Pet insurance can help you avoid high costs at the veterinarian and ensure your pet always gets the care they need. Depending on the insurance plan you buy, you could save thousands of dollars in veterinary costs.
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But some pet insurance policies come with what’s known as an annual reimbursement limit. If you hit your limit, your pet insurance won’t reimburse any more of your veterinary costs until the next year of your pay period.
Here’s what you need to know about pet insurance annual limits:
An annual limit is the maximum amount of money your pet insurance provider will reimburse you for claims within a 12-month policy period (after your deductible is met).
For example, if your pet insurance annual limit is $10,000 and you pay a total of $9,000 for veterinary care throughout the year, then all of those vet bills would be eligible for reimbursement so long as the service is included with. Any amount exceeding $10,000, however, will be your responsibility to pay.
No annual policy limit on pet insurance means that there’s no cap on how much your provider will pay out in claims for covered veterinary costs. After you hit your deductible, all of your pet’s covered veterinary expenses will be eligible for reimbursement at the rate indIcated in the policy terms.
Pet insurance providers may also have an annual condition limit, or a ceiling cap on the maximum amount of money they will payout in claims related to a single pet health condition within a year. This type of structure is sometimes referred to as a defined benefit schedule.
Currently, Nationwide is the only provider that offers a pet insurance plan with annual condition limits (the “Major Medical” plan). However, defined benefit schedules are seen more frequently in pet wellness plans, as insurance payouts for non-medical services are typically more limited.
For example, Pets Best will reimburse up to the annual coverage limit of $30 per year for heartworm prevention in cats and dogs, while the total maximum payout for wellness benefits is $535 or $305, depending on the plan you choose.
PRO TIP: There may be additional coverage limitations on certain health conditions, such as hip dysplasia in dogs after a certain age. Always read the coverage details before enrolling in a pet insurance policy to avoid any surprises down the road.
If you hit your annual pet insurance limit, you’ll have to pay for any additional veterinary expenses out-of-pocket. Other ways you can pay for vet costs include:
PRO TIP: If you find that a policy’s annual limit inadequately covers your pet’s vet care expenses, then you might be tempted to switch pet insurance providers in search of better coverage elsewhere. Be careful, though, because no new company will cover a pre-existing condition (unless it’s considered curable and no symptoms are present for a certain amount of time).
A better option might be to upgrade your existing plan to one with a higher maximum payout or a lower deductible amount, especially if your vet bills stem from a pet’s ongoing medical issue because it’s already covered by your insurance company. If you do switch dog insurance or cat insurance providers, be aware of potential waiting periods that could limit your pet’s access to care.
Pet insurance companies offer a wide range of annual limits, from as low as $2,500 to $5,000, $10,000, $15,000, and beyond. Several providers also offer pet insurance with no annual limit on coverage (though they might have a maximum lifetime limit).
So, how do you choose? Ultimately, a good annual limit for pet insurance is one that gives you peace of mind by knowing you can afford to give your four-legged friend essential vet care in the event of an unfortunate and unexpected injury or illness. As an example, emergency hospitalizations typically cost several thousand dollars, while cancer treatment could easily run upward of $15,000 or more.
Generally, here are a few points to keep in mind:
If your pet is young and healthy, you might not need a high coverage limit to provide a financial safety net. But it’s impossible to predict what will happen over a year, let alone throughout your pet’s lifetime. That’s why the best pest insurance plans are flexible and allow you to adjust your policy’s annual coverage limit.
You might set a higher maximum payout for injury-prone puppies, reduce coverage throughout their healthy adulthood, then increase your pet insurance for older dogs and cats who tend to face more illness in their late years. That being said, pet health is always unpredictable — you never know when hip dysplasia in dogs or asthma in cats might occur, two chronic conditions that are both common and often expensive to treat.
PRO TIP: If you don’t want to worry about annual limits, consider buying a pet insurance plan with unlimited annual coverage. Plans with unlimited coverage generally cost more than others, but they can be a real lifesaver when it matters most.
Yes, a few companies provide unlimited pet insurance with no ceiling on how much you can receive in potential claim payouts. They include but are not limited to:
Unlimited pet insurance can provide tremendous peace of mind — so long as you're comfortable with the higher monthly payments. If the payment ever becomes uncomfortable, many insurance providers allow you to downgrade so you can keep your policy and fit within your budget.
Pawlicy Advisor helps pet parents compare plans from leading providers to identify the features and benefits that matter most, such as high or unlimited annual coverage limits. Our platform is built with powerful tools that identify plans matched to your pet’s predicted needs based on their breed, age, and health condition.
You can quickly see the Top Recommended Plan, or filter results by features such as annual coverage limit, annual deductible, and reimbursement rate. If you already know what payout limit you’re looking for in a pet insurance plan, use the filter feature to easily narrow down your options and enroll within a few, simple clicks.
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Kari Steere is a licensed P&C insurance agent in all 50 states and has focused entirely on pet insurance since 2019. As an animal lover with a rescued Terrier named Barry, when she's not helping pet owners find the perfect plan on Pawlicy Advisor, she runs a ranch in Oregon and rehabilitates any animals that come across her path.