Any health issue that is present or known before your pet health insurance kicks in is considered a "pre-existing condition" (see definition).If your pet has been diagnosed with a medical issue, you might be wondering if pet insurance covers pre-existing conditions.
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The short answer: no pet insurance company will cover a pre-existing condition. However, some providers will cover "curable" conditions. And even if your pet has a pre-existing condition, they can still benefit from coverage for any separate/unrelated injuries or illnesses.
We'll explain all about pet insurance for pre-existing conditions in the article below.
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There’s been a dramatic shift in the way pet owners think about their pets. More and more “pet parents” are treating their dogs and cats like any other member of the family.
This trend has led more people to purchase health insurance coverage for their pets, not only to reduce vet costs but also to ensure they get the best veterinary care possible. In fact, more than two million pets had health insurance coverage in the United States and Canada by the end of 2017 and that number has grown in the past few years.
But this has also brought to light an all-too-familiar issue, one that is also central to the topic of human healthcare: the challenge of obtaining coverage after medical issues have already occurred.
But don't worry — there are options for pets with pre-existing conditions!
A pre-existing health condition is a medical condition that was diagnosed before the pet’s health insurance took effect. So, from the perspective of the pet insurer, covering a pet with a pre-existing condition is high risk. They’ll likely have to pay out far more in medical benefits to that pet’s family than to other policyholders.
Now, the reality is that no pet insurance plans cover pre-existing conditions (including congenital conditions if they are already diagnosed). However, you can still get your pet insured and reduce the costs of treatment for pre-existing conditions. Let me tell you as a pet parent of a young cat with a pre-existing auto-immune disease - this is fantastic news.
First, some pet insurance providers cover pre-existing conditions if they’re “curable” conditions (after a waiting period). Curable pre-existing conditions are present before the insurance policy kicks in, but it is possible for the pet to recover from them in time.
Curable pre-existing conditions in pets may include:
If your pet has been diagnosed with any of the above, once they’re cured you should be eligible for full coverage.
The last thing we want is for our pets to get sick or injured. But it’s something we must all prepare for, both emotionally and financially.
A chronic condition is one that cannot be cured and will affect the pet throughout its lifetime. Such chronic pre-existing conditions are not covered by any pet health insurance plans (but there are payment assistance options).
Some of the most common chronic medical conditions in pets include:
Veterinary costs are no joke. Each issue is potentially thousands of dollars.
The sooner you get insured, the less “pre-existing” health issues you’ll have. If you sign up for insurance before your pet develops a chronic condition, you can dramatically reduce the costs of your vet bills.
While most pet insurance policies cover breed-specific and genetic conditions, they will not cover these conditions if they are diagnosed before you enroll in insurance coverage.
Again, this is why the best course of action is always to obtain pet insurance while your pet is young and healthy. This way, your pet will be covered by your insurance policy if they fall ill, due to a hereditary condition.
Nonetheless, non-coverage of pre-existing conditions presents a significant challenge to those noble pet parents who wish to adopt older pets as well as those who wish to rescue animals from euthanasia.
If you’re struggling with this situation, don’t lose hope! Even if you’re shopping for pet health insurance and your pet has a pre-existing condition, you do have options.
Yes, some pet insurance providers cover conditions that are considered curable after a certain amount of time has passed with no symptoms present.
Your pet’s pre-existing condition doesn’t mean you can't qualify for pet insurance, or that you should forgo obtaining insurance. You should still enroll in pet insurance even though your pet has a pre-existing condition. If your dog or cat develops any other illness, or gets into an accident, not being covered could lead to significant out-of-pocket costs for care.
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Pawlicy Advisor partners with leading pet insurance providers to give objective, data-driven recommendations to cover accidents, illnesses, hereditary problems, dental diseases, and even prescribed medications. You’ll find plans with low deductibles, and you can use any veterinarian you like.
At Pawlicy Advisor, we recognize that an insurance policy might not be the best solution for animals that have been diagnosed with multiple medical conditions. Rather than trying to sell you pet insurance for pre-existing conditions, we've partnered with other companies like PetAssure and CareCredit to help you lower the cost of vet bills.
Research the average yearly and lifetime costs of your pet’s condition, then put money aside so you can cover your vet bills for preventive care, wellness visits, and emergencies. You can also check out our charity and grant program finder to see what resources might be available to help you cover pet expenses.
There are no pet insurance plans that cover pre-existing conditions. If a condition is diagnosed before your pet insurance kicks in, you’ll need to pay out-of-pocket for the treatment of that condition. This includes congenital conditions that have already been discovered.
However, some plans do cover curable conditions after a certain waiting period with no recurring symptoms!
Yes! Even if your dog or cat has a pre-existing condition, that won’t exclude you from obtaining pet insurance. The costs of treating that particular issue won’t be covered by your new plan, but you can expect coverage for future illnesses and injuries. So, pet insurance is still worth it.
Yes, if it was present before your insurance took effect. If so, you wouldn’t be able to get coverage for any future treatments of that illness in your pet. However, you’d have coverage for any other illnesses your pet develops if they’re listed in your policy.
Pre-existing conditions are usually determined through a vet’s diagnosis, but a diagnosis is not always necessary. If your pet has symptoms before you obtain pet insurance and then gets diagnosed after your insurance kicks in, your insurance provider may consider this a pre-existing condition.
No pet insurance plans cover pre-existing conditions, and most plans won’t cover the taxes, grooming, or boarding. Aside from that, you can obtain a plan that covers just about everything else. For example, a policy with strong accident and illness coverage combined with a pet wellness plan will cover a large percentage of almost all your potential veterinary expenses.
A pre-existing condition could be just about anything, but some of the most common are allergies, cancer, diabetes, heart disease, arthritis, and epilepsy. Many congenital conditions, which occur at or before birth, are considered pre-existing conditions if they are diagnosed before you get dog insurance.
Cats suffer from many of the same common pre-existing conditions as dogs, including allergies, cancer, and heart disease. Both species can also suffer from curable pre-existing conditions like infections and gastrointestinal problems. All of these are considered pre-existing if they are diagnosed before your cat insurance kicks in, although curable conditions could be covered if/when they arise again later.
Some pet insurance companies require a full health examination from your veterinarian before they’ll insure your pet. But in most cases, they’ll simply ask you if your pet has pre-existing conditions. Be honest in your response, as misleading your insurer could result in the cancellation of your policy.
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