Does Pet Insurance Cover Apoquel?


Key Takeaways
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Pet insurance coverage includes Apoquel medication if your dog develops allergies after the waiting period has passed.

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Most insurers like ASPCA, Lemonade and Spot cover Apoquel in their standard accident and illness plans without requiring optional prescription medication add-ons.

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Factor in your pet’s breed, age and location when deciding if you need pet insurance that covers Apoquel.

How Does Pet Insurance Work for Apoquel?

Apoquel is a prescription medicine that helps dogs get relief from itching and skin irritation caused by allergies. Vets often recommend it for allergic skin conditions. 

Pet insurance covers Apoquel if it’s prescribed for a new allergy that develops after the waiting period and isn’t a pre-existing issue. Once you’ve met your deductible, your insurance provides reimbursement of about 60% to 90% of the cost, depending on your plan.

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What Covers Apoquel?

Accident and illness plans often cover Apoquel when your dog develops allergies after the policy begins. But if your dog showed allergy symptoms before you bought coverage, insurers will treat it as a pre-existing condition and won’t cover Apoquel for it.

Who Has Apoquel Coverage?

Apoquel is usually covered under standard accident and illness plans if your dog develops allergies after your policy's waiting period ends. In some cases, though, you might need to add a prescription medication option to get coverage, as shown in the table below.

✓ (But only 50% of the cost after your deductible)

Coverage varies by state and by policy. Read your plan documents carefully to understand what’s included and what’s not.

Compare the top pet insurance companies to determine the best option for your pet:

Do You Need Apoquel Coverage?

Most pet insurance plans cover Apoquel if your dog develops allergies after the waiting period, which usually lasts about two weeks after you sign up. Whether you need to get pet insurance with type of coverage depends on a few key factors, listed below.

  1. 1
    Your Pet's Breed

    Pet insurance is worth it for dog breeds that are more prone to allergies than others. The following commonly develop skin allergies that require Apoquel treatment:

  2. 2
    Your Pet's Age

    Dogs can develop allergies at any age, but symptoms usually appear between the ages of one and three. Older pets may show new allergy symptoms as their immune systems change over time. Early coverage protects you from pre-existing condition exclusions if allergies develop later.

  3. 3
    Your Location

    Pets in areas with high pollen counts, humidity or environmental allergens need Apoquel more often. Urban environments with pollution and rural areas with ragweed and grass allergies both trigger allergic reactions in dogs. Coastal regions with mold and mildew also increase allergy risks.

  4. 4
    Your Financial Situation

    Apoquel costs between $80 and $100 for a 20-pill pack in the U.S., according to LifeRx Pharmacy. Pet insurance with Apoquel coverage reimburses 60% to 90% of medication costs, minus your deductible, after you file a claim, potentially saving you $864 to $3,240 annually.

Will Pet Insurance Cover Apoquel?: Bottom Line

Apoquel is usually covered when your dog develops allergies after the policy’s waiting period. Most insurers, including ASPCA, Lemonade and Spot, offer this coverage without needing a prescription medication add-on. 

The need for the best pet insurance with Apoquel coverage depends on your pet’s breed, age and location, since some dogs are more prone to allergy issues that may require medication.

Is Apoquel Covered by Pet Insurance?: FAQ

We’ve rounded up some of the most common questions pet owners have about pet insurance that covers Apoquel, along with clear answers to guide you:

Does pet insurance cover Apoquel for pre-existing conditions?

How much does pet insurance reimburse for Apoquel?

What's the waiting period for Apoquel coverage?

Does pet insurance cover Apoquel for cats?

What dog breeds need Apoquel coverage most?

About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

He writes about economics and insurance, breaking down complex topics so people know what they're buying.


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