Pet Insurance 101: What’s Covered And What’s Not
June 17, 2025

Pet insurance is growing in popularity as more pet owners realize the importance of protecting their furry family members—and their wallets. But before you buy a policy, it's essential to understand what pet insurance typically covers, what it doesn't, and how to choose the right plan for your needs.

This guide breaks down the basics of pet insurance, so you can make an informed decision and ensure your pet gets the care they deserve.



What Is Pet Insurance?

Pet insurance is a health policy for your pet that reimburses you for certain veterinary costs. It works similarly to human health insurance in that you pay a monthly premium and, in return, receive partial or full reimbursement for eligible medical expenses.


However, unlike human insurance, most pet insurance plans operate on a reimbursement model:

  • You pay the vet bill upfront
  • Submit a claim to the insurer
  • Get reimbursed based on your policy’s terms



What Pet Insurance Typically Covers

Coverage varies by provider and plan, but here are the most common expenses pet insurance will cover:

  • Accidents and Emergencies
    Broken bones, cuts, poisoning, foreign object ingestion, etc.

  • Illnesses
    Cancer, diabetes, infections, arthritis, allergies, and more

  • Diagnostic Testing
    X-rays, MRIs, ultrasounds, blood tests

  • Surgery
    Emergency surgeries, tumor removals, orthopedic procedures

  • Hospitalization
    Overnight stays, IV fluids, intensive care

  • Prescription Medications
    Pain relievers, antibiotics, insulin, etc.

  • Chronic Conditions
    Conditions like epilepsy, thyroid disease, or heart disease (if covered under your plan)

  • Specialist Care
    Dermatology, oncology, cardiology, and o
    ther specialist services


Some policies also offer wellness add-ons that can cover routine care (more on that below).



What Pet Insurance Typically Does NOT Cover

It's just as important to understand what isn’t covered under most basic pet insurance plans:

  1. Pre-existing Conditions
    Any illness or injury that showed symptoms before the policy started or during the waiting period

  2. Routine and Preventive Care
    Vaccinations, dental cleanings, spay/neuter, flea/tick prevention (unless you purchase a wellness add-on)

  3. Cosmetic or Elective Procedures
    Ear cropping, tail docking, and declawing

  4. Breeding and Pregnancy
    Costs associated with breeding, pregnancy, or birth are generally excluded

  5. Behavioral Therapy
    Not all insurers cover training or behavior-related treatments unless stated

  6. Experimental Treatments
    Unproven therapies or clinical
    trials may not be reimbursable



Optional Add-Ons (Wellness or Preventive Coverage)

Some insurers allow you to add wellness plans for an additional fee. These typically cover:

  • Annual check-ups
  • Vaccinations
  • Dental cleanings
  • Parasite testing
  • Microchipping
  • Spay/neuter procedures


These are great for managing routine care costs but may not be necessary for all pet owners.



What to Look for in a Pet Insurance Policy

Before choosing a provider, consider the following:

  • Coverage Limits
    Annual, per-incident, or lifetime caps

  • Deductibles
    How much you must pay out-of-pocket before reimbursement kicks in

  • Reimbursement Rates
    Common rates are 70%, 80%, or 90% of covered expenses

  • Waiting Periods
    Most plans have a waiting period before coverage begins (usually 14 days for illness)

  • Multi-Pet Discounts
    If you have more than one pet, look for bundled pricing

  • Customer Reviews & Claim Process
    Read reviews to see how easy it is to file claims and get reimbursed



Is Pet Insurance Worth It?

The answer depends on your financial situation, your pet’s health, and how much risk you’re willing to take. Veterinary care can be unpredictable and expensive. Pet insurance offers:

  • Financial protection in emergencies
  • Peace of mind knowing you won’t have to choose between your pet’s health and your bank account
  • Coverage for unexpected illnesses or accidents


It’s particularly valuable for breeds prone to certain genetic conditions or for owners who want to avoid surprise vet bills.



Final Thoughts

Pet insurance isn’t one-size-fits-all, but understanding what’s covered and what’s not can help you pick the best policy for your pet’s needs. Take the time to read the fine print, and consider your pet’s breed, age, and medical history before signing up.


A little planning today can mean a lot more tail wags tomorrow.


At ACW Insurance Agency LLC, we are dedicated to providing our clients with comprehensive and affordable insurance policies. Our commitment extends to going the extra mile to address your specific needs. To learn more about how we can assist you, please contact our agency at (772) 261-2573 or CLICK HERE to request a free quote.


Disclaimer: The information presented in this blog is intended for informational purposes only and should not be considered as professional advice. It is crucial to consult with a qualified insurance agent or professional for personalized advice tailored to your specific circumstances. They can provide expert guidance and help you make informed decisions regarding your insurance needs.


June 17, 2025
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A family is standing on top of a hill holding hands.
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