Glossary
Pet insurance terms in plain English
Quick definitions for the policy words that matter when you compare quote options. Terms vary by provider, so always review details directly with the provider.
Plain-English pet insurance definitions
Deductible
The amount you pay before eligible reimbursement applies. Some policies use annual deductibles; others may structure deductibles differently.
Reimbursement rate
The percentage of eligible expenses the provider may reimburse after the deductible, subject to policy terms and limits.
Annual limit
The maximum amount a policy may reimburse during a policy year. Some policies use unlimited annual benefits, while others use caps or benefit schedules.
Waiting period
The time after coverage starts before certain accident, illness, orthopedic, dental, or other benefits may apply.
Pre-existing condition
A symptom, illness, injury, or condition that existed before coverage started or before a waiting period ended. Definitions vary by provider.
Exclusion
A service, condition, charge, or situation the policy does not cover. Exclusions are usually described in the sample policy.
Accident-only coverage
Coverage generally focused on eligible accidental injuries. It may not include illnesses or chronic conditions.
Accident and illness coverage
Coverage generally designed for eligible future accidents and illnesses, subject to waiting periods, exclusions, deductibles, reimbursement rates, and limits.
Wellness plan
A routine-care benefit or add-on that may help with exams, vaccines, preventive care, or similar predictable costs. It is not the same as accident and illness coverage.
Claim
A request for reimbursement or payment under a policy after eligible care. Providers may request invoices, medical records, and other documentation.
Quote
An estimate based on pet, location, policy settings, and provider rules. A quote is not the same as a final policy contract.
Underwriting
The process a provider may use to evaluate eligibility, health history, pricing, or policy terms. Pet insurance underwriting practices vary.
Direct vet pay
A feature where a provider may pay a veterinarian directly in certain situations. Availability, timing, and requirements vary by provider and clinic.
Benefit schedule
A table that sets maximum benefit amounts for certain conditions or services. It can differ from reimbursement based on the actual invoice.
Coinsurance
The share of eligible expenses not reimbursed by the policy. If reimbursement is 80%, the pet owner's coinsurance share is generally 20% before considering exclusions and limits.
Next step
Once the terms make sense, use the quiz, calculator, or comparison page to prepare better questions before visiting third-party quote pages.