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Pets Best Insurance: What It Costs, What It Covers, and Whether It’s Worth It

Bestie Paws, July 4, 2026July 4, 2026
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Pets Best Insurance · All U.S. Plans · Coverage, Cost & Honest Answers

Pets Best is one of the most affordable full-coverage pet insurance companies in the U.S., with accident-and-illness plans starting well below the national average. This guide covers every plan, what the monthly cost actually looks like for dogs and cats, the claims process, what gets denied, and the honest answers to questions most comparison sites skip.

📰
What’s Happening Right Now in Pet Insurance

The U.S. pet insurance market hit a record $3.59 billion in net premiums in 2025, up 11% year over year. Meanwhile, Congress reintroduced the bipartisan PAW Act (H.R. 1842), which — if passed — would let pet owners use up to $1,000 from their HSA or FSA on veterinary care or a pet insurance premium. Fourteen states have also adopted new laws requiring clearer policy disclosures, shorter waiting periods, and standardized definitions of pre-existing conditions. Veterinary costs rose nearly 11% in a single year, making insurance decisions more consequential than ever.

🐕 What Pets Best Actually Is

Pets Best was founded in 2005 by Dr. Jack Stephens, widely credited as the person who brought the first pet insurance product to North America. The company’s stated reason for existing is to prevent “economic euthanasia” — the heartbreaking situation where a family has to put a pet down not because treatment is impossible, but because the bill is. Pets Best is now one of the highest-volume pet insurers in the country, with policies underwritten by American Pet Insurance Company or Independence American Insurance Company. It covers dogs and cats in all 50 states and Washington, D.C., with no upper age limit, meaning a 12-year-old senior dog can still be enrolled. You can see any licensed vet in the U.S. or Canada — no network restrictions, no required referrals. Claims are managed through their app, and a 24/7 pet helpline staffed by veterinary experts is included with every policy at no extra charge.

📋 Key Facts — Pets Best Insurance at a Glance

The questions below come up constantly from pet owners trying to figure out whether Pets Best makes sense for their dog, cat, budget, and situation. Each one gets a direct answer — no padding, no unnecessary hedging.

