Coverage Guide

Accident & illness coverage

Accident and illness plans are the most common type of pet insurance. They cover unexpected injuries and diagnosed conditions. Here's what you need to know.

What accident & illness plans cover

Accidents

  • Broken bones and fractures
  • Lacerations and bite wounds
  • Swallowed foreign objects
  • Toxic ingestion (chocolate, xylitol, etc.)
  • Hit by car / vehicle injuries
  • ACL/CCL tears from play

Illnesses

  • Cancer diagnosis and treatment
  • Infections (ear, urinary, skin)
  • Diabetes and endocrine disorders
  • Heart disease and cardiac conditions
  • Allergies and autoimmune conditions
  • GDV (bloat) and digestive issues

What's typically excluded

Always excluded

  • Pre-existing conditions
  • Cosmetic procedures
  • Breeding/pregnancy costs
  • Preventive care (unless wellness add-on)

Varies by provider

  • Hereditary/congenital conditions
  • Bilateral conditions (both knees, both hips)
  • Dental disease
  • Behavioral treatments

Waiting periods comparison

Every provider has a waiting period before coverage begins. Here's how they compare:

Provider Accidents Illness Orthopedic
Healthy Paws 15 days 15 days 12 months
Trupanion 5 days 30 days 0 months
Embrace 2 days 14 days 6 months
MetLife 14 days 14 days 6 months
Pumpkin 14 days 14 days 6 months
ASPCA 14 days 14 days 0 months
Lemonade 2 days 14 days 6 months
ManyPets 2 days 14 days 6 months
Figo 1 days 14 days 6 months
Spot 14 days 14 days 6 months
Fetch by The Dodo 15 days 15 days 6 months
Nationwide 14 days 14 days 6 months
Paw Protect 0 days 14 days 0 months
Pets Best 3 days 14 days 6 months
AKC 14 days 14 days 12 months

Is accident & illness insurance worth it?

For most dog owners, accident and illness coverage provides the best value. A single emergency surgery can cost $3,000–$8,000, more than a lifetime of premiums for many breeds.

The math depends on your breed's health profile. Breeds prone to cancer, orthopedic issues, or cardiac conditions almost always break even on insurance. Healthier breeds may find it's a closer call. Use our breed-specific calculators to see the numbers.

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