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Pet Insurance, What You'd Actually Get Back

Forget the sticker premium. What matters is how much a plan pays back when your dog or cat gets sick. Calculate it on a real vet bill, then compare the providers on the features that actually differ.

Reimbursement calculator

See exactly what a plan would pay on a vet bill, before you buy.
Insurance pays back
You pay
Covered
$/mo typical ▲ProviderReimbursementAnnual limitExam feesDental illnessAccident waitBest for
$42CheapestLemonade70/80/90%$5k to $100kNoNo2 daysCheapest premiums; dental illness and vet fees are paid add-onsGet quote →
$45Pets Best70/80/90%$5k to UnlimitedYesYes3 daysBudget-friendly, unlimited option, fast accident coverGet quote →
$52ManyPets70/80/90%$5k to UnlimitedYesYes15 daysNo upper age limit, covers dentalGet quote →
$55Embrace70/80/90%$5k to $30kNoYes2 daysDiminishing deductible; exam fees are a paid add-onGet quote →
$58Nationwide50/70/90%Up to UnlimitedYesYes14 daysAlso covers birds and exotic petsGet quote →
$59Progressive Pet Insurance70/80/90%$1.5k to UnlimitedYesYes14 daysCar insurance company adding pet coverageGet quote →
$60Prudent Pet70/80/90%$10k to UnlimitedYesYes5 daysUnlimited option plus 24/7 vet chatGet quote →
$61Odie Pet Insurance80/90%$10k to UnlimitedNoNo14 daysDigital-first insurer, easy claimsGet quote →
$62ASPCA70/80/90%$5k to $15kYesYes14 daysExam fees, behavioural and optional wellnessGet quote →
$64AKC Pet Insurance70/80/90%$5k to UnlimitedNoNo14 daysAKC affiliated, focuses on purebredsGet quote →
$65Healthy Paws70/80/90%$5k to UnlimitedNoYes15 daysUnlimited payouts, one simple planGet quote →
$68Fetch by The Dodo70/80/90%$5k to $15kYesYes15 daysBroadest coverage, exam fees + behaviouralGet quote →
$70Spot70/80/90%$2.5k to UnlimitedYesYes14 daysUnlimited option and covers exam feesGet quote →
$72Figo70/80/90/100%UnlimitedNoYes1 dayUp to 100% reimbursement, fast accident coverGet quote →
$75MetLife70/80/90/100%$2k to UnlimitedYesYes14 daysFlexible deductible, family plansGet quote →
$78Pumpkin90%$10k to UnlimitedYesYes14 daysFlat 90% back, exam fees and dental includedGet quote →
$82Wagmo90/100%VariesYesYes0 daysFast reimbursement and wellness plansGet quote →
$85Trupanion90%UnlimitedNoYes5 daysNo payout caps ever, pays your vet directlyGet quote →

Typical monthly cost shown for a medium dog, age 3, urban area. Actual quotes vary by pet age, breed, location and chosen plan. Feature comparison last reviewed 29 August 2026 . Always get a personalized quote before buying.

How to read this. The three differences that decide a pet plan's value are the reimbursement percentage (how much of the bill you get back), whether it covers the exam fee (many don't), and the annual limit (an unlimited limit protects you on a big claim). Use the calculator to see the reimbursement in dollars, then filter the table for the features you need. A shorter waiting period means you're covered sooner.
How does reimbursement actually work?

You pay the vet, then claim. The insurer subtracts your annual deductible once per year, then pays back your reimbursement percentage of the remaining eligible cost, up to your annual limit. The calculator above does this maths for you.

Which pet insurers cover the exam fee?

Embrace, Fetch, Pumpkin, Spot, Pets Best and Nationwide reimburse the vet exam or consultation fee. Trupanion and Healthy Paws do not. Since you pay an exam fee at almost every visit, this adds up.

Do any cover pre-existing conditions?

No standard plan covers conditions your pet already has. A few (like MetLife) may cover a curable past condition after a symptom-free period. Insure while your pet is young and healthy for the best coverage.

How to actually choose a pet insurance plan

The cheapest monthly premium is rarely the best plan, because pet insurance is really three settings that decide what you get back: the reimbursement percentage, the annual limit and the deductible. A plan at 90% reimbursement with an unlimited annual limit pays far more on a serious claim than a cheaper 70% plan capped at $5,000, and on a five-figure surgery that gap is the whole reason you bought insurance. Use the calculator above to turn those settings into real dollars on a bill the size you actually fear.

The exam-fee trap. The single most overlooked difference is whether a plan reimburses the vet exam or consultation fee. You pay that fee at almost every visit, sick or well, and some big names (Trupanion and Healthy Paws among them) do not cover it, while Embrace, Fetch, Pumpkin, Spot and others do. Over a pet's life that adds up to real money, so the "Exam fees" column above is worth as much attention as the headline price.

Buy young, and read the waiting periods. Premiums rise as a pet ages and pre-existing conditions are never covered, so the cheapest lifetime cost almost always comes from insuring a young, healthy animal before anything is on record. Check the accident and illness waiting periods too: most illness cover starts after around 14 days, but accident cover ranges from same-day to two weeks, and you are not covered for anything that happens in that gap. A short waiting period is genuinely worth paying a little more for.

Get a real quote before you commit. The monthly figures here are indicative for a medium dog, age three, in a city; your actual price swings a lot with breed, age and postcode, and some breeds cost far more to insure. Shortlist two or three plans on the features you need from the table, then get a personalized quote from each on the same pet and the same reimbursement and deductible settings so you are comparing like with like.

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