Lemonade Waiting Period
The waiting period begins on the day you buy your policy.
Lemonade has different waiting periods for different things.
For example, you have to wait 2 days for accidents, 14 days for illnesses, and 6 months for knee problems.
Waiting periods help keep your insurance fair and affordable.
Key Takeaways
Here are the key takeaways on the Lemonade pet insurance waiting period:
- The waiting period is a set timeframe after enrollment before coverage takes effect. It allows the insurer to assess your pet’s health history before approving coverage.
- There are separate waiting periods for accident/injury coverage (14 days at Lemonade) and illness coverage (6 months at Lemonade).
- Pre-existing conditions detected before or during the waiting period are excluded from coverage. This prevents people from only enrolling pets when they are ill.
- During the waiting period, routine wellness benefits may be covered if that supplemental coverage is purchased. Accidents are covered after 14 days as well.
- The waiting period must be carefully managed by having an annual exam, addressing any minor conditions early, documenting health status, and budgeting for illness expenses before coverage kicks in.
- Once the waiting period ends, pet owners can submit claims for future accidents, injuries and illnesses per their policy terms and limits. Some pre-existing conditions may still be permanently excluded.
- The waiting period is an industry-standard practice to protect insurers from only covering high-risk pets. While frustrating, it allows companies like Lemonade to offer affordable pricing to all pet owners long-term.
See Our Article About Pre-Existing Conditions
Lemonade Pet Insurance: Origins
Lemonade Pet Insurance provides comprehensive accident and illness coverage for dogs and cats. Founded in 2015, Lemonade was one of the first insurtech companies to leverage artificial intelligence and behavioral economics for pet insurance. Policyholders can customize coverage across three main plans – basic accident and illness, preventative care, and wellness. Unique to Lemonade is the ability to choose your own premium, deductible, and reimbursement percentage. Claims are processed rapidly in seconds thanks to automation. Lemonade is known for affordable premiums, flexible coverage, and excellent customer service. However, like all pet insurers, Lemonade requires a waiting period before coverage takes effect for new policies.
Why is a Waiting Period Necessary for Pet Insurance?
Pet insurance companies impose a waiting period before full coverage kicks in to avoid adverse selection. Adverse selection occurs when policyholders only purchase insurance or make claims when their pet is sick or needs expensive treatment. With no waiting period in place, people could buy pet insurance right when their pet falls ill, have the treatment covered, then stop paying premiums after. This would significantly drive up costs for the insurer. Waiting periods allow insurance companies to discourage this behavior and avoid only covering pre-existing or high-cost conditions. Waiting periods also give time for the insurer to underwrite and approve each pet before claims are made. Most pet insurance companies impose waiting periods ranging from 2 weeks to 6 months for illness coverage. This protects the financial viability of covering pets with unknown health histories.
Understanding the Lemonade Pet Insurance Waiting Period
The waiting period refers to the initial timeframe after purchasing a Lemonade pet insurance policy when coverage exclusions apply. During this period, conditions that occur or are showing symptoms are considered pre-existing and will not be covered in the future. The waiting period allows Lemonade to assess a pet’s health history and approve them for coverage before claims can be made. There are two main types of waiting periods – an accident/injury waiting period and an illness waiting period. The accident/injury waiting period is 14 days. This means any accidents or injuries that happen to your pet will only be covered after the policy has been in effect for 14 days. The illness waiting period is 6 months for Lemonade. So any illnesses that arise or show symptoms within the first 6 months will be considered pre-existing conditions and excluded from coverage later on. These waiting periods apply to both new Lemonade pet insurance policies as well as policy renewals.
How Long is the Waiting Period for Lemonade Pet Insurance?
Lemonade pet insurance has defined waiting periods set at 14 days for accident/injury coverage and 6 months for illness coverage. The 14 day waiting period for accidents and injuries means your pet must be signed up for at least 14 days before any accident claim would be covered. This prevents fraud by ensuring your pet is actually insured when the incident occurs before filing a claim. The illness waiting period is a longer 6 months. This period will exclude any illnesses that arise or show symptoms within the first 6 months of your policy coverage. After 6 months, your pet’s illness coverage will take full effect. Additionally, Lemonade has a 12 month waiting period specifically for cruciate ligament conditions – any cruciate ligament issues will be considered pre-existing if symptoms arise within the first 12 months. Unlike some providers, Lemonade’s wellness coverage has no waiting period – you can use wellness benefits immediately upon enrollment. These standardized waiting periods apply to both new Lemonade pet insurance policies as well as renewals.
