Compare Pet Insurance Companies

Compare reviewed pet insurance companies side by side using verified plan structure, coverage rules, eligibility, claims access and MarketReview editorial context. The table is designed to expose meaningful contract differences first so that any quotes you request afterward are based on reasonably comparable coverage.

Choose pet insurance companies to compare

Search or browse the reviewed companies below, then select up to three for a side-by-side comparison of verified plan mechanics and MarketReview editorial context.

Browse by priority
AKC Pet Insurance
Pet insurance brand

AKC Pet Insurance

Pre-existing condition eligibility after continuous coverage

ASPCA Pet Health Insurance
Pet insurance brand

ASPCA Pet Health Insurance

Older pets and broad included coverage

Embrace
Pet insurance brand

Embrace Pet Insurance

Broad included treatment coverage

Fetch Pet Insurance
Pet insurance brand

Fetch Pet Insurance

Broad dental and behavioral coverage

Figo
Pet insurance brand

Figo Pet Insurance

High reimbursement and digital policy tools

Hartville
Pet insurance brand

Hartville Pet Insurance

Broad coverage without medical add-ons

HealthyPaws
Pet insurance brand

Healthy Paws

High-limit accident and illness protection

Lemonade
Pet insurance brand

Lemonade

App-first coverage with modular add-ons

ManyPets
Pet insurance brand

ManyPets

Unlimited annual and lifetime payouts

MetLife Pet Insurance
Pet insurance brand

MetLife Pet Insurance

Highly customizable coverage and multi-pet families

Nationwide
Insurer and consumer brand

Nationwide

Birds and exotic pets

Pets Best
Pet insurance brand

Pets Best

Flexible coverage and direct vet pay

Prudent Pet
Pet insurance brand

Prudent Pet Insurance

Flexible plan tiers with an unlimited option

Pumpkin
Pet insurance brand

Pumpkin Pet Insurance

Broad base coverage for dogs and cats

Spot
Pet insurance brand

Spot Pet Insurance

Flexible coverage for older pets

Trupanion
Pet insurance brand

Trupanion

Lifetime condition coverage and vet direct pay

Wagmo
Pet insurance brand

Wagmo

Insurance and wellness in one account

Compare the policy differences that matter

Review plan design, coverage rules, eligibility and service features together. Values appear only when current verified canonical records or linked MarketReview reviews support them.

Choose at least two companies above to see a side-by-side comparison.

Make the coverage comparable before comparing the premium

A side-by-side pet insurance table is only as useful as the assumptions behind it. Premiums can change with the pet's species, breed, age, location, and the coverage settings selected. If one quote uses a $5,000 annual limit and another uses unlimited annual coverage, the lower premium does not prove that the first provider is cheaper for equivalent protection. The policies are solving different financial problems.

Before comparing price, normalize the major settings as closely as the providers allow. Start with the same pet, location, and enrollment date. Then try to align the annual benefit limit, reimbursement percentage, and deductible. If a provider does not offer an equivalent setting, keep the difference visible. It may be a reason to prefer or reject the product, but it should not be hidden inside a price comparison.

This is also why MarketReview does not use one sample premium as a permanent company fact on this page. A quote can be accurate for one scenario and still be misleading for another reader. The stable comparison layer is the policy structure: what types of plans exist, how much eligible cost can be reimbursed, how deductibles work, which waiting periods apply, what is excluded, who can enroll, and how claims are handled.

Once the coverage is reasonably comparable, price becomes much more informative. You can then ask whether paying more buys a higher annual limit, a lower deductible, broader benefits, a different deductible basis, or a service feature you actually value. If the more expensive policy does not provide a meaningful advantage for your situation, the lower quote may be more compelling. If it does, the additional premium has context instead of being judged in isolation.

When the settings cannot be matched exactly, write down the mismatch instead of adjusting several variables at once. For example, if one provider offers only $10,000 or unlimited annual coverage while another offers $5,000 and $15,000, choose the closest practical pair and recognize that the protection is not identical. The same principle applies when reimbursement choices or deductible structures differ. A comparison remains useful when the differences are explicit; it becomes misleading when they are hidden in the quote.

