Should You Get Pet Insurance for a Cat?

Updated Aug. 8, 2023
veterinarian holding a stethoscope with a gray cat

Let’s say your cat, Fluffy, went in for her routine wellness visit, and the vet noticed that she had lost 2 pounds since last year. Granted, she had been a little overweight, but you hadn’t cut her food back to cause this weight loss.

Because the vet was concerned, they did bloodwork and found that Fluffy has thyroid disease. Of course, you’re worried about her health, but also about the cost of treatment. This is just one situation where pet insurance could help you pay for an illness if you had it in place before your cat was diagnosed.

Here’s what you need to know about getting insurance for your cat, from how it works to the types of plans, what insurance for cats covers, and how much pet insurance costs.

Find a CarePlus insurance plan to match your pet's needs

Learn about CarePlus, insurance plans with exclusive Chewy benefits

Pet insurance that can cover Rx costs and more

dark blue careplus logo

How Does Cat Insurance Work?

Cat insurance plans are very similar to human health insurance plans, but there are some key differences. For instance, human plans cover routine physicals as well as accidents and illnesses, and there are usually a few different levels of coverage you can choose.  

Cat insurance plans are similar in that you can choose the level of coverage you desire, but wellness is generally considered an “add-on” or separate plan.

In exchange for covering a portion of your vet expenses, you’ll pay a monthly or annual premium, and there may or may not be deductibles. Also, many plans have a built-in reimbursement percentage that kicks in after you’ve met your deductible. This is the amount the plan will pay once your deductible has been met. A 90% reimbursement level, for example, means your pet insurance company will pay for 90% of all approved expenses.

Which plan you choose—plus your cat’s age, breed, and health status—will affect your monthly payment.

Another key difference between cat insurance plans and human health insurance: You’ll pay the full veterinary bill at the time of treatment, then submit the bill to your pet insurance company for reimbursement. The insurance company will review the claim and send a check (or do a direct deposit) for covered expenses.

A few cat insurance companies, however, have simplified the process by paying the vet directly for the amount they cover at the time of treatment. Talk to your insurance provider about how reimbursement works with the policy you’re considering.

What Does Cat Insurance Cover?

What cat insurance covers varies dramatically between plans, so carefully review the policy you are considering before making your decision.

There are three general types of insurance: accident-only, accident and illness, and wellness plans. Pregnancy, as a rule, is not covered by any of these plans.

Additionally, many plans have limits on how much they will pay out. These limits may be annual or applied over the lifetime of the policy.


Accident-only plans cover physical accidents such as cuts and lacerations, fractures, foreign body ingestions (like swallowing string), and some poisonings. These are the most limited plans and are often the least expensive.

This type of plan does not cover anything related to illnesses, pre-existing conditions, or routine care.

Accident and Illness

These plans are similar to the insurance plans common in human medicine, although they usually don’t include routine preventive care. In addition to accidents and injuries, this type of cat insurance plan also covers illnesses such as: 

Hereditary conditions are usually covered, as long as they are diagnosed after the policy is in place (otherwise they are considered pre-existing). For most cats, polycystic kidney disease, diabetes not linked to obesity, and skin allergies might be considered under this clause.

If a disease is known to affect both sides of the body (such as elbow dysplasia) and one side was affected prior to binding coverage, the second side may or may not be covered by the policy.

These cat insurance plans usually exclude pre-existing conditions. Accident and illness plans may also exclude pets over a certain age and some prescription medications.

Wellness Plans

Cat wellness plans cover routine wellness visits and preventive medicine. They are often sold as add-ons to an accident and illness plan, or they may be purchased as standalone plans. This type of plan typically covers:

Does Insurance for Cats Cover Pre-Existing Conditions?

Most pet insurance plans do not cover pre-existing conditions (although there are exceptions to this). This means that if your cat has a medical problem that existed before the start of the policy coverage, you cannot claim the cost of treating it.

Some of these conditions may be covered eventually—for example, if your pet is symptom-free of the disease for 180 days—but not always.

What Does Cat Insurance Cost?

The cost of cat insurance varies depending on the type of plan you choose and your cat. Factors that affect the cost of your premium include:

  • Your cat’s breed, sex, age, and health status

  • Type of plan

  • Deductible amount

  • Reimbursement level

  • Where you live

On average, accident and illness policies for cats cost about $28 per month, while accident-only policies average about $11/month. So, on average, cat parents pay about $350 annually for accident and illness, and $135 annually for accident-only. For wellness plans, you could pay $25 monthly, or $300 annually, for a mid-range plan.

Deductibles usually range from $0 to $1,000, with the most common options being $100, $250, or $500. Reimbursement rates also vary, but plans offering 70%, 80%, or 90% are common.

The most expensive cats to cover include exotic cat breeds as well as RagdollsBritish ShorthairsPersians, and Maine Coons. The least expensive include Domestic Shorthairs and Domestic Longhairs. Older animals are typically more expensive to insure than younger animals.

Is Cat Insurance Worth It?

Insuring a cat is a great way to get peace of mind and, if you need to use it, lower the cost of veterinarian bills. For many pet parents, knowing their cat is insured in the event of a health problem makes pet insurance a good purchase, no matter how often they use it.

When you’re making the decision to insure your cat, carefully weigh the monthly and annual costs of the policy against your ability to pay a large medical bill (in the event you need to). In a worst-case scenario, how hard would it be to pay several thousand dollars in vet care, for example?

Chronic disease treatment and unexpected accidents or illnesses can be expensive, so having an insurance policy in place can really help you provide the best care for your cat. It is also important to have a plan to pay for those routine wellness visits

How Do You Sign Up for Cat Insurance?

Your vet is always a good resource when it comes to researching pet insurance. Vets are in a great position to be familiar with lots of kinds of insurance, and they know how the companies and different types of policies work.

If you know anyone who has purchased pet insurance, ask them about their experience with the company or plan. And finally, carefully read all of the material provided with any policy you’re considering. If you have questions, most pet insurance companies are happy to provide support and help.

Look at how much the insurance policy you’re considering cost and whether it offers the right mix of coverage, deductibles, and reimbursement levels for your needs.

In general, younger cats are good candidates for wellness plans. A wellness plan will help cover the cost of vaccines and screening. Many pet parents also add accident-only coverage because kittens are curious and may get into dangerous situations or eat things they aren’t supposed to.

Older kitties often benefit more comprehensive cat insurance plans because they are at higher risk of getting a disease that needs treatment. However, remember that most insurance plans exempt pre-existing conditions, so it’s always a good idea to purchase coverage when your cat is still a healthy adult and keep the policy in force as your cat moves into their senior years.

Featured Image:

Sandra C. Mitchell, DVM, DABVP


Sandra C. Mitchell, DVM, DABVP


Sandra Mitchell is a 1995 graduate of the New York State College of Veterinary Medicine. Since graduation, she has worked in many fields...

Help us make PetMD better

Was this article helpful?

Get Instant Vet Help Via Chat or Video. Connect with a Vet. Chewy Health