Pet Insurance for Pre-Existing Conditions: Availability, Costs, and More

Getting coverage for pre-existing conditions is difficult, but not impossible. AKC is a great choice if you need coverage for an existing illness, but it isn’t the only insurer worth considering.

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Amy Beardsley
Written byAmy Beardsley
Amy Beardsley
Amy BeardsleyInsurance Writer

Amy Beardsley is a seasoned insurance expert who’s been writing for Compare.com since 2023. She has more than 12 years of industry knowledge and expertise in auto, home, life, commercial, and other insurance products. Amy’s work has been published by Berkshire Hathaway Specialty Insurance, Legal & General, NerdWallet, Robinhood, Insurify, NEXT Insurance, and more.

Amy worked as a court administrator before becoming a content marketing writer. Her legal background has equipped her with the ability to simplify complex technical language into easy-to-understand content.

She graduated magna cum laude from Ferris State University, where she earned a Bachelor of Science in Business Administration and Legal Studies.

Nick Versaw
Edited byNick Versaw
Nick Versaw
Nick VersawSenior Managing Editor

Nick Versaw leads Compare.com's editorial department, where he and his team specialize in crafting helpful, easy-to-understand content about car insurance and other related topics. With nearly a decade of experience writing and editing insurance and personal finance articles, his work has helped readers discover substantial savings on necessary expenses, including insurance, transportation, health care, and more. As an award-winning writer, Nick has seen his work published in countless renowned publications, such as the Washington Post, Los Angeles Times, and U.S. News & World Report. He graduated with Latin honors from Virginia Commonwealth University, where he earned his Bachelor's Degree in Digital Journalism.

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Most pet insurance plans exclude anything labeled “pre-existing,” including problems that show up during the waiting period.[1] For most insurers, a pre-existing condition is just about anything your pet dealt with before coverage started, even if it was minor or short-lived.

That said, some companies — like AKC, Spot, and Pets Best — offer some coverage for “curable” pre-existing issues if your pet stays symptom-free for a while. And a few may help with long-term, ongoing conditions.

Let’s explore how pre-existing conditions work, which companies offer coverage, and what to know before you sign up.

Key Takeaways
  • Most pet insurance plans won’t cover anything your pet showed signs of before enrollment or during the waiting period.

  • If your pet stays symptom-free long enough, a few insurers will consider covering past issues that are curable.

  • Pet insurance can still be worth it to protect against future illnesses or accidents, even if your policy doesn’t cover an existing health problem.

What Counts As a Pre-Existing Condition for Pet Insurance?

If your pet had an issue before your plan began, insurers will likely consider it pre-existing. Companies would lose money if everyone waited to sign up until after their pet was sick, then canceled when their pet got better.[2] That’s why they don’t cover pre-existing health problems.

Pet insurers ask for your pet’s medical records to verify when conditions started. If your vet noted related symptoms at any point prior to your policy starting, insurers may deny coverage.

If a condition is hereditary or congenital, most insurers won’t cover it either.[3] Policies can also treat bilateral conditions, such as hip dysplasia that affects both sides of the body, as a single pre-existing issue.

Incurable vs. curable pre-existing conditions

Some pet insurance plans may cover curable pre-existing conditions if your pet stays clear of symptoms for a certain amount of time. Here’s an overview of different conditions that insurers consider curable and incurable.

Curable Pre-Existing Conditions
sort ascsort desc
Incurable Pre-Existing Conditions
sort ascsort desc
Bladder infectionsAllergies
Ear infectionsArthritis
DiarrheaBladder crystals
Respiratory infectionsCancer
Urinary tract infectionsDiabetes
VomitingEpilepsy
Broken bonesHeart disease
LacerationsHip dysplasia
SprainsKidney disease
Dental fracturesOrthopedic conditions
PyometraUrinary blockages

Pet Insurance Companies That Cover Pre-Existing Conditions

A lot of pet insurance companies won’t pay for any health issues your pet already has, leaving you to handle those bills on your own. And the ones that cover pre-existing conditions often have wildly different requirements and coverage variations.

If you’re wondering which pet insurance company gives you the best shot at coverage, start with the five companies outlined below.

AKC Pet Insurance

Pros
  • The only option for incurable pre-existing conditions

  • Includes coverage for hereditary conditions

  • Covers claims from any licensed vet or clinic in the U.S. and Canada

Cons
  • 365-day waiting period for pre-existing coverage

  • Incurable pre-existing coverage isn’t available in all states

  • Pets older than 9 years only get accident coverage

AKC’s pre-existing condition coverage is a standout in the industry if you have the patience to wait a full year before coverage kicks in. Certain conditions — like cruciate ligament issues — require only 180 days, but that means six months of crossing your fingers every time your pup limps. Still, for new injuries, the waiting period is only two days.

Spot Pet Insurance

Pros
  • Covers curable pre-existing conditions

  • No vet exam required to enroll

  • Unlimited annual coverage available

Cons
  • Doesn’t cover incurable conditions

  • 180-day waiting period for curable pre-existing conditions

  • Strict bilateral exclusion for knee and ligament issues

Spot doesn’t put an age cap on coverage and pays for treatment of curable conditions if your pet hasn’t shown signs of the illness for 180 days. It’s great for temporary issues like ear infections, but not so helpful if your pet’s condition is chronic or likely to come back.

While some states have a next-day waiting period for accidents, most make you wait 14 days before coverage begins.