Start with plan type and the maximum protection available

Accident-and-illness coverage and accident-only coverage are different products. Accident-only insurance can be useful for a reader who wants limited protection from unexpected injuries, but it does not serve the same purpose as a plan designed to cover eligible illnesses as well. When a company sells both, compare the plan you would actually buy rather than using the cheapest product in the lineup as the company's representative price.

Annual benefit limits are the next major distinction. Some plans offer several fixed limits, some include or offer an unlimited annual option, and some use a different benefit structure. The annual limit defines the maximum reimbursement available for eligible covered expenses during the applicable policy period. It should be considered alongside the types of treatment the policy covers and any exclusions that reduce what counts toward reimbursement.

An unlimited annual limit can reduce the risk that an unusually expensive treatment year exhausts the policy's maximum benefit. It does not mean every veterinary expense is covered, and it does not eliminate the deductible, reimbursement share, waiting periods, or exclusions. A fixed limit can still fit a household that accepts more retained risk in exchange for a different premium. The important point is knowing which risk you are keeping.

Company comparison becomes tricky when different plans under the same brand use different limits. MarketReview keeps those variations visible instead of inventing a single company value. If the table shows several options or a plan-specific note, use the full review to identify which plan contains the limit you want. The brand name is the beginning of the comparison, not the complete contract.

Reimbursement percentage and deductible basis must be read together

Reimbursement percentage is often treated as the easiest pet insurance number to compare. A higher percentage generally means the insurer can pay a larger share of eligible covered expenses after the applicable deductible and other policy rules are applied. But the percentage does not tell you how the deductible works, what expenses are eligible, or whether a benefit limit will cap the payment.

The deductible can be even more important than the headline amount because providers do not all use the same basis. An annual deductible generally resets with the policy period. A per-condition or lifetime-per-condition deductible can apply separately to different medical conditions but may not reset the same way for recurring treatment. Those designs can create very different out-of-pocket patterns for a pet with one chronic condition compared with a pet that experiences several unrelated injuries or illnesses.

For that reason, do not compare a $250 deductible with another $250 deductible until you know what each one means. The dollar amount is only part of the rule. Also check whether the provider offers a useful range of deductible choices or whether the structure is fixed. More options are not automatically better, but they can make it easier to align the policy with the amount of risk you want to retain.

Use reimbursement and deductible together to think about cost sharing. A lower deductible and higher reimbursement may reduce the owner's share of eligible claims but can increase the premium. A higher deductible may suit a household that wants insurance mainly for large veterinary costs. The comparison table identifies the available structures; the quote tells you what the chosen combination costs for your pet.

It can also help to think in claim patterns rather than isolated numbers. A pet with one long-running covered condition may interact differently with a lifetime per-condition deductible than a pet with several unrelated conditions under an annual deductible. No deductible structure is automatically best for every pet. The useful comparison is whether the rule fits the kind of financial risk you are trying to transfer and whether you understand when you would have to meet the deductible again.

Waiting periods and pre-existing-condition rules can outweigh a feature list

Coverage does not always begin for every condition on the day you enroll. Accident and illness waiting periods can differ, and some plans apply special rules to orthopedic or cruciate conditions. These periods may also vary by state. If a pet needs treatment before the applicable waiting period ends, the timing can affect whether that condition is eligible under the policy.

Pre-existing conditions require a separate analysis. Pet insurance generally excludes conditions that were present before coverage became effective, but the exact definition and treatment can differ. Symptoms can matter even when a formal diagnosis was not made before enrollment. Some providers distinguish between curable and incurable conditions and may allow certain resolved conditions to become eligible again after a specified symptom-free or treatment-free period.

