennessee | Tenn. Code Ann. §§ 56-7-2101 to 56-7-2103 (2008) |
| Texas | No current activity |
| Utah | Utah Code Ann. § 31A-23A-106 (2023) — pet insurance under license types |
| Vermont | Vt. Stat. Ann. tit. 8, §§ 7151 to 7159 (2024) |
| Virgin Islands | No current activity |
| Virginia | No current activity |
| Washington | Wash. Rev. Code Ann. §§ 48.205.010 to 48.205.080 (2023) |
| West Virginia | No current activity |
| Wisconsin | No current activity |
| Wyoming | No current activity |
Two official routes cover every U.S. jurisdiction whatever that row says:
- Your state's insurance department — the NAIC's insurance-department selector covers all fifty states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa and the Northern Mariana Islands. Use it to confirm the underwriting company on your declarations page is licensed where you live, and to check complaint history before you buy.
- A dispute you cannot resolve with the insurer — the NAIC's complaint route sends you to your own department, which is the body with authority over the carrier.
California shows the shape of what a department publishes: a consumer question list covering exclusions, waiting periods and hereditary disorders and a directory of pet insurers doing business in the state. Ask your own department three questions: is this underwriting company licensed here, what is its complaint history, and does this state's free-look period apply to my policy.
What should I check before I enroll?
Run this list before you pay. We call it the Twenty-Minute Policy Read, and it is the difference between a policy you understand and a surprise in month four.
- Open the sample policy or policy form for your state, not the marketing page.
- Find the underwriting company on the declarations page, and look it up with your state insurance department for license and complaint history.
- Write down the accident, illness and orthopedic waiting periods, and the effective date they run from.
- Read the preexisting-condition definition, including any curable-condition path and any bilateral-condition language.
- Confirm the exclusions list — and specifically whether exam fees, prescription food, supplements and behavioral care are in or out.
- Confirm the deductible type and whether it resets annually or applies per condition.
- Confirm the reimbursement percentage and the order of operations used to calculate a payment.
- Confirm the annual limit and whether any benefit carries its own separate cap.
- Ask what medical records are required to enroll and to have a first claim paid, and whether an examination is needed within a set window.
- Note the claim filing deadline, the renewal terms, how premiums change with your pet's age, and the cancellation and free-look terms — the NAIC model act sets a 15-day right to examine and return the policy, with the premium refunded within 30 days, where a state has adopted it.
- Save a copy of everything, and note who to call.
How do I choose a policy without guessing?
Insurers change terms; the characteristics you should shortlist for do not. Use the matrix below as the filter, then apply it to whichever names are in front of you. The insurers named in each row are the ones on this page that publish the relevant characteristic — not the only carriers that do.
| Your situation | Animal and life stage | Shortlist move | Insurers to start with | Ask before you buy |
|---|---|---|---|---|
| New puppy or kitten, tight monthly budget | Dog or cat, 8 weeks to 1 year, no medical history | Accident-and-illness base policy at a higher deductible, with add-ons priced separately | Lemonade, for the widest published deductible, co-insurance and limit range, where it is sold | What are my state's waiting periods? Is there a separate cruciate ligament period? What does the base policy exclude that I assumed was included? |
| First cat, indoor only | Cat, any life stage | Accident-and-illness base policy; check whether dental illness is base coverage or a paid add-on for cats | Embrace, which publishes a dental-illness benefit inside the base policy | Is dental illness covered in the base policy for cats? Is there a cat-specific minimum enrollment age? Which urinary conditions are excluded, and under what wording? |
| Senior pet, worried an insurer will refuse | Dog or cat, roughly 8 years and older | Insurers publishing no upper enrollment age; price accident-only as a fallback | Pets Best or Spot, both of which publish no upper age limit | Is my pet eligible today? Does the premium change at renewal because of age? What does the accident-only tier not cover? |
