| Use Any Veterinarian, Emergency Clinic, or Specialist |
Yes |
Yes |
Yes |
Yes, HOWEVER, regardless of chosen co-insurance, an automatic 20% co-pay is charged for visits to an ER hospital or specialist |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Accidents and Illnesses Including hospitalizations and surgeries |
Yes |
Yes |
Yes, except for dental surgeries See below |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Chronic and Ongoing Diseases (example: allergies) |
Yes |
Yes, Continuing Care rider automatically included; however, additional limitations apply, including a lifetime maximum and separate $100 annual deductible |
Yes |
Yes |
Yes, but lifetime limitations apply, since chronic conditions are considered a single incident over the pets' lifetime, and per-incident benefits for chronic conditions do not renew with the policy. |
No, but optional Hereditary/Chronic/Congenital coverage riders available at additional cost per month (see above under "Coverage and Pricing").
Limitations still apply with Hereditary/Chronic/Congenital coverage, including per incident limits. |
Yes; however, the following chronic conditions do not qualify for coverage: eye conditions, chronic renal (kidney) failure, diabetes, osteoarthritis, and spondylosis. |
Yes |
Yes |
Yes |
Yes |
| Cancer Coverage |
Yes |
Yes, but chronic/ongoing limits apply. |
Yes |
Yes |
Yes, but chronic/ongoing limits apply. |
Yes, but chronic/ongoing limits apply. |
Yes |
Yes |
Yes |
Yes |
Yes |
| Dental Surgeries and Diseases |
Yes |
Limited. Only extractions are covered. No coverage for extractions related to most common dental diseases, including periodonal disease |
No |
Yes, but annual dental exam req'd for dental treatment coverage |
Limited. No coverage for most common dental diseases, including periodontal disease. |
Limited. No coverage for most common dental diseases, including periodontal disease. |
No |
Yes, included with Dental Rewards Program at additional cost per month (see above under "Coverage and Pricing"). |
Limited. Only extractions are covered, and only if all prior dental recommendations were followed and paid out of pocket. |
Yes |
Yes |
| Prescription Medications |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes, included with Rx Drug Coverage at additional cost per month (see above under "Coverage and Pricing"). |
Yes |
Yes |
Yes |
| Wellness Coverage |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Based on Usual and Customary limits |
Yes |
No |
Varies depending on chosen co-pay level |
No |
| Wellness Deductible |
None |
None |
None |
N/A |
None |
None |
Same as medical ($125/year) |
None |
N/A |
$250/year with limits on wellness expenses that may be applied toward this deductible |
N/A |
| Exclusions |
- All pre-existing conditions, congenital disorders, developmental defects
- Cruciate ligament injuries and hereditary conditions within the first 12 months.
|
- All pre-existing conditions
- All congenital disorders unless rider is purchased
- All hereditary conditions unless rider is purchased
- Diagnosis or treatment for any and all types of knee or ligament conditions within the first 12 months
- All chronic/ongoing or recurring conditions from term to term unless the Continuing Care rider is purchased
|
- All pre-existing conditions, congenital disorders, developmental defects
- All dental procedures and diseases
- Illness coverage for dogs is excluded if adult onset demodex has been noted, treated or diagnosed prior to the coverage effective date or during the waiting period
- Only one (1) occurrence of a newly symptomatic or diagnosed preventable disease (e.g. vaccine reactions or flea allergy) is covered each policy term
|
- All pre-existing conditions, developmental defects
- All routine and wellness (No coverage available in plans or as a rider)
- All dental treatment is not covered unless pet has had annual dental exam prior to enrollment
- Costs of having pet euthanized or cremated, unless recommended by a veterinarian
|
- All pre-existing conditions, congenital disorders, developmental defects
- Cruciate ligament injuries within the first 12 months.
- Hereditary conditions, whether diagnosed, treated, or not, that manifest in a pet that enrolls after its second birthday
- Progressive periodontal disease caused by the accumulation of tartar
- Alternative therapy is limited to only acupuncture or chiropractic
|
- All pre-existing conditions
- All congenital disorders unless rider is purchased
- All hereditary conditions unless rider is purchased
- All chronic/ongoing conditions from term to term, as well as any long term conditions that manifest in a previous term, unless rider is purchased
- Treatment of periodontal disease
- Diagnosis or treatment for any and all types of cruciate ligament damage or rupture (e.g. ACL rupture or MCL tear)
- Diagnosis or treatment for patella luxation or hip dysplasia
|
- All pre-existing conditions, congenital disorders, developmental defects
- All hereditary conditions
- Chronic renal (kidney) failure, most eye conditions, diabetes, elbow dysplasia, hemophilia, heart murmurs or failure, cardiomegaly, hip dysplasia, osteoarthritis, spondylosis, Von Willebrand's disease, and luxating patella
- All dental treatment except medically necessary services for broken permanent teeth
- Alternative therapy, e.g. holistic medicine or acupuncture
- Services performed by a veterinarian for his/her own cat or dog
- Reimbursement for cremation
|
- All pre-existing conditions
- Prescription medications unless rider is purchased
- Dental diseases unless rider is purchased
- Services performed by a veterinarian for his/her own cat or dog
- Treatment arising from any pre-existing behavioral problems. For example, if a dog had a habit of eating rocks or other foreign objects before he was insured, foreign object ingestion may not be covered.
