How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (2024)

You already know your pet deserves the best, and this article will help you understand what pet insurance is, how it works, and explain the ways Lemonade’s pet insurance coverage is different.

Imagine this: Your adventurous Akita “Milo” swallows something they shouldn’t have on a hike and requires emergency surgery to remove it.

With pet insurance, you can have peace of mind knowing that something like a costly procedure (and so much more) could be reimbursed, allowing you to focus on your pet’s well-being, rather than the financial burden.

Here’s a quick preview of what we’ll be discussing:

  • What does pet insurance cover?
  • How do pet insurance claims work with my vet?
  • What is pet insurance?
  • How can I customize a pet health insurance policy?
  • How much does pet health insurance cost anyway?
  • How can I get Lemonade cat insurance or dog insurance?

You can also skip ahead to our FAQs about what pet insurance does (and doesn’t) cover

What does pet insurance cover?

Here are some common kinds of care that pet insurance could cover:

  • Accidents: If your pet gets into an accident, like if they’re run over by a car or eat something toxic, pet insurance could help cover the vet bills
  • Illness: Common afflictions ranging from vomiting and diarrhea to cancer and diabetes could be covered
  • Hereditary and congenital conditions: Your pet could be covered for hereditary conditions like cherry eye or epilepsy as well as congenital conditions like hernias and hypothyroidism. Keep in mind, though, that pet insurance would not cover treatment for these conditions if your pet exhibits symptoms of them before you sign them up for insurance
  • Routine care: If you purchase a preventative care package for your pet, they could be covered for things like annual wellness exams, bloodwork, and vaccines

Here’s a handy cheat-sheet on Lemonade Pet Insurance coverages:

TreatmentUsually coveredSometimes coveredNever covered
Diagnostics
Injury from accident
Cancer
Pre-existing conditions
Dental cleaning
Vaccinations
Flea & heartworm prevention
Flea & heartworm treatment
Allergy medicine (like Cytopoint and Apoquel)
Physical therapy
Arthritis medication

A basic pet health insurance policy covers the costs of diagnostics (like x-rays or blood tests) and treatments (like surgery or medication) for accidents and illnesses. Different insurance companies will offer different options, so you may have to do a bit of digging to figure out what the best pet insurance for your furry family member is.

When you’re shopping around, consider what kind of medical expenses your pet already faces, and what kinds of things are worth getting insurance coverage for. Some pet parents may decide that an accident-only plan is right for them, while others may want to make sure they’ll be reimbursed for preventative costs, like vaccinations, that can help to prevent their dog or cat from developing an illness. Also, it’s important to consider additional potential costs like vet visit fees and physical therapy, which are not included in basic accident and illness coverage. (We’ll deep dive into these types of coverage a little later.)

A Lemonade pet health insurance policy is an open-peril policy, which means pretty much everything is covered, unless it’s specifically called out as not covered. So, it’s really important to know what’s not covered by pet insurance.

How do pet insurance claims work with my vet?

If an accident or illness means you’re left with an expensive vet bill, your insurance would reimburse you for parts of the cost of what your pet needs to get better. A basic pet health insurance policy will help cover the costs of diagnostics, procedures, and medications to treat your dog or cat’s eligible accidents and illnesses.

Since Lemonade Pet works on a reimbursem*nt basis, you can visit your pet in any vet you like in the U.S., as long as they’re licensed to provide veterinary care in the state they operate in.

You’d pay the bill for your pet’s care or treatment upfront, then submit those receipts to us in the Lemonade mobile app for reimbursem*nt. Our claims team will review to make sure the situation you’re claiming is covered under your policy, and reimburse you for the amount you’re eligible for on the claim.

How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (1)

What is pet insurance?

Pet insurance is a type of health insurance for your pet that can help cover some of the costs of veterinary care. It can offer financial protection for any unexpected accidents or illnesses your pet experiences. By paying a monthly premium, pet owners can get reimbursed for a portion of their pet’s medical bills, depending on the terms of the policy.

With a basic pet policy, your pet will be covered for emergency medical expenses, but most insurers also offer a variety of preventative care packages that help cover things like routine checkups.

How can I customize a pet health insurance policy?

Different pet insurance companies will offer different kinds of coverage for your pet’s medical care. At Lemonade, we’ve got a few different ways you can customize your policy.