| Emergency cash is the real constraint | Dog or cat, any life stage | Policies with a documented route for the insurer's share to reach the clinic | Trupanion at checkout where the hospital participates; Pets Best after claim processing | Does my hospital participate, and my nearest emergency hospital? Is payment made at checkout or after processing? What do I still owe that day? |
| Pet has a past condition that resolved | Dog or cat, adult | Policies publishing a curable-condition path with a stated symptom-free interval | Spot at 180 days; Embrace and Lemonade at 12 months | How long must my pet be symptom- and treatment-free? Which conditions are excluded from that path? How is it worded in my state's policy? |
| Large-breed or high-risk-size dog | Dog, puppy through adult, expected adult size over about 50 lb | Enrol early and read the orthopedic and cruciate waiting periods for your state before anything else | Embrace if you will complete the Orthopedic Report Card; otherwise compare orthopedic waits across all five | What are my state's orthopedic and cruciate periods? Is the report-card reduction offered here? Has my state adopted the model act's 30-day cap? |
| More than one pet in the household | Any combination | Quote each pet separately first, then together — never assume the bundle is cheaper | Spot publishes a 10% multi-pet discount on pets after the first; ask every other insurer directly | Is there a multi-pet discount, how much, and does it survive renewal? Does bundling change any policy term, or only the price? |
| Healthy young pet, funded reserve, real risk tolerance | Dog or cat, under 3 years, no history | No policy. Fund the reserve, book the routine visit, and ask your veterinarian what risks this specific pet actually carries | None — self-funding may fit better | Would one bad year empty the reserve, and what would I do next if it did? What does my veterinarian say about this pet's risk profile? |
Run every option through the same list: take each one through the Twenty-Minute Policy Read above, in the same order, and treat any row you cannot complete for an insurer as a finding rather than a formatting problem. An option that will not let you read its state policy form before you buy has told you something useful.
Questions new pet owners ask about pet insurance
Can I buy pet insurance after my pet already got sick?
You can buy a policy, but not coverage for that illness. Every insurer here excludes conditions documented, treated or showing signs before the effective date or during a waiting period. What a new policy can still do is cover new, unrelated accidents and illnesses going forward, which is often worth having. Get your pet seen first; enroll afterwards, with realistic expectations about what is now excluded.
Does pet insurance cover vaccines, checkups and dental cleanings?
Generally not under accident-and-illness coverage. Routine care is handled by separate wellness or preventive-care products, which reimburse planned spending up to an allowance rather than transferring risk. Embrace's Wellness Rewards, for example, is a non-insurance plan that cannot be bought on its own. Treat a wellness allowance as a budgeting tool, and never let it substitute for the illness coverage you actually needed.
How much does pet insurance cost for a puppy or kitten?
This page publishes no premium figure, because a small sample of quotes is not a market average and a quote is not a guaranteed price. What moves your number: species, breed or expected adult size, age at enrollment, your state and ZIP, and the three levers you pick — deductible, reimbursement percentage and annual limit. Add-ons, any multi-pet discount and any enrollment or transaction fee sit on top, and the premium-lever table above shows which way each input pushes. See first-year puppy costs for the wider picture.
How long before my new policy actually covers anything?
The slowest dependency sets the date, not the fastest. Coverage starts at the policy effective date, then each waiting period runs separately: accidents from day zero to a few days, illnesses commonly 14 days though Trupanion states 30 in most states, and orthopedic or cruciate conditions anywhere from 14 days to six months depending on the insurer and your state. Some insurers shorten the orthopedic wait if a veterinarian completes an exam form within a set window. In states that have enacted the NAIC model act substantially as written, accident waiting periods are prohibited and illness and orthopedic waits are capped at 30 days — check your row in the state table above. Age eligibility and the preexisting lookback apply throughout.
Do I need my pet's medical records to enroll or to file a claim?
