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Emergency Pet Insurance: Coverage for Urgent Veterinary Care (2024)

Did You Know?

5,534 pet owners requested and received a free no-obligation quote from one of the above companies in the last 30 days.

Pet Insurance for Emergency and Specialty Veterinary Care

Due to its unpredictable nature, emergency veterinary care may crop up at any time. Having a sick or injured pet is stressful, and wondering how or if you can pay for care only makes the situation worse.

“Having pet insurance allows owners to focus more on their pet’s health and wellbeing and helps prevent painful decisions based on financial constraints,” Jenny Alonge, a veterinarian in Virginia, said. “The investment can save your pet’s life as well as your pocketbook if an emergency happens.”

Affordable pet insurance that covers emergency care can alleviate the monetary burden placed on pet parents when unexpected veterinary needs arise. Some plans can even pay your vet directly, eliminating the need to pay bills upfront and wait for reimbursement.

However, pet insurance policies do not cover pre-existing conditions or health issues your pet had before you purchased a policy. You can generally use pet insurance if your pet has an emergency or needs to see a specialist for a new condition. Once you have a policy in place and the waiting period has passed, your plan will reimburse you for many types of unexpected expenses up to your allowed annual coverage limit. In an emergency, pet owners with insurance can save thousands of dollars.


Compare the Best Pet Insurance Companies for Emergencies

Use the table below to compare emergency pet insurance companies:

Company Monthly Cost Star Rating Accident Waiting Period BBB Rating Visit Site
$15-$30
4.8
2 days* B- EXPLORE PLANS
$34-$75
4.5
14 days A- EXPLORE PLANS
$39-$73
4.7
48 hours A+ EXPLORE PLANS
$45-$90
4.3
15 days A+ EXPLORE PLANS
$18-$44
4.8
14 days N/R EXPLORE PLANS
Company BBB Rating Monthly Cost Star Rating Accident Waiting Period Visit Site
B- $15-$30
4.8
2 days* EXPLORE PLANS
A- $34-$75
4.5
14 days EXPLORE PLANS
A+ $39-$73
4.7
48 hours EXPLORE PLANS
A+ $45-$90
4.3
15 days EXPLORE PLANS
N/R $18-$44
4.8
14 days EXPLORE PLANS
No results were found.

*Lemonade may offer shorter waiting periods depending on where you live.

Why Trust Us?

Here’s a breakdown of how we reviewed and rated the best pet insurance companies
35
Companies Reviewed Our team reviewed over 35 pet insurance companies, collecting and comparing data on monthly premiums, customizable coverage selections and more.
1000
Quotes Collected We’ve collected more than 1,000 sample quotes from pet insurance companies for a variety of age ranges, species and breeds to give readers an accurate view of pricing and how competitors stack up in terms of rates. We update our pages regularly to reflect accurate cost information.
42
Rating Factors Our comprehensive rating system scores providers based on 42 data points in eight key rating factors: monthly pricing, plan options, covered treatments, coverage customizations, customer care, industry reputation, age limits and waiting periods.
5
Veterinary Professionals We’ve consulted several veterinary professionals to confirm the accuracy of our pet care information and pricing.

What Kind of Specialty Veterinary Care is Covered by Pet Insurance?

The first veterinary specialties emerged in the 1950s and the number of disciplines has since multiplied. Now, pet owners can access over 16,000 board-certified veterinarians across 46 different specialties to provide care beyond what is offered by a standard veterinary practice.

Here are the most common specialties available to cats and dogs:

  • Behavior
  • Dentistry
  • Dermatology
  • Critical care
  • Internal medicine
  • Cardiology
  • Neurology
  • Oncology
  • Ophthalmology
  • Surgery (advanced orthopedic and soft tissue surgery)
  • Rehabilitation
  • Radiology

Most Common Pet Emergencies

Pets can face emergency conditions at any time, and ranging in severity from slightly urgent to immediately life-threatening. Below are examples of common pet emergencies and associated costs.

