What Is A Pet Insurance Deductible? (2024)

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If you’re shopping for pet insurance, one of the most important decisions you’ll make is your pet insurance deductible. This is the amount of money that you will need to pay before your coverage kicks in.

Understanding how pet insurance deductibles work can help you budget for vet expenses and find the best pet insurance for your needs.

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Understanding Pet Insurance Deductibles

A pet insurance deductible is an amount of money you must pay toward vet costs over a certain period of time (often a policy year) before your pet insurance plan will reimburse you for veterinary costs covered by the policy.

For example, if you buy a pet insurance plan with a $250 deductible, you would need to pay that amount to the vet before your insurer starts to reimburse you for veterinary expenses. Let’s say your puppy ingests a dog toy that needs to be surgically removed and the cost of the surgery is $4,000. You’ll be responsible for $250 and your insurer will cover the balance, based on your co-insurance level (such as 70%).

Choice for pet insurance deductibles vary by insurer. Common options include deductibles between $100, $250, $500 and $1,000. Some insurers offer deductibles as low as $0, such as Trupanion and TrustedPals.

The higher your deductible, the lower your monthly pet insurance premiums. That’s because your insurer will pay out less if you file a pet insurance claim.

How Do Pet Insurance Deductibles Work?

Some pet insurance plans have an annual deductible, which you must meet every year. Other plans have a per-incident deductible, which means you’d need to meet a deductible each time you take your pet to the vet for a problem covered by your policy (such as an ear infection or bite wounds).

Once you meet your deductible, your insurer will reimburse you for a percentage of the remaining cost, depending on the reimbursem*nt level you choose.

Here’s an example of how a typical pet insurance claim would work:

  • Your cat appears to be in pain and you take them to the vet. The diagnosis is a urinary tract infection and treatment costs $1,100.
  • Your pet insurance has a $250 annual deductible and 90% reimbursem*nt level.
  • You pay your $250 deductible.
  • You are responsible for 10% of the remaining cost ($850 x 10% = $85).
  • Your insurer reimburses you $765 ($850 – $85 = $765).

Veterinary expenses and other pet-related expenses that are not covered by your pet insurance plan will not be covered by your deductible. For example, expenses such as routine wellness exams and grooming do not count towards your deductible.

Related: What does pet insurance cover?

Types of Pet Insurance Deductibles

The most common types of pet insurance deductibles offered by insurers are annual deductibles, but there are also per-incident deductibles.

Annual deductible

Annual deductibles must be paid toward vet costs each annual policy term. Once you meet your deductible, your insurer will reimburse you up to your reimbursem*nt level. You’ll be responsible for your annual deductible when your policy renews the following year.

For example, say you and your dog are hiking and your dog breaks their leg. Treatment costs $2,700 and you have a $250 deductible. After you pay your deductible, you are reimbursed for the surgery costs.

Now let’s say your dog gets sick three months later and treatment costs $600. If you are in the same policy year, you won’t be responsible for your $250 deductible because you already paid it. But if your dog gets sick after your policy renews, you will be responsible for the deductible because it’s a new policy year.

Per-incident or per-condition deductible

A per-incident pet deductible has a separate deductible for each problem you make a pet insurance claim for.

For example, let’s say your dog breaks their leg while on a hiking trip, treatment costs $2,700 and you have a $250 per-incident deductible. You pay your deductible and are reimbursed for the surgery costs. Three months later, your dog gets sick and treatment costs $600. You will be responsible for your $250 deductible since this is considered a new incident.

Pet Insurance Deductible vs. Reimbursem*nt Percentage.

Pet insurance is generally reimbursem*nt-based, meaning you will pay the vet for your pet’s treatment, then submit a claim to your pet insurance company for reimbursem*nt. Here is the difference between a pet insurance deductible and reimbursem*nt percentage:

  • Pet insurance deductible. This is the amount of money you need to pay before your insurer begins to reimburse you. For example, if you have a $250 deductible and your claim is $1,000, you’ll be responsible to pay $250 and your insurer will reimburse you up to $750.
  • Reimbursem*nt percentage. This is the amount your insurer will reimburse you after you have met your deductible. Common reimbursem*nt levels are 70%, 80% and 90%. Some insurers offer plans with 100% reimbursem*nt.

Pros and Cons of Choosing a High Pet Insurance Deductible

When you purchase a pet insurance plan, you’ll need to choose a deductible amount. A high deductible is one way you can save on your pet insurance costs, but it may not be the best choice for you. Here are the pros and cons.

Pros:

  • Lower premium.

Cons:

  • Higher out-of-pocket expenses before reimbursem*nt kicks in.
  • Per-incident deductible plans can become costly if a variety of incidents occur.

Related: Best Cheap Pet Insurance

Pet Insurance Deductibles by Company

InsurerDeductible options

ASPCA

$100, $250, $500

AKC

$100, $250, $300, $400, $500, $600, $750, $1,000

Embrace

$200, $300, $500, $750, $1,000

Fetch

$300, $500, $700

Figo

$100, $250, $500, $750

Healthy Paws

$100, $250, $500

Lemonade

$100, $250, $500

ManyPets

$100, $250, $500

MetLife

$50, $100, $250, $500

Nationwide

$250

Pets Best

$50, $100, $200, $250, $500, $1,000

Progressive

$50, $100, $200, $250, $500, $1,000

Prudent Pet

$100, $250, $500, $1,000

Pumpkin

$100, $250, $500

Trupanion

$0 to $1,000 (in $5 increments)

TrustedPals

$0, $100, $250, $500, $750

Spot

$100, $250, $500, $750, $1,000

State Farm

$0 to $1,000 (in $5 increments)

Wagmo

$250, $500, $1,000

Source: Petinsurer.com

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Pet Insurance Deductible FAQ

Does pet insurance always have a deductible?

No, pet insurance doesn’t always have a deductible. Some insurers like Trupanion and TrustedPals offer $0 deductible plans. However, most pet insurance plans do include a deductible.

Pet insurance plans with a $0 deductible are typically more expensive than plans with a deductible. That’s because the insurer begins covering costs as soon as the policy is in effect.

What is a good deductible for pet insurance?

The best pet insurance deductible depends on your pet and your budget. A lower deductible will mean higher premiums, but your out-of-pocket expenses will be lower if your pet requires veterinary care multiple times per year.

High deductibles mean lower premiums, but if the cost of your pet’s care needs don’t reach the deductible, the lower premiums may not outweigh the actual cost of care.

It’s also important to consider whether you want an annual deductible or a per-condition deductible. Like higher deductibles, a per-condition deductible may lead to lower premiums, but you’ll need to pay a separate deductible for each condition covered by your policy.

Does pet insurance cover pre-existing conditions?

Pet insurance generally does not cover pre-existing conditions. For example, if your pet had cancer prior to you purchasing a pet insurance policy, you won’t be covered for cancer-related veterinary bills.

Some insurers make exceptions for “curable” pre-existing conditions, such as bladder infections or ear infections. If your pet has a curable pre-existing condition, your insurer may cover the issue as long as your pet doesn’t have a recurrence in a specific period of time. For instance, ASPCA pet insurance will cover a pre-existing condition if it’s cured and there are no symptoms for at least 180 days.

Related: Pet insurance that covers pre-existing conditions

What Is A Pet Insurance Deductible? (2024)
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