For starters, a basic Lemonade pet health insurance policy will cover your dog or cat for the following, in the event your pet has an unexpected accident or illness:

  • Diagnostics: Blood tests, x-rays, MRIs, CT scans and lab work
  • Procedures: Outpatient, specialty and emergency care, hospitalization, and surgery
  • Medication: Injections or prescription meds
How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (2)

So, if you’re hit with expensive vet bills if your pet needs to undergo cancer treatments, you’ll be covered. Same goes for broken bones, allergies, ingestion of toxic foods, and more. Of course, this coverage isn’t totally unlimited, which is one of the reasons we offer optional add-ons to your policy, like vet visit fees, physical therapy, dental illness, behavioral conditions, and end-of-life and remembrance, as well as three great preventative care packages to help extend your coverage and build the perfect policy for you and your pet.

Lemonade’s Preventative Care

While a basic accident and illness pet health insurance policy will cover you for the unexpected things in your fur fam’s future, adding preventative care to your coverage can help with expenses you’re already spending on. You’re probably already paying more than the cost of our Preventative package for your pet’s ongoing health care, and by adding it to a Lemonade pet insurance policy you’ll be covered for all kinds of things that help keep your pet healthy—like your annual wellness exam, blood tests, vaccines, and more.

How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (3)

Lemonade’s Preventative+ package

Want to get even more for your pet? Lemonade’s Preventative+allows us to reimburse you for heartworm or flea/tick medication as well as routine dental cleaning.

Puppy/Kitten Preventative package

If your furry friend is under 2 years-old, we’ve designed the Puppy/Kitten Preventative package for puppies and kittens, made especially to provide young pets with the care they need to stay healthy. It includes coverage for 2 wellness exams, 6 vaccines, 2 fecal or internal parasite tests, spay/neuter, microchipping and heartworm or flea/tick medication. Basically, all the major things your pup or kitten needs to grow to healthy!

Lemonade’s Add-ons

If you decide not to add preventative care, you can still select to include stand-alone add-ons to help pay for other costs of taking care of your pet.

Lemonade pet insurance offers five optional add-ons that you can mix and match on your policy. Here’s what they can help cover:

  • Vet visit fees. Fees vets might charge for their time and labor when you bring your pet in after an accident or illness.
  • Physical therapy. Physical therapy, acupuncture, and hydrotherapy to help your pooch through the recovery process.
  • Dental illness. Procedures like tooth extractions and root canals, and treatments for things like gingivitis and periodontal disease.
  • Behavioral conditions. Vet-recommended therapy and medications for behavioral conditions like anxiety and aggression.
  • End of life and remembrance. Vet-recommended euthanasia, as well as cremation, and commemorative items to memorialize your pet.
How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (4)

You can also customize the payment structure of your pet insurance. It’s easier to explain that by looking at what a pet health insurance policy costs. Ready?

How much does pet health insurance cost, anyway?

A Lemonade pet health insurance plan starts at $10/month for both cats and dogs, but there are several factors that can impact how much your monthly premium will be.

Dog insurance tends to be more expensive than cat insurance, and some breeds will cost more than others. Your pet’s age and where you live can have an impact on the cost of pet insurance too, so the best thing to do is shop around and compare pet insurance quotes from several different insurance companies.

Don’t forget that you can customize your pet insurance plan by adjusting your co-insurance, annual deductible, and annual limits to customize insurance coverage to give your pet the care they need (and to help lower your monthly premium).

It’s true: The lower your co-insurance or annual limit, the less you pay per month, and choosing a higher deductible will also keep your monthly price lower. But don’t forget that a lower price will mean less coverage when an expensive vet bill rolls in.

How do I get Lemonade cat insurance or dog insurance?

Remember how quickly you fell in love with your pet, within minutes of first snuggling them? That’s about how long it’ll take to sign up for a Lemonade pet health insurance policy…

Click the button below, or get started in our mobile app on your iPhone or Android. From there, Lemonade’s friendly AI chatbot, Maya will ask you a few simple questions about your four-legged friend so you can lock-in the best pet insurance to cover your pet—and your wallet.

GET YOUR PET COVERED

FAQs

What does pet insurance not cover?

Pet insurance can cover a lot, but it’s important to understand the potential exceptions such as:

  • Something that happens before a waiting period is up—meaning the time from the start of your policy’s start date that your pet insurance company requires you to wait until your pet is eligible for reimbursem*nt regarding specific conditions.
  • Pre-existing conditions, which refers to any kind of illness or health issue your pet developed before your waiting period was up on your pet insurance.
  • Bi-lateral conditions, AKA anything that can affect both sides of your pet’s body—like cherry eye, cataracts, or hip dysplasia. So if one side of the body shows signs of a bilateral condition before your policy starts, your pet won’t be covered if the condition later affects their other side.
  • Things that aren’t related to an accident or illness, if you opt for a base Lemonade Pet policy. But it’s easy to get coverage for more of your pet’s health and wellness needs when you include Lemonade’s preventative care packages and add-ons on your policy.
  • Something that you could have prevented. But the good news is “preventable” means you can do something about it to keep your pet healthy and safe! It should also go without saying that any injury or illness that may result from instances of fighting, racing, or abuse would not be covered.
  • Treatments from more than 180 days ago, but make sure to check your policy for details. For example, if you have a Lemonade Pet policy in Texas, you have 90 days to file a claim after treatment.
  • Non-traditional therapies or “alternative medicine”—like CBD and aromatherapy. But if you include Lemonade’s physical therapy add-on on your policy, you might be eligible for coverage for things like your pet’s acupuncture, chiropractic care, or hydrotherapy.
  • Extending coverage to any of your pet’s buddies. But depending on where you live, you could be eligible for a multi-pet discount on your Lemonade Pet policy if you have (and cover) more than one cat and/or dog in your family.