Often, yes — and this is where rescue guardians get anxious unnecessarily. Embrace requires a veterinary visit in the twelve months before enrollment or a full physical exam within the first 14 days, or coverage defaults to accident-only. Lemonade asks for records covering roughly the previous twelve and a half months before a first claim. Incomplete history is not disqualifying; it simply means the insurer works from what is documented. Ask what is required before you pay.
When should I call my veterinarian, and when is it an emergency?
Routine questions — vaccine timing, diet, mild itching — belong at your regular practice. Call the same day for changes such as reduced appetite, limping, or a single episode of vomiting or diarrhea in an otherwise well pet; that same-day threshold is our editorial guidance rather than a veterinary guideline, and the AVMA's own position is that any concern about your pet's health warrants at least a call. Go now for the AVMA's thirteen emergencies, including severe bleeding, breathing difficulty, seizures, inability to urinate, unconsciousness or suspected poisoning — and for a cat straining in the litter box with little or no urine coming out, which can be an obstruction. For a suspected toxin, call your veterinarian, ASPCA Poison Control or Pet Poison Helpline immediately — and in Georgia, call your veterinarian or an emergency hospital, because state law currently stops both national lines from advising owners directly.
Your next step

Write down one quote profile and keep it unchanged. Pull at least three quotes with those exact inputs, recording anything you had to substitute and any quote you could not complete. Open the sample policy for your own state and confirm the waiting periods, the preexisting definition, the exclusions, the deductible type, the claim calculation and the cancellation terms. Then ask the only question that matters on the day of a claim: can you afford both the premium every month and the amount you would have to hand over at the clinic before any reimbursement arrives? Enroll when both answers are yes — and if your pet needs care in the meantime, call your veterinarian, not an insurer. The AVMA supports pet insurance policies that let you choose your own veterinarian, including specialists and emergency hospitals, and that never interfere with your veterinarian's medical decisions. Keep it that way.
Sources and last verified date
Last verified: August 7, 2026
- 13 Animal emergencies that require immediate veterinary consultation and/or care — American Veterinary Medical Association — the emergency-escalation list used in the safety gate and the escalation FAQ.
- Feline lower urinary tract disease (FLUTD) — American Veterinary Medical Association — urethral obstruction as a feline emergency, higher risk in male cats, and the untreated time course.
- Pet health insurance policy — American Veterinary Medical Association — professional-body position that policies should allow owners to choose their own veterinarian and not interfere with medical decisions.
- Loving your pet, managing the costs — American Veterinary Medical Association — payment plans and financing at clinics, low-cost and nonprofit clinics, and the compiled list of veterinary financial-assistance organizations used in the affordability section.
- Accredited veterinary colleges — American Veterinary Medical Association — the directory used to route readers to veterinary teaching hospitals.
- ASPCA Poison Control — American Society for the Prevention of Cruelty to Animals — 24-hour animal poison-control contact and consultation-fee note.
- Pet Poison Helpline — Pet Poison Helpline — second 24-hour animal poison-control contact, per-incident fee and inclusion of follow-up consultations.
- Pets and poisons — Georgia Poison Center — the Georgia restriction on both national pet poison lines advising pet owners directly.
- Pet poison hotlines impacted by new law — American Animal Hospital Association — both services' statements that they can still assist Georgia owners through the owner's veterinarian.
- Pet Insurance Model Act, MO-633, Summer 2022 — National Association of Insurance Commissioners — model text: preexisting-condition definition, orthopedic definition, waiting-period caps and accident-wait prohibition, exam-based waiver, 15-day right to examine and return, burden of proof on the insurer, renewal conditions, underwriting-company and premium-change disclosures, and wellness-program separation.
- Pet Insurance Model Act state page, ST-633, Summer 2025 — National Association of Insurance Commissioners — the state-by-state pet-insurance statute citations for all 56 NAIC member jurisdictions.
- State insurance departments — National Association of Insurance Commissioners — the jurisdiction selector covering all fifty states, D.C. and five U.S. territories, used to route state-specific questions.
- How to file a complaint — National Association of Insurance Commissioners — the route to a reader's own state department for an unresolved dispute.