ConditionSymptomsTreatmentCost To Treat*
Intestinal foreign body obstructionVomiting and abdominal painSurgery$1,500–$5,000
BloatUnproductive retching and a bloated appearanceSurgery$1,500–$5,000
PyometraLethargy, vomiting and vaginal dischargeHospitalization and/or surgery$2,100–$8,500
Male feline urethral obstructionVocalizing and repeated trips to the litter boxUrinary catheterization and/or hospitalization$1,600–$4,500
Eye injurySquinting, redness and painMedications or surgery$800–$5,000
Respiratory distressDifficulty breathing and pale or blue gum coloringOxygen therapy, medications and/or hospitalization$500–$3,000
SeizuresSudden loss of consciousness, paddling and vocalizingVaries depending on the cause$200+
TraumaIf a pet falls, is hit by a car or experiences another accidentSupportive care, pain control, wound care and/or surgery$900–$7,500

*Treatment cost figures sourced from CareCredit.

Costs to treat common emergencies vary by where you seek care. Primary veterinarians can handle many emergencies that occur during regular business hours, and treatment may cost less than visiting a 24/7 emergency facility. Despite the higher cost, a serious emergency is often best handled by a specialized emergency clinic staffed with emergency veterinarians and highly skilled support staff.

A dog on the table being seen by two vets.

How Emergency Pet Insurance Helps Pet Owners

Pet insurance can save you hundreds to thousands of dollars if your pet experiences a medical emergency. Consider the following examples.

Gastric Dilatation Volvulus

Your German shepherd begins violently retching as if she is trying to vomit, but can’t bring anything up, and her abdomen appears hard and distended. Your primary veterinarian is open, so you take your dog right away. The veterinarian takes X-rays and discovers your dog’s stomach is filled with air and twisted, necessitating emergency surgery. After surgery, she stays in the hospital overnight.

Your total bill for the emergency visit, X-rays, blood work, surgery and hospitalization costs $2,500. Let’s say you have pet insurance that covers emergencies, with a $500 deductible, 80% reimbursement rate and unlimited annual coverage. Your insurance doesn’t cover the exam fee, which is $150. After submitting your claim, your insurance company reimburses you approximately $1,480.

Urinary Tract Obstruction

On a Saturday, your male cat begins yowling and frequently visits the litter box, seemingly straining to urinate. Because your veterinary clinic is closed on weekends, you take him to the nearest emergency veterinary hospital. The vet can feel that your cat’s bladder is large and confirms with X-rays and blood work that his urethra is obstructed. He was admitted to the hospital, started on intravenous (IV) fluids and sedated for urinary catheterization. He stays in the hospital’s ICU for two more days to monitor kidney function and urine output and is started on a prescription diet before the veterinarians remove the catheter and send him home.

The cost for the visit, procedure, hospitalization and prescription food totals $2,800. You have pet insurance that covers emergencies and exam fees, with a $250 deductible, a 70% reimbursement rate and a $10,000 annual limit. You already filed a $500 claim earlier this year and met your deductible. For this new claim, your insurance company reimburses you approximately $1,960.


Pet Emergencies Not Covered by Insurance

Pet insurance covers most types of pet emergencies. However, specific situations can cause an insurer to exclude certain emergencies from coverage. For example, if you have accident-only coverage, insurers will also exclude emergencies caused by illnesses.

Another factor to consider is pre-existing conditions or health issues that began before you applied for your pet’s policy or during the waiting period. If you have a full-coverage accident and illness plan, your provider can exclude an emergency if caused by or related to a pre-existing condition. 

For example, say a dog with diabetes develops diabetic ketoacidosis, a life-threatening condition caused by uncontrolled blood sugar. If the diabetes was pre-existing or the pet owner has an accident-only plan, the insurer would not cover any related emergency visits.

Some pet insurance plans may have additional exclusions listed in a policy’s fine print. Examples of common exclusions include:

  • Injuries related to abuse, neglect or ignoring veterinary recommendations
  • Vaccine-preventable illnesses
  • Repeated foreign body ingestions
  • Illness or injury related to breeding, pregnancy or birth
  • Illness or injury caused by nuclear war

Top 5 Emergency Pet Insurance Companies of 2024

Lemonade

Cheapest plans for dogs
4.8
Our Rating
Recommended plan Accident and illness Annual coverage limits $5k-$100k Maximum annual limit $100,000
MONTHLY COST $23.18

Pros and Cons

Pros Covers vet-recommended hospitalization costs Provides a 10% discount if you bundle with a homeowners or renters insurance policy Uses AI technology for a faster claims process Cons Has a long waiting period for certain conditions, such as cruciate ligament events Doesn’t cover pets older than 14 years

Lemonade’s Emergency Care

Lemonade’s accident and illness plan is ideal for pet emergencies. Deductible options start as low as $100, and most pet owners are unlikely to exceed the maximum annual limit of $100,000. The waiting period for accidents is only two days, which is shorter than many other providers — take Spot’s 14-day waiting period for example.

