On this page· 8 sections
  1. What Embrace covers
  2. How the deductible and reimbursement model work
  3. Wellness Rewards: what the routine-care add-on does
  4. Pre-existing conditions and waiting periods
  5. How Embrace fits within the US pet insurance market
  6. Questions to ask before you apply
  7. Common questions
  8. References

Pet-insurance · Cornerstone

Embrace Pet Insurance: what it covers, how it works, and what to check before you apply

Last reviewed September 10, 20267 min readBy the Goodsurance editorial team Reviewed by the Goodsurance editorial team

Embrace's core product is an accident-and-illness policy for dogs and cats. Covered conditions typically include:

1What Embrace covers

  • Accidents such as broken bones, lacerations, and foreign body ingestion
  • Illnesses including cancer, diabetes, heart disease, and infections
  • Hereditary and congenital conditions, provided they have not been documented in your pet's health records before enrollment
  • Prescription medications, diagnostic imaging, and lab work tied to a covered condition
  • Surgeries, hospitalizations, and specialist referrals

An accident-only tier is also available for pet owners who want a lower-cost safety net against trauma events without the broader illness coverage.

One category worth clarifying before you bind is behavioral conditions and therapies. Coverage for these varies across carriers and sometimes across states within the same carrier. Verifying whether Embrace's current policy language in your state includes or excludes behavioral treatment is a question worth directing to the carrier before you finalize enrollment.

In short: Embrace's accident-and-illness plan is broadly inclusive and covers hereditary conditions that many older policies exclude, but the policy document for your state is the governing text.

Accident-Only
  • Covers trauma events: broken bones, cuts, and swallowed objects
  • Lower annual cost than broader tiers
  • Does not cover illnesses, hereditary conditions, or diagnostics for illness
Accident and Illness
  • Covers accidents and illnesses: cancer, diabetes, heart disease, and infections
  • Hereditary and congenital conditions covered if not documented before enrollment
  • Includes prescription meds, imaging, lab work, surgeries, and specialist visits
Accident, Illness, and Wellness Rewards
  • All accident-and-illness coverage included
  • Adds reimbursement for vaccines, flea and tick prevention, dental cleanings, and wellness exams
  • Wellness portion reimburses up to a fixed annual ceiling, not unlimited preventive care

2How the deductible and reimbursement model work

Embrace uses an annual deductible rather than a per-incident deductible, and that distinction carries real financial weight across a policy year. With an annual structure, once you satisfy the deductible through one or two claims, all remaining covered expenses for the rest of that policy year are reimbursed at your chosen percentage with no additional deductible to meet. A per-incident deductible, by contrast, resets with every new claim, which can significantly raise your out-of-pocket exposure in a year with multiple conditions.

The "Healthy Pet Deductible" is Embrace's signature feature. For each consecutive policy year in which you file no claims, your annual deductible decreases by a fixed increment, down to a specified floor. This rewards policyholders whose pets stay healthy by gradually lowering the cost threshold. The trade-off is that the benefit is not immediate for new enrollees, and a year with a significant claim resets the progression.

Reimbursement is calculated against actual veterinary invoices rather than a benefit schedule. Benefit-schedule reimbursement, used by some legacy policies, pays out against a fixed fee table that often falls well below real clinic charges, particularly at urban or specialty hospitals. Actual-cost reimbursement is more predictable and generally more favorable when treatment costs are high.

In short: the annual deductible structure and actual-cost reimbursement basis are two design choices that tend to favor policyholders over per-incident deductibles and benefit-schedule reimbursement.

Annual Deductible and Actual-Cost Reimbursement
  • Pay one deductible per policy year; remaining covered claims carry no additional deductible
  • Reimbursement is based on your actual vet invoice, not a fixed fee table
  • More predictable out-of-pocket costs in a year with multiple conditions
Per-Incident Deductible and Benefit-Schedule Reimbursement
  • A new deductible applies each time a new condition is treated
  • Reimbursement is capped at a fixed fee table, often below real clinic charges
  • Out-of-pocket costs can be significantly higher in a year with several claims

3Wellness Rewards: what the routine-care add-on does

Embrace does not bundle routine preventive care into its base policy. Instead, it sells a separate Wellness Rewards add-on that reimburses a set annual amount toward services such as vaccinations, flea and tick prevention, annual wellness exams, dental cleanings, and some prescription preventives.