  • 1
    How much does Pets Best insurance cost per month? Accident-Only: $9/mo dogs · $6/mo cats · Accident & Illness: $25–$80+/mo depending on pet age, breed, location, and plan settings · National average for a dog is $52/mo
    Pets Best is consistently ranked among the most affordable full-coverage pet insurance companies in the country. Their sample rate for a dog is around $47–$50 per month — about $15 below the national average per data from the North American Pet Health Insurance Association. For cats, rates run around $29 per month on average. The accident-only plan has a flat price regardless of age or breed: $9 per month for dogs and $6 per month for cats, which is remarkably low for any level of coverage. Accident-and-illness plans vary much more — a young mixed-breed dog in a rural zip code might cost $25–$35/month, while an older purebred in a high-cost city could run $70–$90/month or more. The single most accurate way to see your number is to get a custom quote at petsbest.com with your pet’s actual age, breed, and zip code. No national average means much when your Golden Retriever in San Francisco is being priced.
  • 2
    What does Pets Best actually cover? Covers: accidents, illnesses, cancer, surgeries, hereditary conditions, dental disease, behavioral therapy, alternative therapies, prescriptions, emergency care · Does NOT cover: pre-existing conditions, elective procedures, parasites (without wellness add-on), or routine care (without wellness add-on)
    The BestBenefit accident-and-illness plans are the core product and they cover a genuinely broad list: broken bones and foreign objects swallowed, cancer treatment including blood work, MRIs, chemotherapy, and surgery, epilepsy and seizure disorders, hereditary and congenital conditions like hip dysplasia and luxating patella, diabetes, arthritis, ear and skin infections, urinary tract infections, cruciate ligament injuries, behavioral therapy consultations, alternative therapies including acupuncture and cold laser, prescription medications, pre-anesthesia bloodwork, euthanasia when recommended by a vet, and dental illness including periodontal disease (for pets under three years who have had a professional dental cleaning within the prior thirteen months). Emergency specialist care and hospitalization are also covered. What’s excluded: pre-existing conditions of any kind, routine vaccinations and preventive care (available through the add-on wellness plans), parasite testing and prevention (also available through wellness add-ons), elective procedures like ear cropping or tail docking, feline declawing, and cosmetic work.
  • 3
    Does Pets Best cover seizures? Yes — seizures and epilepsy are explicitly listed as covered conditions under accident-and-illness plans, provided the condition did not exist or show symptoms before enrollment or during the waiting period
    Epilepsy and seizure disorders are covered under Pets Best’s BestBenefit plans. This includes diagnostic testing to identify the cause, medications used to manage the condition, and ongoing treatment — up to your chosen annual limit. The critical word is “pre-existing.” If your dog has already been diagnosed with epilepsy, or your veterinarian noted any seizure activity in their records before your policy went into effect, that condition will be excluded from coverage. The same applies if symptoms appeared during the waiting period. If your pet was healthy at enrollment and later develops epilepsy, it would be covered like any other new illness. This is exactly why enrolling a young, healthy pet before any health concerns appear is so important — the pre-existing exclusion is permanent for conditions with a prior history, not a temporary hold.
  • 4
    How does the Pets Best deductible and reimbursement work? Annual deductible (you choose): $50–$1,000 · Reimbursement rate (you choose): 70%, 80%, or 90% · Annual limit (you choose): $5,000, $10,000, or unlimited · No per-incident deductibles — one deductible covers everything in a policy year
    Pets Best uses an annual deductible rather than a per-incident one. That means if your dog breaks a leg in February and then gets a skin infection in August, you only pay one deductible for the entire year — not one for each event. Once that deductible is met, your chosen reimbursement rate (70%, 80%, or 90%) applies to all covered claims for the rest of the policy year. So if you have a $250 deductible, 90% reimbursement, and a $5,000 annual limit: a $2,000 vet bill becomes $250 out of your pocket for the deductible, then 90% of the remaining $1,750 ($1,575) is reimbursed to you — your actual cost for that bill is $425. Choosing a higher deductible and lower reimbursement rate lowers your monthly premium significantly. The unlimited annual limit option is particularly well-priced at Pets Best relative to competitors — if your pet develops a serious, expensive illness, having no cap on payouts can be the difference between full treatment and tough choices.
  • 5
    What are the waiting periods? Accidents: 3 days · Illnesses: 14 days · Orthopedic conditions: 14 days in most states · Wellness coverage: begins the day after enrollment · Waiting periods can be waived with a recent vet exam in qualifying states
    Pets Best offers some of the shortest waiting periods in the pet insurance industry, which matters more than most people realize. A 3-day wait for accidents means that a dog who swallows a sock the week after you sign up is covered on day 4. The 14-day wait for illnesses is standard. What sets Pets Best apart is the orthopedic waiting period: most competitors require 6 to 12 months before cruciate ligament injuries and hip dysplasia are eligible for coverage, but Pets Best uses 14 days in most states. That’s a meaningful difference if you have a large breed dog with a higher statistical risk of these injuries. Waiting periods can potentially be waived if your vet examines your pet within 3 days before or 7 days after your policy start date — submit the waiver form within 30 days of the exam. Seven states (Delaware, Louisiana, Maine, Mississippi, Nebraska, New Hampshire, and Washington) have different waiting period rules; check your state’s sample policy for specifics.
  • 6
    Does Pets Best cover pre-existing conditions? No — pre-existing conditions are excluded by all Pets Best plans · Exception: curable pre-existing conditions (like kennel cough or ear infections) can be covered once fully healed and symptom-free for 12–18 months · Incurable conditions (like cancer, diabetes, allergies already diagnosed) are never covered
    This is the single most consequential thing to understand about any pet insurance policy, including Pets Best. A pre-existing condition is defined as any illness or injury that showed symptoms, was treated for, or received a vet diagnosis before your policy’s effective date or during your waiting period — even if your vet didn’t formally name the condition yet. Symptoms in the records count. Pets Best distinguishes between curable and incurable conditions. Curable ones — like kennel cough, ear infections, or a broken bone — are not permanently excluded. Once they have fully healed with no symptoms and no treatment for 12 to 18 months, they can be covered if they recur. Incurable conditions — diabetes, allergies already diagnosed, heart disease, chronic kidney disease, hip dysplasia that was documented — are excluded for the life of the policy. You can still enroll a pet with incurable pre-existing conditions; those specific conditions just won’t be covered. Everything else your pet later develops would still be eligible. This is why the most financially sound move is to enroll while your pet is young and has a clean medical record.
  • 7
    How do I file a claim and how long does reimbursement take? File through the Pets Best app or website · Submit itemized invoice + proof of payment · Processing time: typically 5–10 business days · Vet Direct Pay option lets the reimbursement go directly to your vet’s office so you don’t have to front the full bill
    After any vet visit, you submit a claim through the Pets Best mobile app (available on iPhone and Android) or via the website. You’ll need an itemized invoice showing where your pet was seen, your pet’s name, what services were provided and their individual costs, and proof that you paid. The app lets you photograph and upload documents directly. Most claims are processed within 5 to 10 business days. One genuinely useful feature is Vet Direct Pay: if you submit a signed release form from your veterinarian along with your claim, the eligible reimbursement goes directly to the vet’s office rather than to you first. This means you only need to pay your deductible portion and your co-pay share upfront — you don’t have to front the entire bill and wait for a check. Not all vet practices have enabled this, but it’s available where the vet participates. Pets Best also has a 24/7 pet helpline where licensed veterinary staff answer questions about symptoms, medications, what your pet may have eaten, and whether a situation warrants an emergency visit — at no additional charge.
  • 8
    Is Pets Best the same as Progressive? No — Pets Best is its own separate pet insurance company. Progressive offers pet insurance through a partnership with Pets Best, meaning if you buy “Progressive pet insurance,” the actual policy is underwritten and managed by Pets Best. The coverage and terms are essentially the same.
    This is one of the most commonly searched questions about Pets Best, and the confusion is understandable. Progressive Insurance — best known for auto insurance — offers pet insurance on its website as part of a bundling option for customers. The policy you’d receive through Progressive is actually a Pets Best policy: same underwriting company, same coverage terms, same claims process, same reimbursement structure. If you’re already a Progressive customer and see their pet insurance option, know that you’re essentially being offered Pets Best coverage through a different front door. There is no meaningful difference in the product. Comparing a direct quote from petsbest.com against the Progressive-offered quote for the same coverage is worth doing to see if pricing differs between the two channels.
💰 Pets Best Plans & Monthly Cost — Full Breakdown

