Nationwide has been selling pet insurance since 1982, making it one of the longer-established players in this market. Understanding how their coverage model operates is the foundation for deciding whether it might fit your situation. Pet insurance doesn't work like human health insurance—there's no monthly premium that covers everything upfront. Instead, you pay a monthly or annual premium to keep your policy active, visit any veterinarian you choose, pay the vet bill out of your own pocket, then submit a claim to Nationwide for reimbursement.
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This "pay and claim back" structure means you need cash available when your pet needs care. Nationwide processes most claims within 10 business days, though some can take longer depending on complexity. The company operates through a straightforward online portal where you can upload receipts and track claim status. You don't need to get pre-approval from Nationwide before taking your pet to the vet—you have freedom to choose your own veterinarian without network restrictions. This flexibility appeals to many pet owners who have established relationships with their current vets.
Nationwide's coverage includes both accident and illness claims. An accident might be a broken leg from a fall, while illness covers conditions like diabetes, infections, or cancer. The company also offers a wellness add-on rider that covers things like annual exams, vaccinations, and dental cleanings—services typically excluded from base policies. This breakdown matters because knowing what your base policy covers versus what requires an add-on helps you understand your actual costs.
Practical takeaway: Before considering Nationwide or any pet insurer, confirm your vet's office can handle claim submissions. Some smaller practices may not be familiar with the reimbursement process, though this is becoming less common as pet insurance grows in adoption.
Nationwide offers several plan structures, and the names and specifics can shift over time, so it's worth checking their current website directly. Historically, they've offered plans with different annual deductible amounts, reimbursement percentages, and annual maximums. A higher deductible means you pay more out of pocket before insurance kicks in, but your monthly premium is lower. A lower deductible means higher monthly costs but less money out of your pocket when you need care.
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The reimbursement percentage typically ranges from 70% to 90% depending on your plan choice. This means if your vet bill is $1,000 and you chose a 90% reimbursement plan, Nationwide would reimburse you $900 (assuming you've met your deductible). The 10% you cover is called coinsurance. Annual maximums vary—some plans might cap reimbursement at $10,000 per year, while others go higher. These numbers directly affect how much the insurance actually helps with major veterinary expenses.
Nationwide also distinguishes between per-incident and annual deductibles. With a per-incident deductible, you pay that deductible once per condition per year. So if your dog has an ear infection treated in January, you pay the deductible for that incident. If the same dog breaks a leg in June, that's a different incident, so you'd pay the deductible again. An annual deductible means you only pay it once per calendar year, no matter how many separate health issues arise. This distinction can add up significantly for pets with multiple health problems in a single year.
Practical takeaway: Create a spreadsheet comparing Nationwide's plan options side by side—list deductible, reimbursement percentage, annual maximum, and premium cost. Then estimate your own pet's likely annual vet expenses based on past visits and breed-specific health risks. This rough calculation shows which plan level actually saves you the most money over a full year.
Every pet insurer, including Nationwide, excludes pre-existing conditions. This is a critical detail that catches many people off guard. A pre-existing condition is any health issue your pet had before your policy start date or within a certain waiting period after you purchase coverage. If your cat was diagnosed with hyperthyroidism before you sign up for Nationwide, that condition won't be covered by the policy, even if you develop the policy later.
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Nationwide's definition matters here. Some insurers only look at conditions diagnosed before the policy starts. Nationwide historically has looked back at your pet's medical history—if records show your pet received treatment for something in the past, it may be classified as pre-existing even if you didn't remember to mention it. This is why providing complete medical records when you enroll can prevent claim denials down the road. If your vet has documented that your pet had no signs of a particular condition during past exams, that documentation can work in your favor if a similar issue appears later.
Beyond pre-existing conditions, Nationwide also doesn't cover certain categories of care. Breeding-related costs (pregnancy, cesarean sections, breeding treatments) aren't covered unless you purchase a specific rider. Behavioral issues and training aren't covered. Alternative therapies like acupuncture may not be covered under standard policies, though specific add-ons exist. Routine care like nail trimming, ear cleaning, and dental cleanings fall under the wellness rider option, not the base policy.
There are also breed-specific considerations. Nationwide, like other insurers, may charge higher premiums for breeds prone to specific genetic conditions. Large breed dogs prone to hip dysplasia, for example, might pay more. Some insurers outright exclude certain hereditary conditions common in specific breeds, though Nationwide's approach varies by the specific breed and condition.
Practical takeaway: Before enrolling, request your pet's complete medical records from your vet and review them yourself. Note any past diagnoses, treatments, or even mentions of potential health concerns. When you fill out Nationwide's enrollment form, disclose everything—omitting information about a past condition and then filing a claim for it later can result in claim denial.
Nationwide isn't the only player in this market. Major competitors include ASPCA Pet Health Insurance, Petplan (Fetch by Petplan), Healthy Paws, and Embrace. Understanding how Nationwide stacks up matters because the best choice depends on your specific pet and priorities.
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ASPCA Pet Health Insurance often appeals to people who already support the ASPCA charity—a portion of premiums go toward their organization. Their plans can be slightly cheaper than Nationwide for young, healthy pets, but they've faced some criticism around claim processing times. Petplan, owned by insurance giant Fetch, offers some of the highest annual maximums in the industry and tends to have strong ratings for customer service. However, Petplan's premiums can run higher than Nationwide's.
Healthy Paws and Embrace focus on different market segments. Healthy Paws is known for relatively low premiums and no upper age limits—you can enroll and keep your senior pet covered. Embrace offers a unique "wellness rewards" feature that returns unused premiums at year-end if you don't file claims, plus they offer coverage for some alternative therapies like acupuncture as a standard feature. Nationwide doesn't offer this rewards approach; they keep all premiums whether or not you use the policy.
Nationwide's strengths include their long history in the market, multiple plan options at different price points, and the option to add wellness coverage. Their geographic footprint is broad, so they're familiar with vets across different regions. A potential weakness is that they may not offer the absolute lowest premiums for young, healthy pets when compared to newer, more specialized competitors.
Another consideration is digital tools. Nationwide offers a mobile app where you can submit claims and track reimbursements. Some competitors also offer this; others still require paper submissions. The ease of using their system matters if you plan to file claims frequently.
Practical takeaway: Visit the websites of at least three insurers (Nationwide included) and get quote estimates for your specific pet. Use the same deductible and reimbursement percentage across quotes to make fair comparisons. You might be surprised by the price differences—a few dollars monthly can mean hundreds annually.
Looking at specific scenarios shows how pet insurance actually works in practice. Imagine you have a three-year-old golden retriever named Max. Max eats something he shouldn
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This guide is for general information only and is not medical, financial, legal, or other professional advice. For decisions specific to your situation, consult a qualified professional. See our Editorial Policy.