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Pre-existing conditions - anything that showed symptoms before enrollment or during a waiting period - are excluded by every insurer in the market. Some insurers make one honest exception: a curable condition can regain coverage after 6-12 symptom-free months, depending on the company (knee and ligament conditions are commonly carved out). Chronic conditions diagnosed before enrollment stay excluded for the pet's life.

The gap between buying a policy and coverage starting: commonly 2-15 days for accidents, about 14 days for illnesses, and up to 6 months for hip and knee conditions - though some insurers waive the orthopedic wait with a vet exam completed within the first 30 days. A condition that appears during a wait counts as pre-existing.

The common Canadian menu is 70%, 80% or 90% reimbursement after a $0-$1,000 annual deductible, up to caps commonly between $5,000 and $15,000 (one major insurer offers no cap). The honest rule: set the deductible at the biggest bill you could comfortably absorb, and economize on the cap last - a low cap surfaces exactly when the bad year arrives.

Accident-only costs a fraction (about $251 a year for the average dog) and covers the broken-leg and swallowed-toy scenarios - but not the far more common illness claims: allergies, infections, cancer. If the full premium fits your budget, accident-and-illness is what the coverage debate is actually about; if not, accident-only still caps your worst single day.

In 2025 industry data, accident-and-illness coverage averages CA$1,176 a year (about $98 a month) for dogs and CA$601 a year (about $50 a month) for cats. Accident-only plans run far less - roughly $251 a year for dogs and $212 for cats. Your quote moves with breed, age and reimbursement level - and in Ontario, Quebec, Saskatchewan and Manitoba, retail sales tax rides on top.