Is Pet Insurance Worth the Cost?
September 2010 - Consumer Reports
"Is pet insurance worth the cost?" Consumer Reports. 2010.
Like health coverage for people, pet policies can be complicated. Here's what we found when we analyzed the coverage and premiums from four pet health insurers.
Before he died in 2008, Gremlin the Cat racked up nearly $10,000 in veterinary bills to treat salivary cancer, a rare disorder. The 13-year-old gray tabby was treated twice in a New York City veterinary hospital to shrink a tumor and died a few months later.
Gremlin's owner, Carol Sherwin of South Salem, N.Y., says she doesn't regret spending the money on Gremlin's care. But just to make sure her new kittens, Isabelli and Fang, don't take a similar bite out of her wallet, she plans to buy pet insurance. "They are my furry children," she says, "and I want them to be healthy and happy for as long as possible."
The high cost of vet care
Some people will do anything for their pets. But a majority of owners draw the line after spending $500 for veterinary care, according to a recent survey by the Associated Press and Petside, a website. As costs move closer to $1,000, fewer pet owners are likely to pay for care.
That's where pet insurers say they can help. For monthly premiums of less than $10 to more than $90, they promise to pay a portion of your pet's bills for medical and surgical care, and, depending on the policy, some other types of care. What you pay depends on where you live, your pet's breed and age, the deductible, and the coverage. Pet insurance, says Dennis Drent, CEO of Veterinary Pet Insurance (VPI), the largest insurer, is intended to help owners avoid having to choose "economic euthanasia"—letting a beloved animal go because they can't afford the vet costs.
Pet insurance is not widely owned. At most, 3 percent of dogs and 1 percent of cats are insured, by some recent estimates. By focusing on the potentially high cost of care, insurers are hoping to change that. You'll find the coverage promoted on TV, online, in supermarkets, in retail stores like Petco, and in veterinary offices.
But do you need it? More specifically, is it worth the money? We shopped online and analyzed coverage by three brands—VPI, ASPCA Pet Health Insurance, and 24PetWatch QuickCare—whose parent companies together control an estimated 87 percent of the market. We also examined a relative newcomer, Trupanion, which offers a simpler approach than the others. Counting variations in coverage and deductibles, we looked at nine plans.
To compare them, we used as a model Roxy, a purebred beagle, age 10, in Westchester County, N.Y. Her vet calls her a "basically healthy" dog. Over the years she's had a few health issues. She was treated twice in an animal emergency room after downing potentially poisonous chocolate. She was also treated for a puncture wound after a fight with another dog. She's had two costly dental cleanings under anesthesia, suffered a few ear and eye infections, and as a pup had gastrointestinal distress.
We adjusted Roxy's total vet bills into present-day costs to create a model to judge how her lifetime expenses would have been covered under the nine policies. We also looked at how the value of the coverage changed if we added potentially costly elements to her medical history: chronic arthritis; incontinence as a result of spaying; hypothyroidism; the removal of a benign tumor; and euthanasia. Here's what we found:
Coverage limitations
Like human health insurers have traditionally done, pet insurers exclude pre-existing
conditions from coverage. An insurer also might exclude a pet's condition from coverage
at renewal. To address this, ASPCA Pet Health Insurance offers a "continuing care"
option to new customers, which added 36 percent to Roxy's estimated premiums.
Cost-sharing
You'll face either a deductible, a co-pay, or both with most insurers. They might
impose a maximum limit on treatment for individual illnesses, or on the yearly or
lifetime reimbursement.
Exclusions
Carriers often exclude hip dysplasia, a chronic malady. QuickCare Gold won't cover
any illness claims for Chinese shar-peis or their crossbreeds, though it will cover
accidents. VPI has its own long list of excluded conditions.
Extra fees
They include a one-time fee of $25 for Trupanion and $2 a month for VPI and QuickCare
customers who pay their premiums monthly rather than annually.
Claims quirks
With these plans, you foot the bill yourself and wait for reimbursement. ASPCA limits
coverage to "reasonable costs" based on veterinary pricing in the area in which
the fee was incurred. VPI posts a long schedule on its website outlining the maximum
payouts for each illness or injury. We wager most people won't slog through those
details until after a claim is paid. They probably should. While consumer complaints
to the national Better Business Bureau about all four insurers are few, they focus
heavily on disputes over contract language. (The BBB rates newcomer Trupanion A-,
and gives the others A+, its top rating.)
Costly or unnecessary add-ons
Some carriers let you add "wellness care" coverage to their accident and illness
policies. We found it's generally not worth the cost. ASPCA's Level 3 coverage adds
spaying or neutering, an annual physical, three common vaccines, and fecal and heartworm
tests to its Level 2 accident and illness coverage. The coverage also promises higher
maximum benefits. But for Roxy, it added $2,766 to the insurance cost over 10 years
and paid out just $1,159 in benefits. VPI offers a "CareGuard Core" rider that costs
$12 per month—$144 a year—but it never paid out that much in any year.
Playing the odds
Overall, we found that the pet policies we analyzed were not worth the cost for a generally healthy animal. In healthy Roxy's case, we found that none of the nine policies would have paid out more than the projected premiums over a 10-year period.
If you're unlucky enough to have a pet with a costly chronic condition or illness, or a young animal in need of major care, we found you could get a positive payout from pet insurance—if your pet develops the condition while covered. For our dog with chronic problems and our very sick kitties (see A tale of two kitties), the Trupanion plans provided the highest net benefits. (VPI sent us several examples of when its estimated payouts were higher.) Trupanion doesn't pay for wellness care or exams, and it imposes other limitations. But after a per-incident deductible, it promises to pay 90 percent of the bill, with no lifetime ceiling.
While it's impossible to predict your pet's odds of contracting a costly illness, you can take a number of steps to keep him or her healthy and minimize veterinary costs.
Save in advance for vet bills
Dog owners spent an average of $225 last year on routine vet visits and $532 on
surgical visits; for cats, the averages were $203 and $278, according to the American
Pet Products Association. Our preferred alternative to pet insurance is to add a
couple hundred dollars each year to an emergency savings fund for pet care.
Spay or neuter your pet
Among other advantages, neutered animals are less likely to get into fights. And
spaying reduces the risk of breast cancer.
Get annual checkups
Make sure vaccinations are kept current.
Shop with your eyes open
If you're considering pet insurance, download a sample policy and its terms and
conditions from the insurer's website and read them thoroughly for limitations,
exceptions, and co-payments. (If the site doesn't include a sample contract, call
the company to ask for one.) We prefer coverage with simple, percentage-based payouts,
and no reliance on judgments of what's "reasonable." Avoid riders for wellness care.
If you plan to use the insurance for catastrophic coverage—say, $1,000 and up—go
for the highest deductible you can comfortably afford.