Every Pets Best plan is month-to-month — no long-term contracts, no cancellation penalties. Prices below reflect common ranges; your actual quote depends on your pet’s age, breed, and zip code. Getting a personalized quote at petsbest.com is the only reliable way to see your number.

Plan Monthly Cost Range Annual Limit Best For
Accident Only $9/mo dogs · $6/mo catsFlat rate — age & breed do not affect cost $10,000 Budget-conscious owners who want emergency injury coverage without full illness coverage
BestBenefit (Basic) Most Flexible ~$25–$50/moYoung mixed-breed dogs in lower-cost zip codes $5,000 or $10,000 Pet owners who want comprehensive illness + accident coverage and can tolerate a per-claim deductible
BestBenefit (Plus) ~$35–$65/moIncludes exam fee coverage $5,000, $10,000, or Unlimited Owners who want exam fees covered and all core illness and accident protection
BestBenefit (Elite) ~$45–$90+/moHighest-tier; age and breed affect cost most here $5,000, $10,000, or Unlimited Pets at higher health risk; includes exam fees, physical therapy, full alternative therapy coverage
EssentialWellness Add-On ~$14–$22/mo $305/year in routine benefits Owners who want partial reimbursement for vaccines, bloodwork, dental cleaning — no deductible
BestWellness Add-On ~$26–$36/mo $535/year in routine benefits Pets who need more routine care reimbursed — spay/neuter, heartworm prevention, wellness exams
⚠️ What Actually Changes Your Monthly Cost the Most

Your deductible choice has the single biggest impact on your monthly premium. A $250 deductible vs. a $1,000 deductible can cut your premium by 30–40% with no reduction in coverage scope. Reimbursement rate (90% vs. 70%) is the second biggest lever. Breed matters significantly — French Bulldogs, Bulldogs, Golden Retrievers, and Rottweilers typically cost more to insure than mixed breeds of similar age. Location matters too: urban California and New York run higher than rural Midwest states. Use different deductible settings when getting your quote to find the combination that fits your budget.

