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Pet insurance can give pet owners great peace of mind regarding their furry (or feathered or scaly) friendโs health. But there is a lot to understand. If youโre in the market for a policy, you may have encountered the term โwaiting periodโ and might not be sure what it means. So, what is a pet insurance waiting period, and how does it work?
Waiting periods refer to the period between when your policy is effective and when you can file a claim. Depending on your insurer and the type of coverage, your policy may have a waiting period of a few days or even a couple of weeks. Hereโs more about pet insurance waiting periods and what they mean for you as a pet owner.
When you purchase a pet insurance policy, you might think your animal friend is covered immediately. But in most cases, a pet insurance policy will have a specific time frame between the policy effective date and the date the policyholder can file a claim. This time frame is known as a waiting period.
For example, if you take out a policy with a 14-day waiting period for illness and your pet becomes sick before that 14-day period has finished, you wouldnโt be able to make a claim. However, you can file a claim if your pet gets sick on day 15.
The best way to determine pet insurance waiting periods is to check your policy documents, which is where the waiting periods for your policy will be listed. If you have any questions, itโs best to ask them before paying for the policy (though many pet insurance providers have a 30-day money-back guarantee if you do happen to change your mind after purchasing the policy).
Generally, there are three types of pet insurance waiting periods: Accident, illness, and extended waiting periods for specific medical conditions. Your policy may also cover pre-existing conditions, and wellness plans work differently.
The reason for waiting periods is to protect the insurer from pet owners trying to get a policy for an already sick or injured pet. If the animal sustains an injury or becomes ill when it isnโt covered by insurance, an unscrupulous pet owner might try to get coverage quickly to help pay the vet bill. But thatโs not how pet insurance works. Coverage is not retroactive.
Pet insurance providers implement waiting periods to help protect their bottom line.
Company | Illness waiting period | Extended waiting period | Accident waiting period |
---|---|---|---|
14 days | Up to six months for orthopedic conditions | 0 days | |
Lemonade | 14 days | Up to six months for cruciate ligament conditions | 0 days |
14 days | Six months for cruciate ligament conditions | 0 days | |
14 days | No separate waiting period for specific conditions | 14 days | |
14 days | Six months for cruciate ligament conditions | 3 days | |
15 days | Six months for hip and knee conditions | 15 days | |
15 days | 12 months for hip dysplasia for pets enrolled before age five | 15 days | |
14 days | No separate waiting periods for specific conditions | 14 days | |
30 days | No separate waiting periods for specific conditions | 5 days | |
14 days | Six months for cruciate ligament conditions | 3 days |
Getting pet insurance with immediate coverage for accidents might be possible, but all the major pet insurance providers have an illness waiting period of at least 14 days. Most have short waiting periods for accidents, as well as extended waiting periods for specific issues.
No. It is not possible to get retroactive pet insurance. When you take out an insurance policy for your pet, youโll only be covered for illnesses or accidents after the policy begins. So if your pet sustains a bite from another animal and you get insurance after the bite, medical bills related to that injury will not be covered.
As you can see from the chart above, waiting periods vary depending on the insurance company and type of coverage. Accident coverage typically has the shortest waiting period of a few days (or, in some cases, zero days), while illness coverage may have a waiting period of two weeks or more. And waiting periods for orthopedic or cruciate ligament conditions can be six months or longer.
If youโve taken out a pet insurance policy and your pet becomes ill before the waiting period is over, you might panic. After all, why have insurance if you canโt use it? Luckily, there are ways to handle waiting periods regarding pet insurance.
The best way to handle waiting periods is to insure your pet from a young age. That way, you donโt need to worry about waiting for coverage to kick in. If you insure your pet when itโs still young, itโs unlikely to have any medical issues that would kick in during the waiting period. But if you wait until your pet is older, you may find yourself in a situation where your pet becomes ill and the insurance policy waiting period is still in place.
If your pet is injured or develops a serious (and expensive) medical condition and you arenโt insured or your insurance waiting period isnโt over, itโs wise to look into which payment plans are available. Your vet may offer payment plans, or you can apply for a card for emergency vet expenses, such as CareCredit.
When shopping for pet insurance, you might wonder why all the providers youโre considering have waiting periods. These periods are put in place to protect the insurersโessentially, they prevent pet owners from taking out a policy after their pet is already sick or injured and then trying to make a claim. But if you get your pet insured early and keep insurance in place as your pet gets older, you wonโt need to worry about waiting periods.
The best way to compare pet insurance policies is to get several quotes for coverage. Most insurers make it easy to get a quote online in minutes, so itโs not hard to gather a handful of quotes to compare. In addition to comparing costs, look at the available deductibles, reimbursement rates, and annual max coverage limitsโand, of course, check to see the waiting periods with each provider before choosing a policy.
No. All pet insurance providers have waiting periods, though some are shorter than others. For example, Embrace and MetLife have zero-day waiting periods for accidents (meaning coverage is effective immediately). In contrast, Fetch, Pumpkin, and Healthy Paws have longer two-week accident waiting periods. Most insurers have a minimum of 14-day waiting periods for illness and months-long waiting periods for specific orthopedic and ligament-related conditions.
The time limit for pet insurance claims varies from one insurer to another. Fetch requires you to file a claim within 90 days of your petโs treatment, while Lemonade gives you 180 days to file (90 days if you live in Texas). Embrace gives you the entire policy term plus 60 days after renewal to file. Check with your provider to verify the time limits to ensure you file timely claims.
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