ChatGPT SearchOct 3, 2026
Trupanion appears to have the clearest published position for brachycephalic airway coverage: it explicitly says brachycephalic-related illnesses are covered when not pre-existing.
Other insurers reported as covering BOAS include Embrace, Prudent Pet, Spot, Healthy Paws, Pumpkin, and Lemonade, but policy/state terms vary.
The biggest exclusion risk is pre-existing airway signs—even prior snoring/noisy breathing or stenotic nares can matter.
If you tell me the breed and state, I can compare the current policy exclusions side-by-side.