That kind of curable-condition rule should not be read as broad coverage for pre-existing conditions. It is a narrower contractual exception with its own requirements. If a pet has prior medical history, read the full review and then the current policy language carefully. The date of symptoms, treatment history, waiting period, and medical records can matter more than the marketing label attached to the policy.

The comparison table is designed to surface these differences without pretending that a short cell can answer every medical-history question. Use it to identify which providers deserve a closer look. Then open the individual review for the provider-specific context and verify the current contract before purchasing. For an older pet or a pet with prior treatment, this step is often more important than comparing secondary benefits.

Look beyond broad 'covered' labels to the benefits that could change a claim

Most readers begin with the broad question of whether a plan covers accidents and illnesses, but the practical differences often appear inside the benefit details. Exam fees, hereditary and congenital conditions, prescription medication, dental illness, behavioral treatment, rehabilitation, specialist care, diagnostic testing, hospitalization, surgery, and cancer treatment can all matter depending on the plan.

A yes-or-no comparison can still be too simple. A benefit may be standard on one plan, optional on another, limited by state, or subject to a specific definition or exclusion. MarketReview only displays a feature when the current verified canonical records support it. If the same company has several plans with different rules, the comparison preserves that variation rather than presenting the most generous plan as the universal company policy.

Prioritize benefits based on the financial risk you are trying to insure. Routine expenses are usually more predictable than emergency surgery or long-term treatment for a covered illness. That does not make routine-care benefits useless, but it does mean they should be evaluated differently from core medical insurance. A plan with attractive wellness reimbursements can still be a poor fit if its accident-and-illness coverage does not meet your needs.

Dental coverage is a good example of why definitions matter. Coverage for dental injury does not necessarily mean the policy covers dental illness, and preventive dental cleaning may belong to a wellness program instead of the medical policy. Read the row label and the full review carefully rather than assuming that one dental-related benefit implies another.

Exam fees deserve similar attention because the charge for the veterinary examination can be separate from the diagnostic test, medication, or procedure that follows. A policy may cover the treatment while excluding the exam fee unless an optional benefit applies. For a reader who expects frequent specialist or follow-up visits, that distinction can affect out-of-pocket cost even when the major medical treatment is covered. This is why MarketReview keeps benefit categories separate instead of using one broad “comprehensive coverage” label.

A strong policy still has to be available to your pet

Eligibility can eliminate an otherwise appealing provider before price enters the discussion. Minimum enrollment ages, upper enrollment ages, species eligibility, breed restrictions, and state availability can all determine whether a pet can obtain the plan being compared. These rules should be checked early, especially for senior pets or species beyond dogs and cats.

Upper enrollment age deserves careful wording. A provider may accept new enrollment at older ages for one plan but not another. A pet that is already insured may also be allowed to remain covered after passing an age at which new enrollment would no longer be permitted. The comparison should distinguish access to a new policy from continuation of an existing policy rather than treating age as a single yes-or-no field.

Species eligibility is another area where the market is uneven. Dogs and cats make up most consumer pet insurance offerings, while only some providers support birds or other exotic pets. If you are insuring an exotic pet, do not assume a company shown on a general pet insurance list has a relevant product. MarketReview displays exotic-pet capability only when a current verified offering supports it.

State availability can be more granular than the company name suggests. A provider may operate broadly while the exact plan, benefit, policy form, or legal issuer differs by jurisdiction. The table provides a company-level summary derived from current plan records, but the quote and state-specific contract remain the final authority for your purchase.

Eligibility should also be checked before you spend time fine-tuning a quote. If a pet is outside the new-enrollment age range, lives in a state where the relevant plan is unavailable, or belongs to a species the provider does not insure, the rest of the comparison is academic. For senior pets, confirm both the age at which new enrollment is allowed and whether the plan has any age-linked restrictions that affect the benefits you care about. The comparison table helps surface those questions early so you can focus on products that are genuinely available.