Coverage

Lemonade offers a typical accident and illness pet insurance plan that covers your animal for accidents such as injuries, broken bones and sprains, plus illnesses such as cancer, heart disease, skin conditions and more. Lemonade will cover a variety of diagnostics, treatments and prescription medications related to your pet’s care. It also covers hospitalization, IV fluids, medications and additional testing recommended by a licensed vet, in case your fur baby’s emergency requires in-patient care.

You can also increase your coverage with up to five policy add-ons, including a vet fees endorsement that covers the costs of follow-up exams.

Spot Pet Insurance

Most Customizable Coverage
4.5
Our Rating
Recommended plan Accident and illness Annual coverage limits $2,500–unlimited Maximum annual limit Unlimited
MONTHLY COST $54.03

Pros and Cons

Pros Customers can choose between an accident-only or accident and illness plan Various customization options allow pet owners to adjust premiums No upper age limit restricting enrollment Cons The 14-day waiting period for accidents is longer than other providers we reviewed Above-average pricing compared to other providers on our list

Spot’s Emergency Care

Coverage

Spot provides a choice of accident-only or accident and illness plans, so customers can customize their pet’s coverage based on what matters most. Spot offers multiple customization options overall, with a multitude of deductible, annual limit and reimbursement rate combinations.

Spot’s plans cover exam fees and microchipping, which other providers on our list exclude or charge extra for. The company also covers all necessary services if an emergency occurs, including hospitalization, dental injury treatment, prescription medications, surgery, imaging tests and other diagnostics.

Embrace

Our Pick for Savings
4.7
Our Rating
Recommended plan Accident and illness Annual coverage limits $5,000–unlimited Maximum annual limit Unlimited
MONTHLY COST $56.04

Pros and Cons

Pros Has a 2-day accident waiting period, ideal when purchasing coverage to prepare for an emergency The $100 deductible option limits out-of-pocket emergency expenses Offers discounts for multiple pets, military veterans and healthy pets to lower monthly costs Cons Exam fees and prescription drug coverage cost extra in some states Does not cover prescription foods or supplements sometimes required to treat emergency illnesses

Embrace Emergency Care

Embrace has decades of experience providing emergency pet insurance coverage for policyholders. Although monthly plan costs are higher than average based on our research, the company offers multiple opportunities to save on premiums. Embrace also provides the most flexible wellness plan of the providers we reviewed, which can help pet owners avoid certain health issues before emergency care is needed.

Embrace also has a short waiting period for accidents and low deductible options — both pros when considering emergency expenses. Its wide range of deductible and annual limit options can also help keep premiums affordable, and an unlimited option ensures emergency expenses stay within budget.

Coverage

Embrace offers an accident and illness plan for pets under 15 years old and an accident-only plan for pets 15 years and older. Embrace plans include exam fees and prescription drug coverage in some states, but such charges may incur additional fees elsewhere. Plans also cover diagnostics, hospitalization, surgeries and other medically necessary treatments in the event of an emergency.

Embrace offers wellness plans that, while not directly covering emergencies, allow pet owners to budget for routine care. Embrace policyholders have access to a wellness plan fund at the beginning of each year that they can use on covered routine care costs as they see fit, helping to prevent emergencies by maintaining pets’ overall health. Plus, healthy pets that do not require owners to file claims receive a discount on premiums each year.

Fetch Pet Insurance

Our Pick for Comprehensive Coverage
4.3
Our Rating
Recommended plan Accident and illness Annual coverage limits $5,000–$15,000 Maximum annual limit $15,000
MONTHLY COST $67.46

Pros and Cons

Pros Offers holistic and alternative care to aid in recovery after pet accidents or injuries Covers telehealth visits, which can save on emergency room costs Plans include coverage for emergency room exam fees Cons Longer waiting periods of 15-days for accidents and six months for orthopedic conditions Second-highest monthly pricing of providers we reviewed

Fetch Emergency Care

Fetch plans offer ideal coverage for emergencies because the coverage is very comprehensive and excludes few services, allowing pet owners to visit an emergency hospital with less worry. Although Fetch no longer offers an unlimited reimbursement option, its highest annual maximum of $15,000 is likely sufficient for most emergency and follow-up care.

