Does pet insurance cover routine or preventative care?
Most standard pet insurance policies don't cover routine care, but you can usually buy a separate pet insurance wellness plan that covers annual exams, vaccinations, and other routine services. Some insurers may allow you to add coverage for pet wellness care to a standard policy as well. Pet insurance with wellness coverage may be worth it depending on how often your pet requires routine care and how expensive their vet visits tend to be.
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Key takeaways
Most standard pet insurance policies don't include routine or preventative care
Coverage for preventative and routine care is generally available through optional wellness plans
Is preventative care included in standard pet insurance plans?
No, preventative care is usually not included in standard pet insurance plans. Typically, insurers offer preventative care plans separately as an add-on or optional package to help pay for annual exams, teeth cleanings, and routine checkups rather than accidents or illnesses your pet suffers. Some insurers may offer standalone wellness plans.
Accident and illness plans cover unexpected vet costs, like infections, injuries, and urgent surgeries. Insurers separate wellness plans from accident and illness insurance partly because insurance is for unexpected, costly vet care while preventative care is generally predictable and lower cost.
Separating pet insurance wellness plans from accident and illness insurance may allow you to pay lower premiums for accident and illness coverage, with optional wellness coverage only if you want or need it.
What do pet insurance wellness or preventative care plans cover?
Pet insurance with a wellness plan covers your pet's routine care items and checkups. You may purchase it separately or attach it to an existing pet insurance policy as an optional coverage.
Pet wellness plans help pay for routine health and preventative care that a standard pet insurance policy wouldn't cover, such as:
| Preventative service | Commonly included? | Typical limits |
|---|---|---|
| Checkups/routine exam fees | Commonly included?Yes | Typical limitsMay be subject to reimbursement caps |
| Vaccinations | Commonly included?Yes | Typical limitsUsually routine only |
| Flea treatment and prevention | Commonly included?Yes | Typical limitsMay be capped annually or per item |
| Dental cleanings | Commonly included?Sometimes | Typical limitsUsually preventative cleanings only; varies by plan |
| Spaying or neutering | Commonly included?Sometimes | Typical limitsUsually varies by plan |
What don't wellness plans usually cover?
While specific exclusions will vary from policy to policy, pet wellness plans generally won't cover the following:
- Treatment for illness or injuries
- Long-term medications used to treat illness or injuries
- Chronic conditions
- Hospitalizations
- Treatments related to a pet pregnancy
How do pet insurance wellness plans work?
Pet insurance wellness plans typically reimburse you for routine and preventative care. Insurers generally offer different levels of pet wellness plans. A basic plan may only cover standard checkups while a higher tier plan may also cover dental care and preventative surgeries.
Some pet wellness plans reimburse up to an annual limit (the maximum your plan pays annually), which varies by provider. Other plans may offer a preset benefit amount per service (like vaccinations or checkups). For example, a basic wellness plan may reimburse you up to $40 for flea prevention each year, while a higher-tier wellness plan may reimburse up to $60.
Unlike comprehensive pet insurance plans, wellness plans usually don't require a deductible.
Is a pet wellness or preventative care plan worth the cost?
Pet wellness plans can help cover the costs of routine and preventative care. If your vet visits are on the more expensive side, or if your pet needs a lot of preventative care, then pet insurance with wellness coverage may make sense for you and your four-legged friend.
To see if a pet wellness plan may be worth it for your situation, multiply the monthly cost of your wellness plan by 12 to estimate the annual cost. Compare your estimated annual cost to what you'd likely spend out of pocket on preventative care for your pet in a year, including exams, vaccinations, parasite prevention, and more.
A wellness plan may be worth considering if you expect to use most of its covered services during the plan year and if the cost of the services meets or exceeds the plan's annual cost.
When preventative care coverage makes sense and when it doesn't
Coverage for preventative care can be a practical choice if:
- You have a puppy or a kitten
- You visit the vet for routine pet care every year
- You prefer predictable expenses
Preventative care coverage may not make sense if:
- You rarely visit the vet for routine pet care
- You prefer paying as you go
Preventative care vs. accident and illness coverage
Preventative care is generally predictable and costs less than unplanned vet care. Accident and illness plans cover unexpected vet costs, like injuries, infections, and emergency surgery.
Not sure if you need a pet wellness plan vs. pet insurance with standard coverage? Many pet owners combine accident and illness insurance with an optional wellness plan if they also want coverage for preventative and routine care.
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