📊 How Pets Best Compares to Other Pet Insurers
🐾 Pets Best
~$47/mo avg dog
Below-average pricing · No upper age limit · Short orthopedic waiting period · Vet Direct Pay · 24/7 helpline · No network restrictions
🏆 ASPCA Pet Health Insurance
~$57/mo avg dog
Covers horses too · Waiting periods waivable in some states · Good multi-pet discount · Includes exam fees · Currently rated best overall by U.S. News
🍋 Lemonade Pet Insurance
~$27–$65/mo
AI-driven claims (some resolved in seconds) · Multiple wellness add-on tiers · 1-day accident waiting period · Not available in all 50 states
🏥 Trupanion
~$70–$120+/mo
90% reimbursement on everything · Unlimited payout · VetDirect Pay at 11,000+ clinics · Higher cost · No wellness add-on available
🔍 Your Situation, Answered Directly
My dog or cat is already older — does Pets Best still make sense?
SENIOR PETS · OLDER ANIMALS
Pets Best accepts pets with no upper age limit, which is one of its genuine advantages for senior pet owners. A 10-year-old Labrador or a 12-year-old cat can still be enrolled. The honest tradeoff: premiums are significantly higher for older pets, and any condition documented in your pet’s veterinary history before enrollment will be excluded as pre-existing — including the most common senior pet issues like arthritis, kidney disease, thyroid problems, dental disease (if already noted), and heart conditions. What would still be covered is any new illness or injury that develops after enrollment and after the waiting periods. Senior pets are also statistically more likely to develop new conditions — cancer, for instance, is diagnosed in roughly six million dogs per year in the U.S. — so coverage for new incidents still holds real value. The most financially sound move is to request your pet’s recent vet records before getting a quote, so you can understand what pre-existing exclusions might apply before committing to a plan.
No upper age limit — enrollment open at any age New conditions after enrollment are covered 💡 Request vet records first to understand exclusions ⚠️ Prior diagnoses = permanent pre-existing exclusions
I have a puppy or kitten — when should I enroll and which plan?
PUPPIES · KITTENS · NEW PETS
The best time to enroll is before your first vet visit — or at the very latest, before any health issues have a chance to be documented. Every day you wait is a day a new condition could appear in your pet’s records and become a permanent pre-existing exclusion. At 8 weeks old, your puppy or kitten has the cleanest medical record they will ever have. Starting at that point means the broadest coverage possible at the lowest available rate. For puppies and kittens under age 2, adding the wellness add-on is particularly worth considering: young animals have more wellness visits — vaccines, spay or neuter surgery, bloodwork, and deworming — and the routine care reimbursements tend to pay out during this period more reliably than at any other life stage. As your pet ages, reassess whether the wellness add-on continues to make financial sense based on how many routine visits you’re actually making. The BestBenefit Plus or Elite plan at enrollment gives you exam fee coverage from day one, which matters because young pets tend to visit the vet frequently in their first year.
⏰ Enroll before the first vet visit if possible Wellness add-on pays off most in years 1–2 5% multi-pet discount available for households with multiple animals 💉 Wellness plans cover vaccines, spay/neuter, bloodwork
What happens if my pet gets cancer — is the full treatment covered?
CANCER · SERIOUS ILLNESS · TREATMENT COSTS
Cancer is fully covered under all three Pets Best BestBenefit accident-and-illness plans — provided the cancer was not pre-existing at the time of enrollment. Coverage includes the diagnostic workup (bloodwork, biopsies, X-rays, MRIs), surgery for tumor removal, chemotherapy, radiation, prescription medications used in treatment, and hospitalization. The one constraint is your annual limit. If you chose a $5,000 or $10,000 annual limit and your dog’s cancer treatment runs $15,000 in a year, you’re responsible for everything above the limit. This is the scenario where the unlimited annual limit option becomes genuinely important rather than theoretical. For breeds with statistically elevated cancer rates — Golden Retrievers, Bernese Mountain Dogs, Boxers, Rottweilers — choosing unlimited coverage at enrollment is worth the higher monthly premium. Keep in mind that your deductible resets every policy year. If cancer treatment spans two years, you’ll pay your deductible again in year two before coverage resumes.
✅ Cancer covered: bloodwork, surgery, chemo, radiation, meds Unlimited annual limit protects against multi-year treatment costs ⚠️ Annual limit resets every policy year — plan accordingly High-risk breeds: consider Unlimited limit from day one
I’m on a fixed income — is there any way to reduce what I pay?
BUDGET · AFFORDABILITY · COST REDUCTION
There is no specific low-income discount from Pets Best, but several legitimate levers can bring your premium down significantly. The most powerful one is raising your annual deductible — moving from $250 to $1,000 can cut your monthly premium by roughly 30–40% while keeping the same coverage for catastrophic expenses. Lowering your reimbursement rate from 90% to 70% reduces your premium further; the practical tradeoff is that for smaller claims, you’ll pay more out of pocket, but your protection against truly large bills remains intact. Pets Best offers a 5% multi-pet discount if you insure more than one animal. A military discount is also available. The accident-only plan at $9/month for dogs and $6/month for cats is worth considering if money is very tight — it covers injuries, foreign body ingestion, emergency trauma, and other accidents, but excludes illnesses including cancer. That said, the most expensive vet bills often come from illness rather than accident, so the accident-only plan has real limitations. Comparing your total annual premium against a dedicated pet emergency savings fund is a reasonable alternative to explore if no plan fits your budget.
💰 Higher deductible = lower monthly premium (30–40% difference) 5% multi-pet discount available 🎖️ Military discount available — ask at petsbest.com Accident-only plan: $9/mo dogs · $6/mo cats — lowest cost option
Is the PAW Act going to change how I pay for pet insurance?
HSA · FSA · CONGRESS · LEGISLATION
If the PAW Act passes — it’s currently before Congress as H.R. 1842 — pet owners would be able to use up to $1,000 from their HSA or FSA accounts for veterinary care or a pet health insurance premium, with no dollar cap for service animals. The bill is bipartisan, endorsed by the American Veterinary Medical Association, and has been reintroduced in the current Congress after previously failing to advance. For pet owners who carry an HSA or FSA through their employer or health plan, this would represent real savings: HSA contributions are pre-tax, meaning a $1,000 pet vet or insurance expense through an HSA would effectively cost you $700–$800 depending on your tax bracket. As of now, pet expenses do not qualify as eligible HSA or FSA expenditures under IRS rules. If you have an HSA with a balance, check back periodically at irs.gov for updates if the legislation advances — this is a change that would take effect through IRS guidance once signed into law, not automatically at passage. The 2026 HSA contribution limit is $4,400 for self-only coverage and $8,750 for family coverage for context on how much headroom you might have.
📋 PAW Act: H.R. 1842 — follow at congress.gov $1,000 max from HSA/FSA for vet care or insurance (if passed) Service animals: unlimited HSA/FSA eligible (if passed) Not law yet — check irs.gov for updates
📍 Find Vets and Pet Insurance Help Near You

