Accident Only Pet Insurance: Cost, Coverage and Who Offers It

Accident only pet insurance: a playful young Labrador retriever running in a backyard with a rope toy

By the Real Pet Cost editorial team · Prices reviewed September 2026 · How we estimate costs

Quick answerAccident only pet insurance costs about $16 a month for dogs and $9 a month for cats on average (NAPHIA), roughly a quarter of the price of an accident & illness plan. It pays for injuries such as swallowed objects, fractures, bites and poisoning, but not for any illness, so the main trade-off is lower cost versus much narrower coverage.
$16/moAvg accident-only premium, dogs
$9/moAvg accident-only premium, cats
~25%Of the cost of an accident & illness plan

The default setting (a 1–7-year-old medium dog, $250 deductible, $5,000 limit) comes out close to the national accident-only average of about $16 a month. Switch to “Cat” to see the feline range, which averages about $9.

Accident Only Pet Insurance vs Accident & Illness

An accident-only policy pays for injuries caused by a sudden, unexpected event. An accident & illness policy pays for those injuries and for diseases, which is where many large bills come from. NAPHIA’s 2025 State of the Industry report shows the price gap:

Plan typeDogs (avg)Cats (avg)
Accident-only$16.10/month ($193/year)$9.17/month ($110/year)
Accident & illness$62.44/month ($749/year)$32.21/month ($386/year)

In other words, accident-only coverage costs roughly a quarter of a comprehensive plan. The trade-off is that illnesses such as cancer, infections, allergies, diabetes, kidney disease or gastrointestinal illness are not covered at all. For full premium tables by breed, age and state, see our pet insurance cost guide.

What Accident-Only Pet Insurance Covers

Insurers define an accident along the lines of a sudden, unpreventable event that causes physical injury. Typical covered situations include:

  • Swallowed objects (socks, toys, bones) that need removal
  • Broken bones and fractures
  • Cuts, lacerations and bite wounds, including snake and insect bites
  • Poisoning or toxic ingestion
  • Being hit by a car or another moving vehicle
  • Falls and other trauma

When the cause is covered, policies usually pay for the related care: diagnostics such as X-rays, ultrasound or MRI, surgery, hospitalization, medications and emergency visits. Some plans include exam fees, while others sell them as an add-on.

What it usually does not cover

  • Any illness or disease, including hereditary and chronic conditions and cancer
  • Pre-existing injuries or conditions
  • Routine and preventive care: vaccines, checkups, dental cleanings
  • Dental illness, behavioral issues, grooming, breeding costs
Good to know: Some accident-only plans exclude cruciate ligament (ACL/CCL) injuries even though they often happen during play. Pets Best, for example, lists cruciate ligament injuries among its accident-plan exclusions. Check this line in the sample policy if you have an active dog.

Which Insurers Offer Accident-Only Plans?

Not every company sells accident-only coverage. These insurers publish accident-only plans on their own websites (details checked September 2026):

InsurerPublished detailsAdvertised starting price
ASPCA Pet Health InsuranceCovers diagnostics, sutures, medications, hospitalization and surgery for accidental injuries; preventive add-on availableNot published (quote-based)
Spot14-day waiting period in most states; exam fees, diagnostics, surgery and medications for covered injuriesFrom about $15/month (dogs) and $9/month (cats)
Pets BestCovers trauma, poisoning, bites, foreign bodies, fractures; excludes cruciate ligament injuriesFrom about $9/month (dogs) and $6/month (cats) in most states
EmbraceFixed $5,000 annual limit, $100 deductible, 90% reimbursement; offered to pets 15 years and older and some pets not eligible for full coverageQuote-based

Advertised “starting at” prices reflect the youngest, lowest-risk pets with the least expensive settings; most quotes land higher. MoneyGeek’s September 2026 comparison, based on a 6-year-old Labrador and 7-year-old Ragdoll, found accident-only quotes of about $11 to $16 a month among its top-rated picks.

What Affects the Price of Accident-Only Coverage

Species and size

Cats cost less to insure than dogs, and larger dogs cost more because surgery, anesthesia and medication doses scale with weight.

Age

Accident risk depends less on age than illness risk, so accident-only premiums usually rise more gently than comprehensive plans. Some insurers steer older pets toward accident-only coverage when full coverage is no longer offered.

Location

Premiums follow local vet fees, so urban and higher-cost regions pay more.

Deductible, reimbursement and annual limit

A higher deductible or lower reimbursement rate lowers the premium. Accident-only annual limits are often lower than on comprehensive plans, starting around $2,500 with some insurers.

Could pet insurance cover a bill like this?

Accident & illness plans typically reimburse 70–90% of eligible vet costs after the deductible, if the condition is not pre-existing and the waiting period has passed. Premiums for dogs average about $62/month and for cats about $32/month (NAPHIA, 2025).

See if pet insurance is worth it →

Coverage is subject to each policy’s terms, exclusions and state availability.