This add-on is not traditional insurance in the actuarial sense. It functions more like a prepaid reimbursement account: you pay for eligible services, submit receipts, and Embrace refunds up to the annual ceiling you selected when you enrolled. Because the add-on premium is visible and the reimbursement ceiling is fixed, evaluating its value is a relatively straightforward calculation before you sign up.

For context, the American Veterinary Medical Association reports that dog-owning households spend an average of $598 a year at the veterinarian, and cat-owning households spend an average of $529. Not all of that goes to routine preventive care; a meaningful portion covers sick visits and diagnostics. Your own pet's health history and the specific services your veterinarian recommends annually are the best inputs for deciding whether the add-on's premium-to-ceiling ratio makes sense for your situation.

In short: the Wellness Rewards add-on is worth modeling against your actual routine-care spend before you add it, because it reimburses up to a fixed ceiling rather than insuring unlimited preventive expenses.

4Pre-existing conditions and waiting periods

No US pet insurer covers pre-existing conditions, and Embrace's policy is consistent with that market-wide standard. A pre-existing condition is any illness, injury, or symptom that existed before your policy's effective date or that arose during the waiting period. The practical consequence: if a veterinarian documented and evaluated your pet's limping before you enrolled, any future orthopedic claim involving that same joint may be denied regardless of how comprehensive your coverage tier is.

Embrace distinguishes between curable and incurable pre-existing conditions. A curable condition that has shown no symptoms and required no treatment for a specified period may become eligible for coverage once that period passes. An incurable or chronic condition, such as diabetes or epilepsy, typically remains excluded for the life of the policy. Requesting your pet's veterinary records before you apply and reviewing them against Embrace's policy definitions is the most reliable way to anticipate what will and will not be covered.

Waiting periods are the companion issue. In states that have enacted the NAIC Pet Insurance Model Act, an insurer may impose no more than a 30-day waiting period for illness and orthopedic conditions, and no waiting period at all for accidents. The Model Act also entitles policyholders to a 15-day free-look period, during which they can cancel for a full refund. Whether your state has adopted the Model Act determines which of these protections apply to your policy; your state insurance department's website is the authoritative source for that answer.

In short: pre-existing condition classification and waiting period rules are where most pet insurance disputes originate, and reviewing both before you bind is more consequential than any single coverage feature.

Pre-existing conditions: what may become eligible vs what stays excluded

Covers

  • A curable condition with no symptoms and no treatment for a set period after enrollment
  • Any condition not documented in your pet's veterinary records before your policy's effective date

Does not cover

  • Incurable or chronic conditions such as diabetes or epilepsy: excluded for the life of the policy
  • Any illness or injury a veterinarian documented before your enrollment date
  • Conditions that first appeared during the waiting period

Pull your pet's veterinary records before applying to anticipate what may be excluded.

5How Embrace fits within the US pet insurance market

Pet insurance remains a small segment of the broader US pet economy. US consumers spent $188.8 billion on pets, pet products, and pet services in 2024, according to the Bureau of Economic Analysis series maintained by the Federal Reserve Bank of St. Louis. Yet only about 4.27% of US pets carry insurance coverage, according to the North American Pet Health Insurance Association's 2026 State of the Industry report, with dogs insured at a rate of 5.99% and cats at just 2.29%. The vast majority of pet owners are currently self-insuring, whether by intention or default.

For context on where Embrace's pricing may land, the same NAPHIA report shows market-wide average annual premiums across all US carriers for 2025 as follows: dogs pay $190 for accident-only coverage, $836 for accident-and-illness, and $1,414 when a wellness tier is embedded. Cats pay $112, $435, and $859 for the same three tiers respectively. These averages span all carriers, all breeds, and all states. Your Embrace quote will vary based on your pet's age, breed, zip code, chosen deductible, and reimbursement percentage. Treating these market averages as a reference band lets you recognize whether a specific quote reads as high, within range, or low for your coverage tier, even before you obtain a competing quote.