Use the buttons below to find local veterinary clinics, emergency pet care, pet insurance offices, or general pet care help near your location. Always verify your specific Pets Best quote at petsbest.com before enrolling.

Searching near you…
🔑 Quick Reference — Pets Best Key Contacts & Links
🌐 Get a quote: petsbest.com 📋 Coverage details: petsbest.com/coverage 📱 Mobile app: App Store / Google Play — search “Pets Best” 📞 Customer service: 1-877-738-7237 💬 Submit claims: Customer account at petsbest.com or via app 🏥 Vet Direct Pay: ask your vet to enroll 🎖️ Military discount: available — ask when getting your quote 🐾 5% multi-pet discount for two or more pets 📋 PAW Act updates: congress.gov (search H.R. 1842) 🏛️ Vet cost by state data: naphia.org
✅ 5 Steps Before You Buy a Pets Best Policy
  • Step 1: Pull your pet’s recent vet records and scan for any conditions, symptoms, or prior treatments that could be flagged as pre-existing. Knowing this before you enroll prevents unpleasant surprises at claim time.
  • Step 2: Get a custom quote at petsbest.com using your pet’s actual age, breed, and home zip code. Try at least three deductible levels ($250, $500, $1,000) to see how much your monthly premium changes.
  • Step 3: Decide on your annual limit. If your pet is a breed with elevated cancer or joint risk, the unlimited annual limit is worth the higher premium. For lower-risk pets, $10,000 covers most single-year emergencies.
  • Step 4: Consider the wellness add-on only if your pet is under age 2 or you make frequent routine vet visits. Run the math: add up your expected routine care costs for the year and compare to the add-on’s cost and annual benefit cap.
  • Step 5: Enroll as early in your pet’s life as possible. A clean health record at enrollment means maximum coverage. Every month you wait is a month where a new condition could become a permanent exclusion.

Pets Best insurance pricing, plan availability, coverage terms, and waiting periods are set by Pets Best Insurance Services and change over time. Prices shown reflect commonly reported ranges and averages and may not reflect your specific pet’s quote. The PAW Act (H.R. 1842) is proposed legislation and has not been signed into law as of the date of this writing — do not make financial decisions based on its passage. Always verify your exact premium, coverage terms, and exclusions by getting a personalized quote directly at petsbest.com and reviewing your state’s sample policy. This page has no affiliation with Pets Best, Independence American Insurance Company, American Pet Insurance Company, or any insurer mentioned.

Recommended Reads

  1. 10 Best Pet Insurance for Dogs
  2. Insurance for a Dog Business — Walking, Grooming, Boarding, Training, Breeding & More
  3. 8 Pet Insurance That Covers Everything
  4. Best Pet Insurance for French Bulldogs
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