Frequently Asked Questions

Here are answers to some commonly asked questions about Embrace coverage. Don't see your question listed? Ask us directly here.

Coverage

Unlike human health insurance, pet insurance has no networks. Because it works based on a reimbursement method, you pay the vet directly, submit your claim, and we pay you back - you can visit any veterinarian, specialist, or emergency hospital you like.

Only you can decide how much coverage you need. We typically recommend getting the highest coverage that you can comfortably afford.

You can downgrade your coverage at any time. Downgrading your coverage means anything that gives you “less” coverage. This could include lowering your annual maximum, lowering your reimbursement rate, or increasing your deductible.

You can also upgrade your coverage at any time; however, your policy would be subject to re-underwriting which is basically like getting a brand new policy. You would have new waiting periods and any accident or illness that started before your upgrade date (whether a claim was submitted and covered for it or not) would be considered pre-existing.

Yes. We will never drop your pet or reduce their coverage based on age, health status, or claims you’ve filed. Once you’re signed up, we do not cancel coverage for anything other than non-payment of premium.

A bilateral condition is a condition or disease that affects both sides of the body. Some examples of bilateral conditions include hip dysplasia and cruciate ligament tears. Because a pet runs a higher risk of the same condition on the other side of the body, if a pet has a pre-existing instance of a bilateral condition, we are not able to cover the condition on the other side. However, if a pet is diagnosed with one covered bilateral condition, we will also cover the condition if it occurs on the other side.

Yes, behavioral therapy and training is covered when administered by a veterinarian for a covered condition.

Yes, breed-specific, genetic, and congenital conditions are covered by every accident and illness policy as long as the condition is not pre-existing to the policy and waiting periods.

Yes, cancer treatment is covered as long as the condition is not pre-existing to the policy and waiting periods. Coverage includes diagnostics and testing, radiation therapy, chemotherapy, surgery & hospitalization, rehabilitation, and alternative therapies.

Yes. Just like with human doctors – sometimes just walking into the vet’s office can cost you $50, $80, even upwards of $100. Embrace includes this fee in your reimbursement. Many pet insurance companies do not cover your vet’s exam fee (sometimes called an office visit fee). When a pet insurance company doesn’t cover the exam fee, it’s almost like paying an extra deductible on every single claim you file. Embrace thinks you should be reimbursed for every part of your visit, not just some of it.

Absolutely. Embrace covers alternative therapies for 12 weeks following any covered injury or illness.* Coverage for alternative and holistic veterinarians is included in your accident and illness policy at no extra charge. We do require that the treatment be for covered conditions and carried out either by a vet, under the direct supervision of a vet, or at a vet’s recommendation. We may need to verify that your vet recommended this treatment, but as long as they have – we’re good to go.

Alternative therapy coverage includes:

  • Chiropractic care
  • Acupuncture
  • Hydrotherapy
  • Therapeutic Laser Treatment
  • Physiotherapy

One important thing to remember is that vitamins and herbal supplements (those that are not FDA approved for veterinary use) and alternative therapy options not associated with a covered condition are not covered under this portion of the policy, however Wellness Rewards does reimburse for them.

*For new policies & renewals in CO, DE, FL, & NY alternative and complementary therapies are included for covered injuries and illnesses with no time limit.

Pet insurance is for the unexpected, so accident and illness policies do not cover routine care costs. However, Embrace also offers Wellness Rewards, a routine care product that can be purchased in addition to your pet insurance policy. Wellness Rewards reimburses for everyday veterinary, training, and grooming costs. It works like a health savings account, helping you budget for your pet’s routine care expenses.

Every pet insurance plan has exclusions and the Embrace plan is no exception.

Here's a summary of what's not covered:

  • Pre-existing conditions
  • Breeding, whelping, and pregnancy
  • Injury caused deliberately by you or any other person or pet residing in your home
  • Injury or illness resulting from fighting, racing, cruelty, or neglect
  • Cosmetic procedures such as tail docking, ear cropping, and dew claw removal unless medically necessary
  • DNA testing or cloning
  • Stem cell therapy not deemed medically necessary
  • Avian Flu or Nuclear War

For a complete list of exclusions see the Embrace terms and conditions.