When Accident-Only Pet Insurance Can Make Sense

This is a neutral look at the situations where owners commonly consider it. It is not a recommendation for any specific pet or policy.

  • A tight budget: at roughly $9–$16 a month on average, it offers some protection against a large injury bill when a comprehensive plan isn’t affordable.
  • Older pets: some insurers limit full coverage by age, and accident-only may be the remaining option.
  • Pets with pre-existing conditions: if illnesses would largely be excluded anyway, accident coverage may still apply to new injuries.
  • Active or curious pets: dogs that chew and swallow objects, or pets that roam outdoors, face more accident risk.

When it may fall short

Many of the most expensive and ongoing costs come from illness: cancer treatment, chronic disease, repeated diagnostics or long-term medication. An accident-only policy pays nothing toward those. If a large illness bill would be hard to cover, compare the extra monthly cost of accident & illness coverage with the risk you would be keeping. Our guide Is pet insurance worth it? walks through that math.

Coverage is subject to each policy’s terms, exclusions and state availability.

Real Accident Bills for Context

Accident-type careTypical costOur guide
Emergency visit, no surgery$500–$1,500Emergency vet cost
Stitches for a moderate cutAbout $500Dog stitches cost
X-rays (2–3 views + exam)About $250Dog x-ray cost
Emergency surgery$2,000–$8,000+Emergency vet cost

A policy would reimburse part of such bills after the deductible, if the injury is covered and not pre-existing, and after any waiting period has passed.

How an Accident Claim Pays Out: an Example

Here is simple arithmetic for a hypothetical covered accident, using common plan settings. It is an illustration, not a quote.

StepAmount
Vet bill for removing a swallowed object (exam, x-rays, surgery, one night in hospital)$2,000
Minus annual deductible−$250
Eligible amount$1,750
Reimbursed at 80%$1,400
Your share of this bill$600

Over a year, an average dog accident-only premium of about $193 plus that $600 share would total about $793, versus $2,000 without coverage. In a year with no accident, you would simply have paid the premium. Line items the policy excludes (for example, exam fees on some plans) would add to your share.

Most insurers reimburse you after you pay the clinic: you upload the itemized invoice and medical records through an app or website, and payment goes to your bank account once the claim is approved. Ask your vet for an itemized estimate before non-emergency treatment so you know what to expect.

Signs of an Emergency

Insurance questions can wait; urgent care cannot. Contact your vet or an emergency vet right away if your pet has been hit by a car, has trouble breathing, is bleeding heavily, may have swallowed a toxin or an object, collapses, has a swollen or hard belly with unproductive retching, or cannot stand or bear weight on a leg. Most policies let you see any licensed vet, including emergency hospitals, and file the claim afterward.

How to Save on Accident Coverage

  • Compare identical settings (deductible, reimbursement, annual limit) across several insurers.
  • Read the exclusions list, especially cruciate ligament injuries, exam fees and dental injuries.
  • Ask about multi-pet discounts; several insurers offer 5–10% off additional pets.
  • Choose a deductible you could pay tomorrow without stress, rather than the lowest one.
  • Enroll before anything happens, since injuries during the waiting period are usually excluded.
  • Keep a small emergency fund alongside the policy for the deductible and anything not covered, or look into financing such as CareCredit or Scratchpay.

Frequently Asked Questions

What does accident-only pet insurance cover?

It covers vet care for sudden injuries: swallowed objects, broken bones, cuts and bite wounds, poisoning and being hit by a car. Related diagnostics, surgery, hospitalization and medication are usually included when the injury is covered. Illnesses are not covered.

How much is accident-only pet insurance?

NAPHIA’s latest data puts the average at $16.10 a month for dogs and $9.17 for cats. Insurers advertise starting prices as low as about $6–$9 a month for cats and $9–$15 for dogs, but quotes vary with breed, age, location and plan settings.

Is accident-only pet insurance worth it?

It depends on your budget and your pet. It gives some protection against large injury bills at a low price, but it pays nothing for illnesses such as cancer or chronic disease. Compare it with the cost of an accident & illness plan and with the savings you could set aside.

Does accident-only insurance cover ACL tears?

Often not. Some accident-only plans specifically exclude cruciate ligament injuries, and comprehensive plans may apply a longer orthopedic waiting period. Always check the exclusions in the sample policy.

Is there a waiting period for accident-only plans?

Usually yes. Waiting periods vary by insurer and state, from about one day to 14 days for accidents. Injuries that happen before coverage starts are excluded.

Can older pets get accident-only coverage?

Often. Some insurers have no upper age limit, and Embrace, for example, offers its accident-only plan to pets aged 15 and older who can no longer enroll in full coverage.

Sources and methodology. Prices are national ranges compiled from the sources below and cross-checked in September 2026. Local prices vary with the clinic, your pet’s size and health, and your region.

Not veterinary advice. Prices are estimates for budgeting, not quotes. Ask your veterinarian for a written, itemized estimate. If your pet is injured, in pain or acting unwell, contact your vet or an emergency animal hospital right away.