Does pet health insurance cover diagnostics?

Yes! A Lemonade base policy will cover many of the things that vets use to keep your pup or kitty healthy. That includes blood tests, urinalysis, X-rays, MRIs, labwork, CT scans, and ultrasounds. Lemonade also offers a Preventative and Preventative+ care packages, which includes things like an annual fecal test and blood test and a heartworm or FeLV/FIV test.

If my pet is involved in an accident, will pet health insurance cover my vet bills?

Your insurance policy could come in handy if your pet gets a broken bone or is hurt by a car, or if they accidentally eat toxic foods or something dangerous they shouldn’t have. (This is provided that you’re past the accident waiting period, which varies by state.) For example, if you have a 2-day accident waiting period and the accident happens within the 48-hour span after you get your policy, it, unfortunately, won’t be covered.

Lemonade’s accident and illness policy covers diagnostics (like exams or x rays), procedures (like surgery or stitches), and medication (like antibiotics or painkillers) if your dog or cat gets into an accident or comes down with an illness.

Your pet health insurance covers surgery that might result if your dog or cat ingests a toy. The only exception here is if your pet has a history of eating similar toys multiple times in the past. Being a good pet parent means watching out for your fur fam! If your cat chows down on a box of laundry detergent one day, and the vet manages to save her—that’s reason to celebrate. But it’s your responsibility after that to make sure your loved one isn’t able to get into that detergent.

Does pet health insurance cover cancer treatments?

The Big C is one of the toughest challenges a pet can face, so it’s good to know that cancer treatments are indeed covered by your pet’s health insurance policy.

If your cat or dog is diagnosed while they have a Lemonade policy, treatments like chemotherapy will be covered—just not experimental treatments. Your policy also helps pay for diagnostic tests. If there’s a suspicious lump that you want to have checked out by your vet, your policy will cover things like cytology, needle aspiration, or biopsy (for eligible conditions). But remember, the biggest factor is that you can’t wait until after a cancer diagnosis to purchase a pet health insurance policy. The key is in planning ahead.

Does pet health insurance cover hospitalization?

It does! Overnight visits at the vet can get pricey quick, and we’ll help cover those costs (provided they relate to an eligible condition). We’ll cover you for veterinarian recommended hospitalization, fluids, medications, and additional testing. We’ll even cover the costs for follow-up exams if you opt for our vet visit fees add-on.

Are allergy medications like Apoquel and Cytopoint covered?

Yup. As long as the allergy isn’t considered a pre-existing condition, your pet’s allergy meds, like Apoquel allergy pills and Cytopoint allergy injections, are covered.

However, if your pet has been diagnosed with an allergy, or had a test that showed signs of an allergy or sensitivity before they’re covered with pet insurance, their allergy would be considered a pre-existing condition, and would therefore not be covered.

Are vet visit fees covered?

That depends. Your base Lemonade policy won’t cover this. However, you can opt for a vet visit fee add-on, which covers your vet’s time and labor when you bring your pet for treatment.

Will my pet’s health insurance policy cover their arthritis?

If your pet has shown signs consistent with arthritis before you get a Lemonade policy, this will be considered a pre-existing condition—and therefore not covered. But if your pet develops arthritis while they have a health insurance policy, they will be covered. That’s yet another reason why it pays to get your cat or dog signed up when they’re young!

What will your policy cover if arthritis is found while your pet has a policy? We’ll help with medications, including injectables like Adequan. Your plan will also chip in for supplements, as long as they’re not herbal products, like CBD. (Sorry, California kitties.)

A few quick words, because we <3 our lawyers: This post is general in nature, and any statement in it doesn’t alter the terms, conditions, exclusions, or limitations of policies issued by Lemonade, which differ according to your state of residence. You’re encouraged to discuss your specific circ*mstances with your own professional advisors. The purpose of this post is merely to provide you with info and insights you can use to make such discussions more productive! Naturally, all comments by, or references to, third parties represent their own views, and Lemonade assumes no responsibility for them. Coverage and discounts may not be available in all states.

