You love your dog. But vet bills? Not so much.
Last year, American pet owners spent $157 billion on their furry friends. And a big chunk of that went to unexpected medical emergencies that nobody saw coming.
So here's the question: Should you get pet insurance for your dog?
The short answer isn't simple. It depends on your finances, your dog's health, and how much risk you can handle. But let's break it down so you can make the right choice.
What Exactly Is Pet Insurance?
Pet insurance works differently than your health insurance. You pay the vet bill upfront, then submit a claim to get money back.
Most policies cover 70% to 100% of eligible costs after you meet your deductible. The average dog insurance costs about $62.44 per month, or $749.29 per year. The average cat insurance costs about $32.21 per month, or $386.47 per year.
Here's what typically gets covered:
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Emergency injuries (broken bones, cuts, poisoning)
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Sudden illnesses (infections, digestive issues)
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Chronic conditions (diabetes, arthritis)
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Cancer treatment
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Surgery and hospitalization
And here's what doesn't:
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Pre-existing conditions
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Routine checkups
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Vaccinations
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Spaying or neutering (unless you add wellness coverage)
The pet insurance market is growing fast. Over 6.4 million pets had coverage in 2024, up 13% from the year before. Younger pet owners especially are jumping on board - Gen Z pet parents are 16 times more likely to insure their pets than baby boomers.
The Real Cost of Dog Emergencies
Before you decide if insurance is worth it, you need to know what you're up against.
Emergency vet visits for dogs range from $250 to $8,000. That's a huge spread, but here are some common scenarios:
|
Emergency Type |
Cost Range |
Common Examples |
|
Minor emergencies |
$300-$800 |
Basic exam and treatment for cuts, minor poisoning, or stomach upset |
|
Moderate emergencies |
$1,000-$3,000 |
Broken bones, severe infections, or foreign object removal |
|
Major emergencies |
$3,000-$8,000+ |
Cancer treatment, bloat surgery, or complex trauma cases |
Some specific examples from recent data:
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Bloat surgery: $1,500 to $7,500
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Removing a swallowed sock: $1,500 to $5,000
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Treating a fractured leg: Around $1,098 on average
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Cancer treatment: $2,000 to $10,000
And that's just the big stuff. Regular vet visits cost $150-$300 for dogs, depending on where you live. About $100 is a fixed fee to be seen, and then the remainder is either vaccinations, tests, medications, lab fees, etc.
Dog owners spend an average of $624 yearly on surgical vet visits and $448 on sick visits. Compare that to cat owners, who spend $251 and $198, respectively.
When Pet Insurance Makes Sense
Pet insurance isn't for everyone. But it can be a lifesaver in the right situations.
You should consider it if:
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You can't easily afford a $2,000-$5,000 emergency bill
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Your dog is young and healthy (no pre-existing conditions)
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You have a breed prone to expensive health issues
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You want peace of mind for unexpected costs
Skip it if:
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You can comfortably afford large vet bills
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Your dog already has health problems
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You're disciplined about saving money for emergencies
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Your dog is very old (premiums get expensive)
One pet owner shared their experience: their dog developed a mystery illness that required three different vets and three days in the hospital. The total bill hit $7,000. Insurance covered $5,500 of it.
But here's the flip side - if your dog stays healthy, you might pay thousands in premiums and never see that money again.
The Disadvantages You Need to Know
Pet insurance has some real downsides that companies don't always advertise clearly.
Pre-Existing Conditions Are Never Covered
This is the big one. If your dog already has a health issue, insurance won't cover it. Ever.
And here's the tricky part - if you let your policy lapse and restart it later, everything becomes a pre-existing condition again.
You Pay Upfront
Unlike human health insurance, you can't just show your card at the vet. You pay the full bill, then wait for reimbursement. That can take days or weeks.
If you don't have the cash or credit to cover a $5,000 emergency, insurance won't help you in the moment.
Premiums Increase Over Time
Your monthly payment isn't locked in. As your dog ages, premiums go up significantly.
For example, a policy that costs $40/month for a young dog might cost $100+/month for a senior dog. Over 12 years, you could pay thousands in premiums alone.
Coverage Gaps
Standard policies don't cover routine care like vaccinations, dental cleanings, or annual checkups. You need to buy additional wellness coverage for that.
Some policies also exclude certain breed-specific conditions or have waiting periods before coverage kicks in.
The Math Might Not Work Out
This is the honest truth - many people pay more in premiums than they ever get back in claims.
If your dog lives a healthy life with just routine vet visits, you could spend $8,000+ in premiums over their lifetime without ever filing a major claim.
Dogs vs. Other Pets: Why Dogs Cost More
Dogs are more expensive to insure than cats for several reasons:
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Size matters: Larger dogs need bigger doses of medication and anesthesia. They're also more prone to certain injuries.
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Breed issues: Some dog breeds are walking vet bills. French Bulldogs, for example, cost about $162 more per year to insure than Golden Retrievers because of breathing problems and other health issues. Even smaller designer breeds like Mini Bernese Mountain Dogs can inherit health concerns from their parent breeds that affect insurance costs.
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Activity level: Dogs get into more trouble. They eat things they shouldn't, run into traffic, and generally live more dangerously than cats.
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Longer procedures: Dog surgeries often take longer and require more intensive care than similar procedures for cats.
The numbers back this up. More than 75% of insured pets are dogs, suggesting dog owners find more value in coverage than cat owners.

Making the Right Choice for Your Dog
Here's a practical framework for deciding:
Start with your finances
Can you afford a $3,000-$5,000 emergency bill without going into debt? If yes, you might skip insurance and self-insure by saving that $62/month instead.
Consider your dog's breed
Some breeds are more likely to need expensive care:
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Large breeds: Hip dysplasia, bloat
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Flat-faced breeds: Breathing problems
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Small breeds: Luxating patella, dental issues
Factor in age
Insurance is cheapest when your dog is young. The sweet spot is usually between 8 weeks and 2 years old.
Look at your lifestyle
Do you live near an emergency vet? Do you travel with your dog? Are they active and accident-prone?
Balancing your dog's care needs with your daily routine can help you assess how much risk you're comfortable with.
What to Look For in a Policy
If you decide to get insurance, here's what matters:
Coverage types:
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Accident-only: Cheapest option, covers injuries but not illnesses
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Accident and illness: Most popular, covers both
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Wellness add-ons: Covers routine care for extra cost
Key features to compare:
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Annual coverage limits (some offer unlimited)
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Deductible options ($100-$1,000 typically)
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Reimbursement percentage (70%-100%)
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Waiting periods for coverage to start
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Age limits for enrollment
Red flags to avoid:
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Policies that exclude your dog's breed-specific conditions
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Very low annual limits ($5,000 or less)
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Long waiting periods for illness coverage
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Companies with poor claim review scores
The Bottom Line
Pet insurance isn't a magic solution to vet bills. It's a financial tool that trades monthly predictable costs for protection against unpredictable large expenses.
The math works best if you get coverage early, your dog develops serious health issues, and you keep the policy long-term.
But it doesn't work if your dog stays healthy, you can afford emergencies out of pocket, or you're disciplined about saving money instead.
According to 2025 MarketWatch surveys, 83% of pet owners with insurance think it's worth it, and 99.5% don't regret having it. But remember - these are people who bought insurance and filed claims, not everyone who considered it.
For many dog owners, the peace of mind is worth the cost. Knowing you can say yes to the best treatment without checking your bank account first has real value.
But for others, especially those with healthy dogs and solid emergency funds, self-insurance might make more sense.
The choice is yours. Just make it before you need it.