US pet insurance

Pet insurance waiting period

A pet insurance waiting period is the time between buying a policy and being able to claim. It's there so people can't take out cover once their dog is already unwell. With the US insurers we compare, the wait for illness is 14 to 30 days (Nationwide says most of its plans start 1 to 14 days after approval). Accidents are often covered sooner, while some insurers ask you to wait up to 6 months for knee problems.

How long until your dog is covered?

Each insurer has two bars: the wait before accidents are covered, and the wait before illness is covered. The shorter the bar, the sooner you can claim.

Embrace
Figo
Pets Best
Trupanion
Pumpkin
Spot
Healthy Paws
Lemonade

Nationwide says most of its plans start 1 to 14 days after your application is approved, without separate accident and illness waits. Lemonade's FAQ names an illness waiting period but not one for accidents.

Is there dog insurance with no waiting period?

Not for illness, but you can get accident cover from the very first day. Embrace covers accidents from the start, and Pets Best (3 days) and Trupanion (5 days) have short waits for accidents too. Here's how every US insurer we compare compares.

InsurerWait before illness is coveredWait before accidents are covered
Trupanion30 days (illnesses in the first 30 days are treated as pre-existing)5 days
Nationwide'Most plans start 1–14 days after your application is approved and payment has been processed' (no split by illness/injury stated)As above
Lemonade14 daysNot listed separately in the FAQ (only illness and orthopedic waiting periods are named)
Healthy Paws15 days15 days
Embrace14 daysNone: accidents are covered from the start
Pets Best14 days3 days
Pumpkin14 days14 days
Figo14 days1 day for injuries caused by an accident
Spot14 days14 days

What is the waiting period for cruciate ligament cover?

Knee problems such as a torn cruciate ligament come with their own rules in many policies. Some insurers make you wait longer before knee problems are covered, and many treat both knees as one condition, so a problem in the first knee before cover started can rule out the second one too.

Standard waiting period (30 days or less)

  • SpotWaiting period 14 days14-day waiting period. Knee problems count as affecting both sides, so a pre-existing problem in one knee rules out the other.
  • PumpkinWaiting period 14 days14-day waiting period. Knee problems count as affecting both sides, so a pre-existing problem in one knee rules out the other.
  • Healthy PawsWaiting period 15 daysNo separate knee rule: the standard 15-day waiting period applies. (Hip dysplasia has a 12-month wait, and no cover if your dog joins at 6 or older.)
  • LemonadeWaiting period 30 days30-day orthopedic waiting period; signs before it ends make it pre-existing.

Longer waiting period for knees

  • EmbraceWaiting period 180 daysExcluded for life if signs appear in the first 180 days, and signs in one knee rule out the other.
  • Pets BestWaiting period 6 months6-month waiting period, which a participating vet can reduce or waive by certifying your dog's health first.
  • FigoWaiting period 6 months6-month waiting period, which you can waive with an orthopedic waiver form sent within 30 days. Both knees count as one.
  • NationwideWaiting period First policy yearExcluded if signs appear in your first policy year; cruciate cover is an optional add-on.

No extra wait, but a long look-back

  • TrupanionWaiting period 18 months backNo separate waiting period, but if either knee showed signs in the 18 months before you joined or your first 30 days, both are excluded.

Your questions answered

Does dog insurance start immediately?

Not for illness. The US policies we read have an illness waiting period of 14 to 30 days, and Nationwide says most of its plans start 1 to 14 days after approval. Accidents can be covered sooner: Embrace covers them from day one, Pets Best after 3 days and Trupanion after 5. So the sooner you take out a policy, the sooner your dog is protected.

Is anything that happens in the waiting period covered later?

Unfortunately not. An illness or injury that shows signs during the waiting period counts as pre-existing, so it stays excluded even after the waiting period ends.

Every answer is a plain-English summary of the insurer’s own policy wording, read in October 2026. Policies change and terms can differ by plan and state, so check the policy before you buy. Each insurer’s page shows the exact section we read.