Pets Best

Pros
  • Accepts pets with pre-existing conditions

  • Flexible policy options, including unlimited annual coverage

  • Accident-only plans available for pets with severe chronic conditions

Cons
  • Very low lifetime coverage cap for hereditary conditions

  • No coverage for chronic pre-existing conditions

  • Some policy changes trigger new waiting periods and exclusions

Pets Best won’t cover chronic conditions but will reconsider curable ones once they’re fully healed, such as kennel cough or a sprained leg. The waiting periods are simple — three days for injuries and 14 days for illnesses.

And if your pet has a chronic issue, you might still qualify for an accident-only plan to keep some kind of safety net in place.

ASPCA Pet Health Insurance

Pros
  • Covers some curable conditions

  • Plans available for cats, dogs, and even your horse

  • Hereditary and congenital coverage available

Cons
  • Pre-existing knee and ligament issues permanently excluded

  • Plans don’t cover ongoing, chronic health issues

  • Health issues can count as pre-existing without a formal diagnosis

ASPCA pet insurance covers some curable conditions if your pet doesn’t show signs of illness for 180 days, which is pretty standard. But policies draw a hard line for chronic issues and knee and ligament conditions.

Preventive care coverage starts right away, while accident and illness protection doesn’t begin for 14 days.

MetLife Pet Insurance

Pros
  • May cover bilateral issues diagnosed after enrollment

  • No waiting period for accidents and preventive care

  • Approves some curable conditions after no symptoms for 180 days

Cons
  • Six-month waiting period for some orthopedic issues

  • Pre-existing conditions are the reason behind most claim denials

  • Pre-existing hyperthyroidism also blocks related kidney, heart, and blood pressure meds

MetLife generally doesn’t cover pre-existing conditions, but it makes a few key exceptions. For example, if you switch from a group insurance plan that already covered your pet’s condition, MetLife may continue that coverage. The company also considers some curable conditions after 180 days without signs of illness.

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Do You Have to See a Vet Before Enrolling in a Policy?

Golden retriever puppy lying on a veterinary examination table, tongue out, with a vet in blue scrubs and another person nearby.

The majority of pet insurers won’t make you haul your dog or cat in for a vet visit before you sign up, but some will ask for your pet’s health records and proof of a recent checkup.

But just because a vet visit isn’t required up front doesn’t mean insurers won’t review old records when you file your first claim. If your pet has had symptoms before and they’re in the file, it could trigger a pre-existing condition exclusion. A recent checkup can help you avoid surprises later.

Pet Insurance for Pre-Existing Conditions FAQs

If you need coverage for a pet with existing health issues, we’ve got answers to the questions that matter most.

  • Can you lie about pre-existing conditions for pet insurance?

    No, don’t lie about pre-existing conditions for pet insurance. Insurance companies check your pet’s medical records when you file a claim, and they’ll spot any health issues your vet has documented. A lie could mean the insurer denies your claim and cancels your coverage.

  • Is there pet insurance for pre-existing conditions?

    It depends. Most companies won’t cover existing health problems, but a few will cover “curable” conditions if your pet stays healthy for six months. AKC Pet Insurance is the exception. It covers some ongoing conditions after you wait a full year.

  • What symptoms can be considered for pre-existing conditions?

    Anything your vet has written down can count as a pre-existing condition. That can include symptoms like limping, throwing up, skin problems, and excessive scratching that happen before your coverage starts.

  • Do pet insurance premiums increase because of pre-existing conditions?

    No. Pet insurance companies won’t raise premiums because of the condition itself, but age definitely bumps up your rates. Older pets cost more to insure because they’re more likely to need medical care.

  • Is pet insurance worth it if your pet has pre-existing conditions?

    Yes. While your pet’s current issue may not be covered, future care could be. Coverage for issues like broken bones, infections, or cancer can help ensure the next big bill doesn’t catch you off guard.

Sources

  1. American Kennel Club. "What Is a Pre-Existing Condition in the World of Pet Insurance?."
  2. CBS News. "Why pet insurance won't cover pre-existing conditions (and what to do about it)."
  3. NAIC. "Pet Insurance."
Amy Beardsley
Amy BeardsleyInsurance Writer

Amy Beardsley is a seasoned insurance expert who’s been writing for Compare.com since 2023. She has more than 12 years of industry knowledge and expertise in auto, home, life, commercial, and other insurance products. Amy’s work has been published by Berkshire Hathaway Specialty Insurance, Legal & General, NerdWallet, Robinhood, Insurify, NEXT Insurance, and more.

Amy worked as a court administrator before becoming a content marketing writer. Her legal background has equipped her with the ability to simplify complex technical language into easy-to-understand content.

She graduated magna cum laude from Ferris State University, where she earned a Bachelor of Science in Business Administration and Legal Studies.

Nick Versaw
Edited byNick VersawSenior Managing Editor
Nick Versaw
Nick VersawSenior Managing Editor

Nick Versaw leads Compare.com's editorial department, where he and his team specialize in crafting helpful, easy-to-understand content about car insurance and other related topics. With nearly a decade of experience writing and editing insurance and personal finance articles, his work has helped readers discover substantial savings on necessary expenses, including insurance, transportation, health care, and more. As an award-winning writer, Nick has seen his work published in countless renowned publications, such as the Washington Post, Los Angeles Times, and U.S. News & World Report. He graduated with Latin honors from Virginia Commonwealth University, where he earned his Bachelor's Degree in Digital Journalism.

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