A pre-existing condition is any injury, illness, or irregularity noticed by you or your veterinarian before the end of your waiting period, even if your pet never went to see the veterinarian for it. No pet insurance company covers pre-existing conditions.

However, Embrace does distinguish between curable and incurable pre-existing conditions. Examples of incurable pre-existing conditions include diabetes, allergies, etc. Curable pre-existing conditions include things like ear infections and undiagnosed vomiting or diarrhea. As these issues can be completely cleared up, they could be covered moving forward if the pet goes 12 months symptom free.

We define what conditions are pre-existing for your pet by requesting their medical records for the 12 months (or less, if they are a new addition) prior to the purchase of the policy. If you’d like, you can request that we do a Medical History Review, which involves one of our claims adjusters reviewing your pet’s medical records to let you know what – if any – conditions would be considered pre-existing. It’s important to note that we don’t automatically do these Medical History Reviews, you must request one. However, they are free of charge and available to anyone who has a policy.

Policy Parameters

Dogs and cats age 14 and younger are eligible for full accident and illness coverage. Pets over 14 years of age are eligible for an accident-only policy.

Once your pet is signed up with Embrace, coverage is locked in for life. If your pet is eligible for accident and illness coverage when enrolling today, that full coverage will continue as long as your pet remains insured with us. We will not drop your pet's coverage at a certain age, nor will we change it. Any policy changes are totally up to you.

The deductible is the amount that you are responsible for before reimbursements start. Like most other types of insurance, you are responsible for part of the cost. Our deductible is annual which means you only have to meet your deductible once per policy term – not every vet visit, or once for every different type of condition, which is how some pet insurance companies operate.

No. Only charges for covered accidents and illnesses are applied to your deductible. Routine care/preventative care items (such as vaccinations, spay/neuter, heartworm/flea/tick preventative, etc) are not covered by the insurance policy, making them ineligible to be applied toward your deductible.

Your annual limit is the most Embrace will reimburse, after you meet your deductible, in a policy year.

No. You may have heard terms like “Schedule of Benefits” or “Usual, Customary, and Reasonable Standard (UCR)” when researching pet insurance. In layman’s terms, these are lists of what certain pet insurance companies think vets should charge for treatment, and they only reimburse you for what THEY think you should have been charged. Embrace doesn’t believe in using any of these tactics. We reimburse you based on a direct percentage of your vet bill.

A reimbursement rate is the percentage of the vet bill that you’ll get back after you meet your deductible. One way to look at a reimbursement rate is to think of it as the opposite of a copay. For example, if you have an 80% reimbursement rate, that’s like having a 20% copay. You pay 20% of the bill. Embrace pays 80%.

Embrace calculates claim reimbursements by first subtracting the deductible and then taking off the copay, so you get the most back.

No. There is only an annual maximum, which you're able to choose.

Catastrophic pet insurance refers to insurance that has a high deductible and therefore a lower premium. This is a good option for pet parents mostly looking to protect against major, expensive events, such as an $8,000 vet bill for cancer, as opposed to smaller events, such as a $300 vet bill for an ear infection.

Yes, policy premiums do increase over time for a few reasons. There are several factors that can affect premiums, including:

  • The pet getting older
  • Increases in veterinary costs
  • Changes in overall trends in the pet population

We do not raise rates due to submission of claims.

Waiting Periods

Policies have a 14-day waiting period for illness coverage and a 2-day waiting period for accident coverage.

Dogs only: Dogs also have a six-month orthopedic waiting period (OWP). Orthopedic means anything related to bones, joints, ligaments, etc. However, there is an option to have it reduced to as little as 14 days by following the Orthopedic Exam and Waiver Process for Dogs

For more information, visit our Waiting Periods for Pet Health Insurance details page.