How Does Pet Insurance Work? Here’s Your Ultimate Guide | Lemonade (2024)

FAQs

How does it work with pet insurance? ›

Pet insurance protects you financially if your pet needs veterinary care. With pet insurance, you pay a monthly or annual premium to your insurer. The amount you pay will vary depending on factors like your pet's age, any pre-existing health conditions, and the type of pet insurance you choose.

What are 4 factors that go into determining your monthly premium for pet insurance? ›

Four factors that affect pet insurance cost:
  • Your location. Veterinary care is more expensive in certain parts of the country. ...
  • Your pet's age. ...
  • Your pet's breed. ...
  • Your deductible and reimbursem*nt level.

How does pet insurance know about pre-existing conditions? ›

How do pet insurers know about pre-existing conditions? Depending on your insurer, when you submit a pet insurance claim, they will typically request your pet's medical records to evaluate the claim and determine if the issue predates your waiting period.

How do you explain pet insurance? ›

Pet insurance is an insurance policy bought by a pet owner which helps to lessen the overall costs of expensive veterinary bills. This coverage is similar to health insurance policies for humans. Pet insurance will cover, either entirely or in part, the often expensive veterinary procedures.

What does pet insurance actually cover? ›

Insurers cover diagnostic tests, surgery, hospitalization and even physical therapy if it's necessary to treat injury or illness. But even the best pet insurance companies exclude checkups, vaccinations, grooming and other recurrent pet care expenses.

What is a disadvantage of pet insurance? ›

Pet insurance reimburses you for veterinary expenses, meaning you have to pay them upfront. Pet insurance doesn't cover pre-existing conditions, meaning once your pet is sick, it's too late to sign up. Not all health issues are covered by pet insurance.

When should I set up pet insurance? ›

Younger animals are just as prone to accidents as older ones, and there are lots of illnesses that can affect them, too. This is why it is important to get your pet insured straight away.

How are pet insurance premiums calculated? ›

Insurance underwriters determine premiums by analyzing financial risks, so your plan cost will vary based on where you live, your pet's health, and historical or breed-related data that can indicate future risks.

What are three factors that dictate how much your insurance premium will be? ›

What factors are most important for car insurance rates?
  • Age. Age is a very significant rating factor, especially for young drivers. ...
  • Driving history. This rating factor is straightforward. ...
  • Credit score. ...
  • Years of driving experience. ...
  • Location. ...
  • Gender. ...
  • Insurance history. ...
  • Annual mileage.

What voids pet insurance? ›

Some of the most common things pet insurance does not cover are: Pre-existing illness or injury - In general, insurers will not cover illness or injury that your pet had or showed signs of having before the policy started.

How soon after getting pet insurance can you use it? ›

What Are Typical Pet Insurance Waiting Periods? The typical waiting period is 14 days, particularly for illness coverage. Some pet insurance providers have a waiting period of only a few days for accident coverage. Hereditary conditions such as hip dysplasia typically have much longer waiting periods — up to a year.

Does pet insurance cover ACL surgery? ›

If your pet tears its anterior cruciate ligament (ACL), pet insurance companies will typically cover surgery to treat it. However, because ACL problems are so expensive to treat, they're often subject to longer waiting periods and stricter exclusions than other conditions.

Is it worth claiming on pet insurance? ›

It's usually not too difficult to know when you should claim, and you can always check your policy documents or speak to your insurance provider if you're not sure. The only time it might not be worth claiming is if your policy excess – that's the amount you pay to make a claim – is more than the cost of the treatment.

What do some people suggest you do instead of using pet insurance? ›

If you don't have pet insurance, one option is to pay for veterinary expenses with money from your personal savings account. While this strategy might help you avoid monthly premiums, many pet parents find themselves significantly underprepared for the expensive vet bills they encounter throughout their pet's life.

What are the three types of pet insurance? ›

Background: Pet insurance companies typically divide their products into 3 main categories: accident-only, accident and illness, and wellness coverages. Each level offers specific services that are covered and excluded and will vary by price. Insurance policies are usually broken down by the type of pet being insured.

Does pet insurance cover monthly medication? ›

The Bottom Line: Does Pet Insurance Cover Medication? Pet insurance covers medication as long as the condition it's prescribed for is covered under your policy. Medication for preexisting conditions isn't covered, and you'll need add-on coverage for preventive medication.

Is pet insurance paid monthly? ›

Most pet owners can expect to pay between $20 and $50 per month for accident and illness pet insurance. Pet insurance rates can range from as low as $9 per month to more than $100 per month.

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