Pet Insurance Blog

Is There Pet Insurance That Covers Pre-Existing Conditions?

Pawlicy Advisor
Reviewed by Kari Steere, Licensed Insurance Producer
dog diagnosed with pre-existing condition

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.

Get expert guidance to find the best pet insurance for your best friend.

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.

Table of Contents

Pets with pre-existing conditions deserve affordable treatment, too

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!

What is considered a pre-existing condition for pet insurance?

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.

Curable pre-existing conditions

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:

  • Urinary tract infections
  • Ear infections
  • Upper respiratory infections
  • Diarrhea and other gastrointestinal problems

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.

Chronic pre-existing conditions

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.

condition costs of cats and dogs

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.

Breed-specific and genetic conditions

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.

Is there any pet insurance that covers pre-existing conditions?

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.

PRO TIP: Pawlicy Advisor intelligently scans the fine print of over 300+ insurance comparison options to find the ideal pet insurance plan for you. It’s completely free, customized toward you and your pet, and amazingly powerful. I highly recommend you use Pawlicy Advisor’s insurance recommendation engine.

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Use Pawlicy Advisor to get personalized quotes from leading brands and see how each plan stacks up — instantly.

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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.

Financial assistance for pets with pre-existing conditions

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.

Key Takeaways

  • You can still get pet insurance if your pet has a pre-existing condition. That specific condition won't be covered, but any new, unrelated condition that arises will be.
  • Pawlicy Advisor has a special partnership with Pet Assure that will save you 25% at participating vet clinics - even on pre-existing conditions.
  • Pet parents can access Pawlicy Advisor's database of charitable grant programs and apply for financial assistance if they need help paying for a pet's pre-existing condition.

Frequently Asked Questions

Will pet insurance cover pre-existing conditions?

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!

Can I get pet insurance if my dog or cat is already sick?

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.

Is a heart murmur a pre-existing condition?

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.

How is a pre-existing condition determined?

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.

Is there a pet insurance plan that covers everything?

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.

What are some pre-existing conditions for dogs?

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.

What are some pre-existing conditions for cats?

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.

How do pet insurance companies know about pre-existing conditions?

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.

Do you want to find the best pet insurance?

Let's analyze your pet's breed, age, and location to find the right coverage and the best savings. Ready?

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