Fetch plans cost above the $49 per month industry average at around $67 per month. However, the company offers unique perks that other plans lack such as coverage for exam fees, holistic and alternative care, all-tooth dental illness and end-of-life care.

Coverage

Fetch offers a single accident and illness plan that received our top pick for the most comprehensive pet insurance option we’ve reviewed. The plan covers exam fees, diagnostics, surgeries, hospital fees, rehabilitation, alternative care, all-tooth dental treatments, and virtual visits for emergency and non-urgent care.

Fetch’s plan also covers a set of unique perks, such as vacation cancellation if your pet experiences an emergency while you’re away, lost pet advertising fees and reimbursement for the cost of your pet if it passes away. Wellness care plans are also available to maintain routine pet health.

ASPCA Pet Health Insurance

Our Pick for Older pets
4.8
Our Rating
Recommended plan Accident and illness Annual coverage limits $2,500–$10,000 Maximum annual limit $10,000
MONTHLY COST $31.04

Pros and Cons

Pros Average monthly cost is lower than the industry average No restrictions on coverage for older pets, which could experience more emergency illnesses Accident-only plan offers a low-cost option for emergency-only coverage Cons Longer 14-day waiting period for accidents No unlimited coverage option

ASPCA Pet Health Insurance Emergency Care

With over a decade of experience, ASPCA Pet Health Insurance is one of the most experienced pet insurance providers we reviewed. Pet owners can choose from two base policies — an accident-only and an accident and illness plan — each offered at a competitive price point.

ASPCA Pet Health Insurance is also our top pick for senior pets because it does not reduce coverage and remains more affordable as pets age. This is beneficial since senior pets could have higher rates of illnesses and injuries that may necessitate an emergency visit.

Coverage

ASPCA Pet Health Insurance offers two plans that are comparable in coverage to Spot, with an accident-only and accident and illness plan. However, ASPCA Pet Health Insurance offers fewer customization options and lower monthly premiums.

Both plans cover exam fees, microchipping, prescription medications, surgery, hospitalization and physical therapy related to emergencies. The accident and illness plan also covers behavior treatments, alternative therapies and dental accident treatments. Plus, the company offers two optional wellness plans for protection beyond emergency care.


How Much Does Emergency Pet Insurance Cost?

According to the MarketWatch Guides team’s research, which included state-by-state quote collection, the average cost of an accident and illness pet insurance plan is $66 per month for dogs and $32 for cats.

Because accident and illness pet insurance includes coverage for emergencies and associated treatments, there is typically no difference in cost for emergency versus non-emergency coverage. The price you pay for full accident-and-illness coverage depends on a few factors.

  • Age: As your pet ages, it is more likely to experience health problems and require vet care. This presents a greater risk for pet health insurance companies, and your premium may increase accordingly.
  • Breed: Your dog or cat could cost more or less to insure based on its breed. For example, French bulldogs are predisposed to respiratory problems, making them one of the pricier breeds to cover.
  • Location: State regulations and the local average cost of vet care also play into pet insurance premiums. If the cost of living is high in your area, expect to pay more than average for pet insurance.

Is Pet Insurance for Emergencies Worth It?

An emergency involving your beloved pet can be a frightful and frantic experience. The last thing you want to worry about is whether you can afford potentially life-saving care. But having the right pet insurance policy can make all the difference if your pet ever suffers from an emergency.

Dr. Richard Pytak, a veterinary ophthalmology resident in Las Vegas, Nev., sees pet insurance as a useful tool for pets in crisis. 

“When a pet has a serious condition or injury, it can quickly become an emergency,” said Dr. Pytak. Surgery or hospitalization is often necessary but typically costs several thousand dollars that the pet owners were not prepared to pay. Pet owners with insurance can make decisions quickly and confidently when minutes matter and don’t have to choose between their pet’s health or life and paying their bills that month.”

When shopping for pet insurance, look for important features like if a provider covers hospital stays, pet ambulance rides, specialist or urgent care and offers a 24/7 vet hotline. A high reimbursement rate and coverage limit can also help absorb the substantial cost of emergency vet care. We recommend getting quotes from at least three providers on this list before choosing the pet insurer that best fits your needs.