Types of Coverage Available during the Waiting Period
During Lemonade’s waiting period, pet owners will have limited coverage options available. For the 14 day accident waiting period, any accident injuries or traumas that occur starting 14 days after enrollment will be covered. However, illnesses that show up during the 6 month illness waiting period will not be covered. Pre-existing conditions that are detected before or during enrollment are also excluded. Hereditary and congenital conditions fall under this pre-existing condition exclusion as well. Additionally, cruciate ligament conditions that arise during the 12 month cruciate ligament waiting period will not be covered. Wellness coverage can provide some reimbursement during the waiting period for routine vet visits, vaccinations, flea/tick/heartworm prevention medication, and dental cleanings if purchased. Pet owners will pay out-of-pocket for any illness visits or treatments during the 6 month waiting period before illness coverage kicks in.
What is Covered during the Waiting Period?
There are some limited benefits covered during Lemonade’s waiting period. The main coverage is for accidental injuries and traumas that occur 14 days after your policy start date. If your pet breaks a bone, gets wounded in a fight with another animal, gets hurt in a car accident, experiences eye trauma, swallows a foreign object, or has some other sort of accident at least 14 days after enrollment, this will be covered. Wellness benefits like routine veterinary exams, vaccinations, heartworm/flea prevention medication, and dental cleanings will also be reimbursed during the waiting period if you opted for Lemonade’s wellness add-on coverage. Additionally, non-medical costs like boarding fees and advertising/reward fees are covered. So while illness coverage is not available during the 6 month waiting period, there are some important benefits you can take advantage of right away with Lemonade’s accident and wellness coverage options.
What is Not Covered during the Waiting Period?
There are significant exclusions that apply during Lemonade’s pet insurance waiting period. Any illnesses that arise during the 6 month illness waiting period will not be covered. This includes chronic conditions like cancer, kidney disease, diabetes, allergies, gastrointestinal issues and more. Additionally, any pre-existing conditions that are detected before or during enrollment will be permanently excluded. This is because the waiting period gives Lemonade time to review your pet’s health history and underwrite the policy appropriately. Examples of pre-existing conditions include hip dysplasia, ligament issues, heart murmurs, ear infections, skin conditions, and dental disease. Hereditary and congenital conditions are also not covered since they are present at birth. Finally, cruciate ligament conditions will be excluded during the 12 month cruciate ligament waiting period. Any diagnostic tests or treatments related to an uncovered illness will also not be reimbursed during the waiting period.
Managing Your Expectations during the Waiting Period
It’s important to manage your expectations appropriately during Lemonade’s waiting period. Understand accidents have a shorter 14 day waiting period before coverage kicks in, while illnesses must wait 6 months. Be financially prepared to pay veterinary bills out-of-pocket during the illness waiting period, or look into CareCredit. Enroll your pets as early as possible – don’t wait until symptoms appear. Use the wellness benefits Lemonade offers to have an annual exam, get shots updated, have preventatives prescribed, and address any minor health issues before the waiting period ends and they are considered pre-existing. Remember that chronic hereditary conditions may be permanently excluded after reviewing your pet’s full history. Set reminders for when the accident and illness waiting periods end so you know exactly when to file claims. While the waiting period can be frustrating, it allows Lemonade time to properly underwrite and approve each pet for tailored, affordable coverage long-term.
Tips for Preparing for the Waiting Period
Here are some top tips for preparing for Lemonade’s pet insurance waiting period:
- Enroll your pet when they are young and healthy to get the most value
- Have a comprehensive vet exam done upfront to establish your pet’s health history
- Save up an emergency fund to cover vet bills during the waiting period
- Look into financing options like CareCredit in case you need to fund treatment
- Thoroughly read your policy documents to understand all exclusions
- Mark your calendar for when the waiting period ends and coverage kicks in
- Save invoices and medical records to make future claims processing easier
- Take lots of photos and videos proving your pet’s good health before enrollment
- Schedule an annual exam during the waiting period to get your pet up-to-date
- Address any minor health issues now before they are pre-existing later
- Be prepared to patiently pay for your pet’s care until coverage begins
Following these tips will help you successfully navigate Lemonade’s waiting period.