In short: fewer than 1 in 20 US pets is insured, so most owners are implicitly self-insuring; market-average premium bands give you a benchmark for evaluating any single carrier's quote without guesswork.

Market-wide average annual premiums across all US carriers, 2025
Market averages by tier: Dogs: $190 / $836 / $1,414. Cats: $112 / $435 / $859.per year
Accident-only, accident-and-illness, and wellness-embedded tiers. These averages span all carriers, all breeds, and all states. Your Embrace quote will vary based on your pet's age, breed, zip code, chosen deductible, and reimbursement percentage.
2025 market average premiums

Use these ranges to check whether your Embrace quote reads as high, within range, or low for your coverage tier.

6Questions to ask before you apply

Shopping pet insurance well means asking precise questions before you commit, not after a claim is denied. For Embrace or any carrier, work through the following before binding.

Coverage scope

  • Does the policy cover hereditary conditions common to your pet's breed? Hip dysplasia in large dogs and hypertrophic cardiomyopathy in certain cat breeds are frequent pressure points at claim time.
  • Are dental illnesses covered, not just dental accidents? Many policies cover a cracked tooth but not periodontal disease.
  • Are prescription diets and supplements covered when a veterinarian prescribes them for a covered condition?

Exclusions and limits

  • What is the exact definition of "pre-existing condition" in this policy document, not the summary brochure?
  • Are bilateral conditions (those that can affect both sides of the body, such as hip dysplasia in both hips) treated as one condition or two separate incidents?
  • Is there a lifetime payout cap per condition, per policy year, or overall?

Deductible and reimbursement

  • Is the deductible annual or per-incident?
  • What reimbursement percentage options are available, and how does the premium change at each level?
  • Exactly how does the Healthy Pet Deductible decrease each claim-free year, and what is the floor it reaches?

Claims and enrollment

  • How are claims submitted, and what documentation does Embrace require for a first-time claim on a new condition?
  • Does the policy require a veterinary wellness exam within a defined number of days of enrollment?
  • What happens to coverage and the Healthy Pet Deductible accumulation if you miss a payment and lapse?

In short: the time spent confirming these specifics before paying your first premium is the difference between a policy that performs as expected and one that surprises you when your pet needs care most.

Common questions about Pet

Quick answers to common questions

Tap any question to expand. Each question links to a fuller standalone answer.

What happens if my pet gets sick right after I sign up?

Most plans have a waiting period, which is a short stretch of time after you sign up when coverage has not started yet.

If your pet gets sick during that window, the plan will likely treat it as a problem that began before coverage, and it will not pay. The company may also call it a pre-existing condition later. Waiting periods are set by each company and can differ for accidents, illnesses, and joint problems, so ask before you enroll.

What does accident and illness pet insurance cover?

Accident and illness pet insurance is the broadest kind of pet plan.

It helps pay vet bills for injuries, like a broken bone or a swallowed toy, and for sickness, like infections, skin problems, digestive trouble, or cancer. Most plans also cover tests, X-rays, surgery, and prescription medicine tied to a covered problem. It does not pay for routine care such as checkups or shots unless you add a wellness option. Exact covered items vary by company, so read the policy first.

Does pet insurance cover routine checkups?

No.

A standard accident and illness plan pays for problems that come up when your pet is hurt or sick. Routine care is different. Checkups, shots, flea prevention, and teeth cleaning are planned costs, not surprises, so the base plan leaves them out. Many companies sell a separate wellness add on that helps with these visits for an extra monthly cost. What the add on includes varies by company. Check the wellness list before you buy so you know what you get.

What is accident only pet insurance?

Accident only pet insurance is a narrower kind of plan.