Frequently Asked Questions About Emergency Pet Insurance

Unfortunately, there are almost no pet insurance plans that you can use immediately after purchase. As an industry standard, there are waiting periods before you can access coverage for accidents and illnesses. Waiting period lengths vary, and companies may have extended waiting periods for specific conditions, like hip dysplasia. However, some companies may offer ways to waive waiting periods for qualified pets.

Yes, you can enroll a pet that is already sick in pet insurance. However, your pet’s illness will be considered a pre-existing condition and, therefore an exclusion on your policy. Pet insurers will not reimburse charges for veterinary care related to pre-existing conditions.

Many of the pet insurance providers on this list offer coverage for unexpected accidents under accident-only or accident-and-illness plans. We recommend getting quotes from at least three providers before enrolling your pet in coverage.

Pet insurance covers you for unexpected vet bills due to eligible injuries, illnesses, accidents and conditions. Pet emergency funds, on the other hand, specifically cover your pet for emergencies as determined by the fund’s provider. Only specific types of companies offer pet emergency funds, such as Pawp.


Methodology: Our System for Rating Pet Insurance Companies

We review each pet insurance company based on factors most important to pet parents like you. To inform our reviews, we surveyed 1,000 dog and cat owners nationwide to determine the most important elements of pet insurance coverage. Our process includes in-depth industry research about each provider, such as comparing coverage options, gathering quotes online to determine pricing and reading reviews to assess customer service. 

We then score each provider on a 100-point scale and divide the final score by 20 to calculate an overall rating out of 5.0 stars. Here are more details about the factors we consider when reviewing pet insurance providers:

  • Monthly pricing (25%): To assess pricing, we collect sample quotes for medium-mixed breed and purebred dogs and cats, ranging from four years old to one year old. Providers earn the most points in this category for offering affordable coverage and a multi-pet discount. 
  • Plans (15%): The best pet insurance companies offer a range of plans to give customers the option to choose the coverage that is best for their pet. Companies offering accident and illness plans, accident-only plans, and wellness or preventive care add-ons earn full points in this category. We also look at coverage limits and award the most points for policies with unlimited coverage. 
  • Covered treatments (15%): According to our survey of pet owners, coverage is one of the most important factors when shopping for pet insurance. Companies with a breadth of included treatments and unique coverages receive more points in this category than providers with more standard or general policies.
  • Customization options (10%): Customizing your pet insurance policy can help lower your cost. Providers that offer more annual limit, deductible and reimbursement rate options earn the highest scores in this category.
  • Customer care (10%): Respondents to our survey also valued customer service when comparing pet insurance providers. We score each company based on its website accessibility and overall usability, customer service availability, mobile apps, money-back guarantees and veterinarian telehealth options, awarding points to insurers with more customer experience offerings.
  • Industry reputation (10%): We review up-to-date ratings and accreditation information from the Better Business Bureau (BBB) and score companies based on years of industry experience and state availability.
  • Waiting periods (10%): Companies with shorter accident, illness and orthopedic waiting periods between the time you sign up for coverage and your policy starts score higher in this category.
  • Eligible age (5%): Some companies do not offer policies for pets over a certain age. For this category, we deduct points from providers that have age limits for covered pets.

We use our rating system to compare each company we review and determine the best pet insurance companies in the industry. To learn more, read our full pet insurance methodology for reviewing and scoring providers. 


Angela Beal, DVM Doctor of Veterinary Medicine

Angela Beal, DVM, loves using her writing to help pet owners provide the best possible care for their furry companions. Angela has worked in private practice and taught veterinary technicians for 15 years. Since 2020, she has worked full-time with Rumpus Writing and Editing, a veterinary-specific writing and editing company. Angela lives in Columbus, Ohio with her husband, two sons, and their spoiled Chihuahua mix, Yogi.

Ryan Lasker Editor

Ryan Lasker is a financial writer and editor with bylines in Morning Brew, The Motley Fool, and several more. As a certified public accountant, he leverages his technical expertise in personal finance and tax to fuel his passion for teaching financial literacy. When he’s not writing, editing or working in a spreadsheet, he’s biking the D.C. trails or reading.

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