How to Make the Best Use of the Waiting Period
The waiting period may seem frustrating, but you can use it to optimize your pet’s care. Schedule your pet’s annual exam during this time to establish their health baseline. Update all vaccines and immunizations and request documentation for proof of current status. Run any diagnostics your vet recommends to catch issues early. Have your vet prescribe heartworm, flea/tick and other preventative medication, which may be reimbursable under wellness coverage. Discuss any concerns about hereditary conditions and get testing as needed. Start your pet on a high-quality diet during this time and monitor their weight. Research the best pet food for their breed and age. Implement any training or behavioral recommendations to prevent future issues. Finding the right vet is also key – establish care with a trusted clinic you feel comfortable with for the long haul. The waiting period allows you time to proactively focus on your pet’s care knowing treatment will be covered later.
Factors that Affect the Length of the Waiting Period
Several factors impact the length of Lemonade’s pet insurance waiting periods:
- Type of coverage – illness waiting periods are longer than accident periods
- Pet’s age – older pets have longer waiting periods due to increased risk
- Pet’s breed – high-risk breeds like Great Danes have longer waiting periods
- Selected deductible amount – higher deductibles have shorter waiting periods
- Reimbursement rate – higher reimbursement results in longer waiting periods
- Policy limits – higher caps mean lengthier waiting periods
- Supplemental wellness coverage – adds routine care benefits during the wait
- Pre-existing conditions – more conditions mean longer underwriting and waiting periods
- Overall pet health – pets with chronic illness wait longer for approval
- Level of customization – more addons and coverage increases waiting periods
The combination of these factors determines the total length of time pet owners must wait until their Lemonade policy provides coverage. Higher risk pets undergo more extensive underwriting scrutiny before approval.
Can You Opt for a Lower Waiting Period
Unfortunately, Lemonade does not offer the ability to lower, waive, or reduce the required waiting periods on their pet insurance plans. The waiting periods are standardized across all Lemonade’s pet insurance customers at:
- 14 days for accident/injury coverage
- 6 months for illness coverage
- 12 months for cruciate ligament conditions
There is no option to pay an additional premium or fee to shorten your particular waiting period. Lemonade states their waiting periods are carefully calculated based on actuarial data assessing pet lifespans, expected claims by breed and age, veterinary costs, and other factors. Allowing policyholders to reduce their waiting periods would undermine the statistical analysis that allows Lemonade to offer affordable pricing across the board. The waiting periods help protect against only attracting the highest-risk pets needing the costliest treatments. Keeping the waiting periods consistent also simplifies administration and customer communication. While the inability to lower waiting periods can be frustrating, it sets clear expectations for all Lemonade pet insurance members.
Waiting Period vs. Deductible: What’s the Difference?
The waiting period and deductible are two separate components of pet insurance plans like Lemonade. The key differences are:
- Waiting period: Set timeframe before coverage takes effect
- Deductible: Amount you pay out-of-pocket per claim before reimbursement
The waiting period applies on the front-end before you ever file a claim. It allows the insurer to review your pet’s health and determine upcoming coverage. The deductible applies each time you submit an eligible claim after your coverage kicks in. It makes you share costs on claims to reduce insurer risk.
During the waiting period, you pay 100% of your pet’s vet bills yourself. Once the waiting period ends, coverage begins but you pay your deductible amount before insurance covers the rest. For example, with a $250 deductible you would pay the first $250 on a $1000 claim, and insurance would reimburse the remaining $750.
So the waiting period avoids covering pre-existing conditions at the start, while the deductible discourages small frequent claims down the road. The waiting period is a one-time upfront hurdle, while the deductible re-sets annually or per-claim depending on your policy.
Comparing Lemonade Pet Insurance Waiting Periods with Other Providers
Lemonade’s pet insurance waiting periods are similar to competitors:
- 14 days for accident/injury matches providers like ASPCA, Figo, Pumpkin
- 6 months for illness coverage is industry standard – ranges from 14 days to 6 months
- 12 months for cruciate ligaments also common – some as low as 6 months
Unlike some insurers, Lemonade doesn’t charge premiums during the waiting period. Others like ASPCA, Pumpkin and more require continuous payment.