It helps pay vet bills when your pet gets hurt in a sudden event, like a broken leg, a bite wound, a cut paw, or swallowing something it should not. It does not help with sickness, such as infections, allergies, or cancer. Because it covers less, it usually costs less each month than a plan that adds illness. The exact list of covered injuries varies by company, so read the policy.

Does accident only pet insurance cover illness?

No.

That is the main limit of this plan type. Accident only coverage pays when your pet is injured, not when your pet is sick. So a torn nail from a fall could be covered, while an ear infection, a stomach illness, or cancer would not be. If you want help with sickness too, you need an accident and illness plan instead. Some companies let you move up to the broader plan later, though new health problems may then count as pre-existing.

Is accident only pet insurance worth it?

It depends on what you are trying to protect against.

This plan is built for one thing: a sudden injury that leads to a big vet bill you did not plan for. It can suit an owner who wants basic protection at a lower monthly cost, or a pet whose health history makes a broader plan hard to get. It is a weaker fit if you are worried about illnesses, since those bills would fall on you.

Does pet insurance cover pre-existing conditions?

No.

Pet insurance is made for health problems that start after your coverage begins. Anything your pet already showed signs of before that point is called pre-existing, and plans leave it out. This is why people often enroll while a pet is young and healthy. Companies look at vet records, and sometimes require an exam, to decide what came first. If you switch companies later, the new plan judges pre-existing status on its own start date.

What counts as a pre-existing condition for a pet?

A pre-existing condition is any injury or illness that showed up before your coverage started, or during a waiting period.

It does not have to be diagnosed. If your vet noted a symptom, like limping, itching, or vomiting, the company can treat that as the start of the problem. Notes in the record matter as much as a formal diagnosis. Definitions vary by company, so ask how each one reviews your pet's history before you enroll.

Can a pre-existing condition ever be covered later?

Sometimes.

Many companies split these problems into two groups. A curable condition, such as a one time stomach bug or a simple infection, may be covered again if your pet stays free of it and has no treatment for a set stretch of time. A chronic condition, such as diabetes or joint disease, is usually shut out for life. The rules and the review period differ by company, so ask for them in writing.

How does pet insurance reimbursement work?

Most pet plans work by paying you back, not by paying the vet up front.

You take your pet in, pay the bill, and send the itemized invoice to your insurer as a claim. The company checks that the care is covered, applies your deductible (the amount you cover before benefits start), and then pays back a share of what is left. You pick that share when you buy, and a higher share means a higher monthly cost.

Do I have to pay the vet first with pet insurance?

Yes, in most cases.

Pet insurance is normally a reimbursement plan, so you settle the bill at the clinic and the insurer pays you back after the claim is approved. That means you still need cash or credit on the day of the visit. A few companies can pay the vet directly if the clinic agrees to it, and some vets offer payment plans. Ask your insurer and your vet how they handle this before an emergency happens.

Is pet insurance worth it?

It depends on your savings and how you handle risk.

Pet insurance does not save money on routine care. It trades a steady monthly cost for protection against a large, sudden vet bill you cannot easily pay. If an emergency surgery would force you to choose between your pet and your budget, a plan can be worth it. If you already keep a healthy cushion set aside for your pet, self funding may serve you just as well.

References

  1. American Veterinary Medical Association: U.S. pet ownership statisticsHousehold ownership rates, estimated US dog and cat population figures, and average annual veterinary expenditures by species.
  2. Federal Reserve Bank of St. Louis: Personal consumption expenditures, pets (DPETRC1A027NBEA)Annual BEA series tracking total US consumer spending on pets, pet products, and pet services; source for the $188.8 billion 2024 figure.
  3. NAIC: Pet insurance consumer and regulatory resourcesBackground on the NAIC Pet Insurance Model Act, including waiting period standards, free-look requirements, and state adoption information.
  4. Rhode Island General Laws Section 27-83-4: Pet insurance waiting periods and free-look requirementA state-level example of Model Act enactment specifying the 30-day illness waiting period cap, zero-day accident waiting period, and mandatory 15-day free-look cancellation right.

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