- Questions to Consider When Purchasing Pet Insurance — California Department of Insurance — regulator's consumer checklist on exclusions, waiting periods and hereditary disorders.
- Pet Insurers Doing Business in California — California Department of Insurance — example of a state lookup for underwriting-company license and complaint history.
- Embrace dental illness coverage — Embrace Pet Insurance Help Center — $1,000 per policy year dental-illness benefit and exclusion of routine cleanings.
- Embrace coverage FAQ — Embrace Pet Insurance — enrollment ages, accident-only terms at 15 and older, accident-only parameters, deductible-first claim calculation, 12-month curable-condition path, bilateral-condition rule, premium-change factors, exam-fee add-on status, complementary care, and Wellness Rewards status and Rhode Island exclusion.
- Orthopedic waiting period — Embrace Pet Insurance Help Center — six-month orthopedic period and the Orthopedic Report Card reduction process.
- Embrace claim reimbursement process — Embrace Pet Insurance Help Center — direct reimbursement to the policyholder, no networks.
- Pet Insurance for Dogs & Cats — Lemonade — availability in 42 states plus Washington, D.C., and base waiting periods.
- Pet Insurance Terms, Explained — Lemonade — co-insurance options, $5,000–$100,000 annual limits and the published claim-payment formula.
- What's a Pet Insurance Deductible? — Lemonade — $100 minimum annual deductible.
- What Is a Pre-Existing Condition? — Lemonade — twelve-month symptom-free path for curable conditions.
- Frequently Asked Questions — Pets Best — 7-week minimum age, no upper age limit, waiting-period waiver window and premium payment processing fee.
- Pet Health Insurance Policy: Accident & Illness, form APIC-PBI0001-ILL (12/2015) — Pets Best — sample policy booklet: annual limit, deductible and co-insurance options, waiting periods including cruciate ligament, co-insurance-first claim calculation, 18-month preexisting lookback, periodontal-disease requirements, supplemental benefits and premium-change triggers.
- Pet Insurance That Pays Your Vet Directly — Pets Best — Vet Direct Pay release form, post-processing payment timing and remaining owner responsibility.
- Spot Pet Insurance sample policy — Spot Pet Insurance — 14-day waiting period, the 180-day curable-condition rule with chronic and knee/ligament carve-outs, the deductible-first claim sequence, and eligible alternative therapy, prescription medication and prescription-food expenses.
- Sample Policy — Spot Pet Insurance — plan set including accident-only, accident-and-illness and Gold and Platinum preventive-care add-ons; underwriting companies and producing agency; 10% multi-pet discount on pets after the first.
- Best Age to Get Pet Insurance: When to Enroll Your Dog or Cat — Spot Pet Insurance — dogs and cats accepted from 8 weeks with no upper age limit.
- Pet Insurance Deductibles Explained — Spot Pet Insurance — Spot's published annual deductible options and reimbursement rates.
- How Annual Limits Work and Why They Matter — Spot Pet Insurance — Spot's published annual limit options.
- Does Pet Insurance Pay the Vet Directly? — Spot Pet Insurance — Spot's reimbursement workflow and payment methods.
- Pet Insurance Coverage, Redefined — Trupanion — 90% coverage, absence of annual, lifetime and per-condition payout limits, and enrollment eligibility.
- How pet insurance deductibles work — Trupanion — lifetime per-condition deductible structure and the statement that rates do not rise with a pet's age alone.
- How Does Pet Insurance Work — Trupanion — 5-day injury and 30-day illness waiting periods in most states, and VetDirect Pay at participating hospitals.
- Is my pet eligible for pet insurance? — Trupanion — cats and dogs under 14 years, and the geographic eligibility rule.
- Learn more about Pawlicy Advisor — Pawlicy Advisor — marketplace and licensed-brokerage role, and commission-based compensation.
- Licenses — Pawlicy Advisor — jurisdictional licensing limitation.
Next review: October 20, 2026
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