Medical History Review

A medical history review is something you can request if you have concerns about pre-existing conditions. Typically, your pet’s medical records are reviewed at the time of the first claim, but Embrace’s claims adjusters are happy to do it early at your request. This review is completed within the first 30 days of your policy as long as we have all necessary information. You will be emailed a list of any possible pre-existing conditions, when they expire (if applicable), or given the all-clear.

The medical history review lets you know ahead of time if anything would be considered pre-existing to help you better understand your coverage. If, for any reason, you are dissatisfied with the medical history review findings, you can cancel your policy. Embrace offers a 30-day money-back guarantee as long as no claims have been reimbursed. Outside of the first 30 days, you will be refunded a pro-rated amount for the unused portion of the month or year.

For more information, visit our Medical History Review details page.

To complete the medical history review and to process claims, Embrace requires medical history for your pet from any vet they visited in the 12 months before the policy start date. If your pet is a puppy or kitten or recently adopted and doesn’t have 12 months of records, we need all medical history for any visit they’ve had while in your care. The medical history we require includes doctor's and/or chart notes in which the vet has recorded examination findings, pet’s health status, and test results.

If your pet did not have a visit in the 12 months leading up to enrollment, they must have a full physical exam within the first 14 days of the policy.  Along with the notes from that visit, any additional medical history you have from the 12 months prior to the policy (if received from the breeder/shelter/rescue) should also be sent in. If you do not have any additional medical history, that is fine.

Healthy Pet Deductible

With Healthy Pet Deductible, your pet's annual deductible is automatically reduced by $50 each year that you don't receive a claim reimbursement. Healthy Pet Deductible is included with every policy at no extra charge.

Once your pet's deductible decreases to $0, that's as low as it can go. We'll automatically apply any Healthy Pet Deductible credits you've earned when you're eligible for reimbursement. Once you receive an accident or illness claim reimbursement greater than your current Healthy Pet Deductible credit, the Healthy Pet Deductible credit resets to zero for your next policy year.

For the most part, you should submit claims as you normally would. If your pet is sick or injured, please contact your veterinarian immediately. To help maximize the benefit from Healthy Pet Deductible, you can submit claims at any point in the policy year they occurred, plus 60 days into your next policy term. Whether or not you submit your claims is totally up to you. We will process whatever you send us.

Accident-only Plan

Pets who are too old for full accident and illness coverage can purchase an accident-only policy.

Coverage for this policy includes, but is not limited to:

  • Bloat
  • Foreign body ingestion
  • Hit by car
  • Poisoning
  • Cuts and lacerations
  • Etc

An Embrace accident-only policy reimburses you up to $5,000 each year. There is a $100 deductible that you pay once per year and then you're reimbursed 90% of your veterinary bills. These parameters are not editable.

Wellness Rewards

Items that can be reimbursed via Wellness Rewards include, but is not limited to:

  • Wellness exams
  • Vaccinations & titers
  • Flea, tick, & heartworm medication
  • Spay/neuter surgery
  • Fecal exams
  • Routine blood tests
  • Microchipping
  • Umbilical hernia repair
  • Gastropexy
  • Toe nail trimming
  • Routine anal gland expression
  • Routine chiropractic care, reiki, massage therapy, acupuncture
  • Teeth cleaning & dental illness
  • Prescription diet food purchased at your veterinarian
  • OFA & PennHIP exams and X-rays
  • Nutritional supplements
  • Medicated shampoos
  • Behavioral/obedience/specialty training
  • Pet activity monitors
  • Grooming
  • Cremation/burial

There are three annual allowance options for Wellness Rewards reimbursement:

  • $250 allowance per policy year
  • $450 allowance per policy year
  • $650 allowance per policy year

No. You can use your Wellness Rewards plan for any allowable product or service up to your annual allowance.

No. Wellness Rewards is not currently available for standalone purchase. You must be an Embrace Pet Insurance policyholder to purchase Wellness Rewards.

whiskerDocs

Effective March 1, 2019, Embrace Pet Insurance is discontinuing the whiskerDocs option.

Effective May 1, 2018, Embrace Pet Insurance is discontinuing the VetLIVE option.