Why You Should Buy Pet Health Insurance — and How to Choose a Policy

Medical care for dogs can be very expensive. You don’t want to be left high and dry.


Imagine a member of your household needing magnetic resonance imaging (MRI) to help diagnose a certain condition so the doctor can be sure of the right treatment, but you decide to forgo it because at $1,400, it’s too expensive; you’ll just wait and see what happens. Or picture a dog you love requiring hospitalization for three nights after an operation in order to heal as safely as possible, but you take him home after two because adding a third night would be cost prohibitive.

We see this all too often at the Tufts Foster Hospital for Small Animals. People don’t give their dogs the care they need — not because they don’t want to but because they can’t afford to.

There’s a solution: pet health insurance. There has been a burgeoning of pet health insurance companies in recent years offering plans to suit a wide variety of needs and budgets. Yet only 2 percent of pet dogs in the U.S. are protected by health insurance, according to the American Veterinary Medical Association.

It’s understandable, even though we view our dogs as fellow family members. Budgets are tight these days. And spending an extra $25 to $60 a month to protect your pet’s health — and life — in the event of an emergency is an item that’s easy to scratch off the list when the dog at issue is, at the moment, perfectly healthy.

But the best time to buy health insurance for your dog is when he is in good health. There are virtually no pet health insurance firms that will cover a pre-existing condition. Once a dog gets cancer or heart disease or needs an operation, if you don’t already have medical insurance it means that whatever you pay toward health care is going to be completely out of pocket. And the appropriate care could easily reach into the thousands of dollars.

It’s optimal to buy health insurance for your pet, in fact, when he is very young — the time of life that it seems nothing could ever go wrong and the purchase of a policy feels easy to resist. We strongly suggest going against the grain of your pet’s current good health and investing in a health insurance plan. It will not only cover you in the event of an emergency. It will also lower your monthly premiums. The younger the dog, the less expensive the insurance.

What to consider when comparing plans

Choosing a health insurance plan for your dog should not take more than an hour or two — not much time for something that’s going to affect your dog’s health, and your wallet, for a decade or more. Go over the following before making a choice.

  • Does the plan cover a certain percentage of the total cost of care, or does it reimburse according to a benefits schedule based on maximum fees the company sets for particular procedures? If a procedure costs $2,000 but the benefits schedule says it should cost no more than $1,000, you’re going to be out a lot of money. But if the plan covers 90 percent of costs, period, reimbursement will be much greater. (Of course, your monthly premiums will also be higher, but not astronomically so.)
  • Always check out copays and deductibles. A lower deductible is going to mean a higher monthly premium, and vice versa. You have to determine which is the most comfortable pick for your own pocketbook.
  • Review age and time limitations. Some companies won’t insure a dog beyond a certain age unless they have been insuring him since he was younger. Or they won’t cover a condition for more than a certain amount of time.
  • Make sure the company won’t drop your dog after he develops a condition that’s expensive to treat.
  • Be certain the policy covers diagnostic testing in addition to treatments. CT scans, MRI, even blood and urine tests, can be very expensive. The same equipment and expertise is required as for people. And the cost of these screenings add up very quickly, before you even get to the treatment.

The good news when comparing policies is that there are no in-network and out-of-network providers. Companies will generally cover care by any licensed veterinarian. But you have to pay the vet up front and then get reimbursed, so you want to make sure you’re not near the limit on your credit card if you don’t have ready cash. (Or see if the vet can wait for full payment until after you submit the paperwork to the insurance company.)

Some Pet Health Insurance Companies to Check Into

The American Veterinary Medical Association lists the following companies that sell pet health insurance. They do not endorse any of them, but these are good companies to compare as you do the homework to choose the policy that will work best for your ledger.

Note: Don’t worry about whether the policy will cover routine care. That’s not the expense that’s going to wreck your budget. Go with a plan that’s going to cover something you couldn’t easily afford to treat unless you had pet health insurance. No plan will cover 100 percent of charges. But one that covers, say, 80 or 90 percent of costs could be invaluable.

  • 24PetWatch
  • AKC Pet Insurance
  • ASPCA Pet Health Insurance
  • Best Friends Pet Insurance
  • Embrace Pet Insurance
  • Figo Pet Insurance
  • Healthy Paws
  • Lemonade
  • PetFirst Healthcare
  • Pets Best
  • Petplan
  • Pumpkin
  • PurinaCare
  • Trupanion
  • VPI


  1. I have used Trupanion for many, many years for my four dogs. They pay 90% of covered costs and reimburse quickly. You can set your own deductible which will determine your monthly rate. Two of my dogs are heart patients and they have covered many thousands of dollars on them. Another dog blew out his knee and the bill was $2,800. Trupanion paid $2,500 within a week.

  2. VPI is now Nationwide.
    After spending over $5000 many years ago for a sick dog, I have always purchased health insurance for my dogs.
    I brought home a puppy in July of 2020 and I have 2020 and have had insurance for her since September of 2020, after researching and deciding which company I wanted to use. I use Nationwide. I am very happy with Nationwide.
    Care Credit will also help spread out payments over months. The amount of time depends I’m depends on the particular veterinary veterinary practice.

  3. It’s important to research the insurance at the beginning because if your pet develops a recurrent condition while you have one insurance and then you decide that you are not satisfied with the insurance company, the next company you choose most likely will not cover the recurrent condition because it is now considered pre-existing. My insurance premium went up from the first year to the next by $30/month even though I had not submitted any claims. But now my dog’s medical record probably says that he might be starting to develop arthritis and/or hip dysplasia (even though it’s not severe enough yet for full work up or treatment) so I’m afraid if I change companies, the next company won’t treat anything arthritis or hip dysplasia related.


Please enter your comment!
Please enter your name here