- Treatment for any injury or illness caused by the aggressive actions of another animal in your household
|
- All pre-existing conditions, developmental defects
- Veterinary examination or office visit fees
- All routine and wellness (No coverage available in plans or as a rider)
- Dental diseases (only extractions may be covered under specific conditions)
- Prostate problems, hormonal skin problems, testicular tumors, perianal tumors, mammary tumors, uterine and ovarian conditions, birthing, or injury due to fighting, collision with a motor vehicle or agressive behavior are excluded unless pet is spayed or neutered prior to age 1 or within 30 days of adoption
- Alternative therapy, e.g. holistic medicine or acupuncture, unless the Optional Benefits rider is purchased
- Hip dysplasia unless Optional Benefits rider is purchased
|
- All pre-existing conditions, congenital disorders, developmental defects
- All pre-existing conditions and illnesses are considered bilateral. This means illnesses on one side of the body based on a pre-existing condition would not be covered if the same condition occurred on the opposite side of the body. For example, if a dog has been diagnosed with a cruciate tear in his left leg before he was insured, a cruciate tear in his right leg is considered pre-existing and may not be covered.
|
- All pre-existing conditions, developmental defects
- Veterinary examination or office visit fees
- All routine and wellness (No coverage available in plans or as a rider)
- Services performed by a veterinarian for his/her own cat or dog
- Cruciate ligament conditions are considered bilateral, therefore, if your pet has a cruciate injury in one leg before he is insured, a cruciate injury in the opposite leg would also be considered pre-existing.
- Alternative therapy, e.g. holistic medicine or acupuncture
- Pets six (6) years of age or greater at enrollment are ineligible for coverage related to hip dysplasia
|
| Additional Limitations |
None |
- Only one (1) surgical removal of a foreign object--ingested or otherwise--is covered each policy term
- No coverage is available for law enforcement dogs
|
- Chinese Shar-peis and Chinese Shar-pei crossbreeds are not eligible for any illness coverage
- All conditions and illnesses are considered bilateral. This means illnesses on one side of the body based on a pre-existing condition occurrence on the opposite side of the body are not covered. Also, even if caused by accident, cruciate ligament conditions, hip dysplasia, and patella luxations fall under these same bilateral limitations. This means, if a dog has been diagnosed with a cruciate tear in his left leg before he was insured, a cruciate tear in his right leg is considered pre-existing and may not be covered.
|
- An automatic 20% co-pay is charged for visits to a veterinary specialist or ER hospital (even if your normal co-pay is only 10%)
- Extra costs associated with treatment performed outside of usual surgery hours is not covered unless your veterinarian certifies that an emergency consultation was necessary
- If your pet has a cruciate injury in one leg, the other leg is automatically excluded from coverage for twelve (12) months
- No coverage is available for working pets
|
- Cancellation of the wellness rider may result in non-renewal of some policies at the insurer's discretion
|
- Only one (1) removal of an ingested foreign object is covered each policy term
|
- Euthanasia only covered if happens as a result of a covered incident
|
- Only one (1) removal of an ingested foreign object is covered each policy term
- Foreseeable illnesses on one side of the body based on a pre-existing condition would not be covered if the same condition occurred on the opposite side of the body. For example, if a dog has been diagnosed with a cruciate tear in his left leg before he was insured, a cruciate tear in his right leg is considered pre-existing and may not be covered.
|
- Foreseeable illnesses on one side of the body based on a pre-existing condition would not be covered if the same condition occurred on the opposite side of the body. For example, if a dog has been diagnosed with a cruciate tear in his left leg before he was insured, a cruciate tear in his right leg is considered pre-existing and may not be covered.
- Conditions arising from a specific activity are not covered if the same or similar activity occurred twice within 18 months prior to the policy enrollment date, including activities such as repeated contact with other dogs, repeated ingestion of foreign objects, etc. For example, if a dog had a habit of eating rocks before he was insured, foreign object ingestion, including any complications, may not be covered.
- Law enforcement dogs must pay an additional premium
|
- Cruciate ligament damage, torn meniscus, patella luxations, ingested gastrointestinal foreign bodies, GDV (stomach torsion or stomach bloat), and all associated conditions are all defined as illnesses even if caused by accident or injury; therefore, they fall under all illness limitations, including illness waiting period.
|
- Conditions arising from a specific activity are not covered if the same or similar activity occurred prior to the policy effective date. For example, if a dog had a habit of eating rocks before he was insured, foreign object ingestion, including any complications, may not be covered.
- No coverage is available for law enforcement dogs
|
| Alternative/Holistic Therapy |
Yes |
Yes, but limited to $300 per year |
Yes |
Yes |
Yes, but limited to acupuncture and chiropractic |
Yes |
No |
Yes |
No, but optional coverage is available at an additional cost per month |
Yes |
No |
| Annual Exam Required |
No |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
No |
Yes, to begin coverage, but not on an annual basis |