Dog in an Elizabethan collar

What does pet insurance cover?

Team Walmart Pets

July 9, 2021

5

min read

Modern vet care can do extraordinary things to help sick and injured pets, but the costs of these treatments can rival those in human medicine. When faced with expensive vet bills, families who have insurance for their pets are better equipped to make decisions based on what’s best for their pet rather than how it will impact their finances. The right pet protection can literally be a lifesaver, but not all coverages are created equal.

There are plenty of providers and coverage options available, so you can find a policy that will meet your needs at a budget-friendly rate. While there is no pet insurance that covers everything, there are many options available that cover a lot, like Walmart Pet Insurance for cats and dogs.

When you do start shopping around for pet insurance, carefully review what a policy does and does not cover for your pets.

What's covered by pet insurance?

Cats & dogs

All pet insurance providers offer dog and cat insurance. If you have a bird, ferret or some other type of exotic pet that you’d like to insure, your choices are far more limited in the United States for coverage, as most pet health insurance providers only cover dogs and cats.

Injuries & illnesses

Pet insurance covers vet bills when your pet gets sick or hurt, and allows you to choose any vet you’d like, including emergency clinics and specialists, when your pet requires treatment. While some providers cover breed-specific conditions, such as hip dysplasia or intervertebral disc disease, some pet insurance providers don’t. Compare coverage between providers and determine whether conditions your pet is more likely to face will be covered. There are also accident only insurance plans available through some providers, but this type of coverage doesn’t include costly illnesses. 

Exam fees

Some pet insurance providers will reimburse you for non-routine veterinary exam fees. However, many plans won’t cover the sick visit exam fees. Look for a pet insurance plan, like Walmart Pet Insurance, that covers exam fees to save on these recurring expenses.

Diagnostic tests

Tests such as blood analysis, MRIs, and X-rays that are deemed necessary by your veterinarian are generally covered by pet insurance. Tests associated with routine wellness/preventive visits are usually not covered.

Chronic conditions

According to pet insurance claims data, chronic conditions that last 12 months or more account for 30-40 percent of pet insurance claims. Diabetes, asthma, arthritis and cancer are just a few of the chronic conditions that can cost thousands of dollars each year to treat. Luckily, they are covered by most dog and cat insurance plans.

Prescription medications

Many pet insurance policies include coverage for prescription drugs, but over-the-counter items, such as flea and tick preventives, usually aren’t included.

Rehabilitation

Some conditions, such as a cruciate ligament tear, may require months of costly rehabilitation. In some cases, the cost of rehab may even exceed the cost of the initial treatment. Most pet insurance providers cover rehab, although many companies restrict this coverage to certain plans or require policy riders.

Alternative therapies

Acupuncture, chiropractic treatments and other alternative therapies are covered by most pet insurance plans when they’re prescribed and performed by a licensed veterinarian. Many insurers require you to purchase policy riders or add-ons to cover alternative therapies, while others offer this coverage as part of their standard plan.

What pet insurance doesn’t cover:

Pre-existing conditions

There is no pet insurance that covers pre-existing conditions. Pet insurance won’t cover treatment of illnesses or injuries that your pet had before your policy takes effect (including during the waiting periods) — so the costs associated with diagnosing or treating those conditions would not be reimbursed. Note that even if your pet wasn’t formally diagnosed with a condition, it could still be considered pre-existing if clinical signs were present and noted in your pet’s medical records.

Your pet may be required to undergo a full examination by a licensed veterinarian when you start a new pet policy to check for pre-existing conditions and establish a baseline of health. In most cases, pets with pre-existing conditions will still be eligible for coverage for unrelated injuries and illnesses.

Bilateral conditions

Some insurance plans also have restrictions on bilateral condition coverage. For example, if a pet suffers a left knee injury that requires surgery before the pet insurance policy takes effect, a similar injury to the right knee that occurs years later might be considered a pre-existing condition and ineligible for coverage.

Routine, preventive and wellness care

Standard pet insurance offers coverage only against the unexpected — so routine care procedures like checkups, vaccinations, teeth cleaning and spaying/neutering aren’t covered. Some veterinary practice networks offer wellness plans that can complement your pet’s primary coverage, but most pet insurance will not cover shots, spaying or neutering. 

Cosmetic and elective procedures

Unless they’re deemed medically necessary by a veterinarian, procedures such as ear cropping, tail docking, declawing and dewclaw removal aren’t covered by pet insurance.

Liability

Pet insurance is designed only to protect your four-legged family members. It doesn’t protect pet parents or their assets if an insured pet is involved in other kinds of trouble, such as the destruction of property. These pet damage insurance plans are usually available through your homeowner’s insurance. 

Evaluate pet insurance coverage carefully and ask questions!

Before you buy any pet insurance policy, make sure you understand what pet insurance does cover and what pet insurance doesn’t cover. As you consider what kind of pet protection is right for your family, review policy options from several pet insurance providers may help you find the right balance of cost and coverage. Things that are covered under one company or policy might be excluded by another, so be thorough as you explore your options.

If you need help deciding, just ask the professionals. Speak with your family vet about your pet’s specific needs, and then call a pet insurance agent or a pet insurance provider’s customer service line to discuss how a pet insurance policy could help.

You can get free pet insurance quotes from most companies in just a few minutes by providing basic information about your pet, the kind of coverage you’re seeking and where you live. Some pet insurance providers even offer 30-day satisfaction guarantees so you can evaluate their coverage risk-free. With a little research, you can protect your pet’s health, your budget and your peace of mind with pet insurance.

Pet Insurance

Photo by Michael Kilcoyne on Unsplash