Best Pet Insurance That Covers Pre-Existing Conditions of 2024

Pet insurance typically excludes health issues that your pet has been diagnosed with before purchasing your policy and completing the waiting period. These are considered pre-existing conditions, and your coverage won’t apply to these conditions.  

However, some pet insurance companies distinguish between curable and incurable conditions, covering pre-existing conditions that have been cured for a certain amount of time, such as broken bones or respiratory infections.

Here, CNBC Select reviews the best pet insurance companies for covering curable pre-existing conditions and the terms of their coverages, such as waiting periods and deductibles. (See our methodology for more information on how we made this list.)

Best pet insurance for pre-existing conditions 

Best overall  

Spot Pet Insurance

  • Cost

    The best way to estimate your costs is to request a quote

  • Policy highlights

    Spot Pet Insurance offers accident and illness and accident-only coverage for cats and dogs. It has a variety of choices of reimbursement rates, annual limits (including an unlimited policy), and deductibles to cater your coverage to your needs and budget. The option to cover preventative care procedures and exams (including a dental cleaning and wellness exam) for an extra fee is available.

  • App available

  • Standout features

    There are no upper age limits for new enrollments to Spot and plans include coverage for microchipping. Spot also offers access to a 24/7 veterinary helpline to address questions about wellness and health concerns.

Pros

  • Accident and illness plans are available, with wellness options available
  • Access to a 24/7 veterinary helpline included with coverage
  • 10% discounts for additional pets

Cons

  • Pets must be eight weeks old to enroll
  • A 14-day waiting period applies for coverage

Who’s this for? Spot is a top choice for many pet owners thanks to its flexible policies and variety of coverage options. Plus, it has no maximum age limit for coverage, so even older pets can get coverage.

Pre-existing condition policy: The insurer’s site states that while Spot doesn’t cover pre-existing conditions, it may cover “injury or illness that is curable, cured and free of treatment and symptoms for 180 days” (except knee and ligament conditions). Many other pet insurers we reviewed require a 12-month waiting period for curable pre-existing conditions.

[ Jump to more details ] 

Best for high reimbursement rate

Who’s this for? Pumpkin Pet Insurance stands out for those wanting a high reimbursement rate on their pet insurance policy as all policies from the brand offer 90% cash back on covered vet bills.  

Pre-existing condition policy: Pumpkin has a 180-day waiting period for curable pre-existing conditions. If your pet faces a curable condition, is cured and treated and is symptom-free for 180 days, the condition could be covered if it presents itself in the future. However, knee and hind leg ligament conditions are excluded.

[ Jump to more details ] 

Best for flexibility  

ASPCA Pet Insurance

  • Cost

    The best way to estimate your costs is to request a quote

  • Policy highlights

    ASPCA’s pet insurance has been operating since 1997, making it one of the oldest providers in the space. Coverage is available at eight weeks old, and there’s no maximum age limit. A 30-day money-back guarantee is available for all policies if no covered claims are filed.

  • App available

  • Standout features

    An app makes for a simple claims filing experience, and reimbursements are available by direct deposit. ASPCA pet insurance also offers coverage for horses.

Pros

  • 10% discount on base plan premiums for additional pets

Cons

  • 14-day waiting period for coverage

Who’s this for? ASPCA’s Pet Health Insurance isn’t one-size-fits-all — it offers the ability to customize your policy’s maximum annual coverage limits, reimbursement limits and deductibles, which could help you adjust the monthly cost of your coverage.

Pre-existing condition policy: With ASPCA, conditions are no longer considered pre-existing if the pet is cured and symptom-free for 180 days, with an exception for knee and ligament conditions.

[ Jump to more details ] 

More on our top pet insurance companies for curable pre-existing conditions

Spot Pet Insurance

Spot’s Pet Insurance boasts strong coverage with strong customer reviews according to the Better Business Bureau (BBB). With nationwide availability, no upper age limits for coverage and numerous coverage options, many pet owners will be able to find coverage in their budget.

Age limits

The minimum enrollment age is eight weeks; no maximum age limit

Type of pets covered

Dogs and cats

Policies offered

Accident and illness, accident only and preventative care options

Waiting period

14-day waiting period for all coverage

Notable perks

Spot offers generous coverage options, including coverage for prescription medications, alternative therapies and vet exam fees. Other perks include access to a 24/7 veterinary helpline and a 10% discount for insuring multiple pets.

[ Return to summary ] 

Pumpkin Pet Insurance

Pumpkin Pet Insurance includes many things that other pet insurance companies charge extra for, like prescription food for covered conditions, alternative therapies, microchip implantation and even behavioral issues. The insurer also has no upper age limits or breed exclusions.

Age limits

The minimum enrollment age is eight weeks; no maximum age limit

Type of pets covered

Dogs and cats

Policies offered

Accident and illness and preventative care options

Waiting period

14-day waiting period for all coverage

Notable perks

All of Pumpkin’s policies feature a 90% reimbursement level to help you get the most back from your covered vet visits and other expenses. Plus, you can get a 10% multi-pet discount for each additional pet you enroll.

[ Return to summary ] 

ASPCA Pet Health Insurance

ASPCA’s Pet Health Insurance is offered through PTZ Insurance Agency, Ltd., and has a long history of covering pets. It offers a variety of annual limits, reimbursement rates and deductibles, making it easy to customize coverage.

Age limits

The minimum enrollment age is eight weeks; no maximum age limit

Type of pets covered

Dogs, cats and horses

Policies offered

Accident-only, accident and illness, preventative care

Waiting period

No waiting period for preventative care and a 14-day waiting period for accident and illness coverage.

Notable perks

ASPCA offers some of the most comprehensive plans on the market, covering typical accidents and injuries, as well as less common hereditary, congenital and breed-specific conditions. You can take advantage of a 30-day money-back guarantee if no claims are filed and receive a 10% discount when insuring multiple pets.

[ Return to summary ] 

Curable vs. incurable pre-existing conditions

Diseases and illnesses your pet will always have, called incurable pre-existing conditions, generally aren’t covered if developed before you buy the policy and the waiting period ends. This can include things like kidney disease and diabetes, among other issues. If your pet develops these while they’re insured, however, they could be covered. It’s one of the reasons that it makes sense to get coverage for your pet when they’re young and healthy, along with the fact that the cost tends to be lower.  

Some policies will cover a condition your pet has faced after being cured for a certain period, generally between 6 and 12 months, called a curable condition. Temporary illnesses like a broken bone or an upper respiratory infection may be eligible for coverage on a pet insurance policy if the pet insurance company considers it a curable condition and the condition has cleared up. 

There’s no one list of what every pet insurance company considers curable versus incurable — the exact list of conditions that insurers will cover varies by company. If your pet has had medical conditions in the past, you’ll want to have a good idea of what your policy will cover and what it won’t. Be sure to read your pet’s policy closely and ask questions before you buy if you’re unsure about coverage. 

Bottom line

Subscribe to the CNBC Select Newsletter!

Money matters — so make the most of it. Get expert tips, strategies, news and everything else you need to maximize your money, right to your inbox. Sign up here.

Why trust CNBC Select?

Our methodology  

Editorial Note: Opinions, analyses, reviews or recommendations expressed in this article are those of the Select editorial staff’s alone, and have not been reviewed, approved or otherwise endorsed by any third party.