Lemonade also offers wellness benefits with no waiting period, whereas competitors like Hartville and Petplan impose waiting periods for routine care coverage.
When comparing, consider factors like pricing, reimbursement rates, policy customization, and customer service reputation. Weigh pet-specific factors like breed risk, age, location and pre-existing conditions. For example, a young mixed-breed puppy with no health issues may benefit from a lower-cost policy with shorter waiting periods to maximize preventative coverage early on. An older dog with chronic illness may need higher reimbursements and limits despite longer waiting periods.
What Happens after the Waiting Period Ends?
Once Lemonade’s waiting period ends, policyholders can submit claims for covered conditions per their policy terms, deductible, reimbursement rate and limits.
After the 14-day accident waiting period, injuries and traumas happening after enrollment are covered. After 6 months, illness coverage also kicks in for new conditions arising after the waiting period. However, pre-existing conditions identified before or during enrollment remain permanently excluded if symptoms persist.
Following the 12-month cruciate ligament waiting period, cruciate ligament conditions will be covered as long as they didn’t show prior symptoms.
When filing claims after the waiting period, policyholders must provide documentation like vet records, invoices and diagnostic reports proving the condition occurred and treatment was sought after coverage began.
Overall, the waiting period allows Lemonade time to properly assess a pet’s health history before opening up coverage. Once the waiting period passes, policyholders enjoy full benefits of accident, illness and cruciate ligament coverage for future occurrences. Pre-existing conditions may still be excluded unless symptoms resolve for a period of time before re-appearing later.
How to File a Claim during the Waiting Period
Filing a claim with Lemonade during the waiting period requires paying close attention to what is covered:
- During the 14-day accident waiting period, only file claims for injuries clearly arising from an accident date 14+ days after your policy start date. Provide medical records showing the accident and subsequent treatment.
- During the 6-month illness waiting period, you cannot file any claims for illness treatment. However, keep detailed invoices and medical notes showing when the condition started and the diagnosis in case it becomes eligible for coverage after the waiting period ends.
- For wellness coverage like exams, vaccinations, dental cleanings etc. during the waiting period, submit invoices showing the type and date of wellness service provided.
Once the applicable waiting period for accident, illness, or cruciate ligament conditions has been surpassed, you can submit claims as normal following Lemonade’s documentation requirements and claim submission process.
The key is paying close attention to dates of onset versus treatment and tracking this documentation carefully. Even during the waiting period, submit the necessary claim forms and paperwork to set yourself up for smooth processing once approved.
Common Misconceptions about the Waiting Period for Pet Insurance
There are some common misconceptions pet owners have about waiting periods:
- “Pre-existing conditions are excluded forever” – Usually false, they are only excluded during the waiting period if symptoms resolve
- “The waiting period restarts every policy term” – False, it is a one-time waiting period after first enrollment
- “You can’t file any claims during the waiting period” – Partially false – wellness and accident claims will be covered
- “It’s best to enroll when your pet is older” – Typically false – ideal to enroll when young and healthy
- “The waiting period is the same for all coverage” – False – illness coverage has a longer waiting period
- “Premiums aren’t due until the waiting period ends” – FALSE with Lemonade, as they collect premiums upfront before waiting period completes
- “The waiting period applies separately per pet” – TRUE, each enrolled pet has their own waiting period
Having accurate expectations about what the waiting period entails and when coverage kicks in for your pet’s plan is critical to avoiding surprise claim denials and gaps in care.
FAQs about Lemonade Pet Insurance Waiting Periods
Here are some frequently asked questions about Lemonade’s waiting period:
Does the waiting period apply each policy term?
No, it is a one-time requirement after first enrollment.
When does the waiting period start?
It starts on the exact policy effective or renewal date, outlined in your policy documents.
Can pre-existing conditions ever be covered?
Yes, after the waiting period if symptoms resolve for a set period then reappear.
Can I still see the vet during the waiting period?
Yes, you just pay out-of-pocket for any illness visits.
How long is the cruciate ligament waiting period?
12 months for cruciate ligaments at Lemonade.
What should I do during the waiting period?
Have an annual exam, get dental cleaning, enroll in wellness benefits, manage any chronic conditions, etc.
Having the right information on waiting periods sets proper expectations so you know what to expect regarding coverage, claims, and out-of-pocket costs.