Claims access can affect cash flow even when the coverage is similar

Most pet insurance is built around veterinary treatment first and reimbursement afterward, which means the policyholder may need to pay the veterinary bill before receiving the insurer's share. That cash-flow requirement can matter during an expensive emergency. Some providers offer direct-to-vet payment capabilities that may reduce the amount the owner has to advance, but those systems can depend on the veterinary hospital, provider participation, claim eligibility, or other operational requirements.

MarketReview therefore treats direct vet pay as a verified service capability, not a blanket promise. A provider that supports it may still require the clinic to participate or follow a specific process. If this feature is important to you, confirm that your veterinarian can use the program and understand what happens when direct payment is unavailable.

Claims filing channels also affect convenience. Web portals, mobile apps, email submission, and other digital options can make document handling easier, but the presence of an app does not prove that claims will be approved faster. Published processing-time statements can provide context when they are current and source-supported, but they should not be treated as guaranteed turnaround times for every claim.

Vet access matters separately from payment. Many pet insurance policies allow treatment at licensed veterinarians without a narrow network, while some products may have different access requirements or service arrangements. Specialists and emergency hospitals can be particularly important when the claim involves complex treatment. Use the table to confirm the access model, then check the full review if a direct-payment feature or unusual service rule could influence your choice.

Service convenience becomes more important when the claim is large or urgent. A simple digital claim process can reduce administrative friction, while direct payment can reduce short-term cash pressure when it is available. Neither feature changes whether the treatment is covered under the contract, so they should be used to distinguish otherwise suitable policies rather than to rescue a plan whose core coverage is a poor fit.

Keep wellness benefits separate, then compare the real insurance quote

Wellness and preventive-care products can make pet insurance comparisons look more generous than they really are if routine-care benefits are mixed with core medical coverage. A wellness option may reimburse or provide allowances for vaccinations, routine exams, preventive medication, dental cleaning, or other expected expenses. Depending on the provider, it may be an insurance endorsement or a standalone non-insurance program.

MarketReview keeps those legal and product distinctions visible. A non-insurance wellness membership does not become part of the accident-and-illness policy merely because the same company sells both. When comparing companies, first decide whether the medical insurance stands on its own. Then consider whether an optional wellness program helps with budgeting and whether its cost and allowances make sense for the routine care you expect to purchase.

After you have aligned the core coverage, request quotes from the remaining providers. Use the same pet and keep annual limit, reimbursement, deductible, and optional benefits as similar as possible. If a company cannot match a setting, note the difference instead of pretending the products are equivalent. That is the point at which price becomes a meaningful decision input.

Do not assume the company with the lowest first quote will always be the least expensive. Rates can change, pet age and location can affect pricing, and different coverage choices can move the premium materially. The purpose of this comparison page is to help you compare the contract first so that the price you eventually compare represents coverage you would actually be willing to own.

Finally, compare the purchase path itself. Make sure the quote identifies the plan, reimbursement level, deductible, annual limit, and any optional wellness or preventive product you selected. Save or review the applicable policy documents before purchase. If a feature in the comparison was important to your decision, confirm that it appears in the actual quote or contract for your state. A side-by-side table is a screening tool, not a replacement for the policy that will govern a claim.

Compare the contract before the quote

This page combines two separate authorities. MarketReview Rating, Best For positioning, strengths and drawbacks come from the exact linked company review. Plan types, annual limits, reimbursement, deductible structure, waiting periods, pre-existing-condition treatment, benefits, eligibility, service capabilities, state availability and carrier information come from current verified canonical plan records.

The table does not treat a consumer brand as though every policy it sells were identical. When current plans differ, those differences remain visible. State-specific rules remain state-specific, wellness programs remain distinguishable from insurance, and legal underwriting companies remain separate from the consumer-facing brand.

Price is intentionally not reduced to one universal company premium. After you identify two or three providers whose policy structures fit your needs, request quotes for the same pet using comparable annual limits, reimbursement percentages, deductibles and optional benefits. That produces a more useful price comparison than ranking companies from isolated sample premiums.

See our pet insurance review methodology