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Reviewed by Dr. Tiffany Delacruz, DVM • Updated 2026

Pet insurance, honestly compared

Side-by-side comparisons of the major pet insurance providers — what each actually covers, real pricing, and how to pair them with RexVet's $120/yr Family Plan for the lowest total cost.

Quick context: RexVet is NOT pet insurance — it's a 501(c)(3) non-profit telehealth service. These comparisons help you decide whether you need insurance, RexVet, or both. (Honest answer for most pet parents: both, used differently.)

Compare each provider

7 major pet insurance providers compared honestly.

Trupanion

Founded 2000 • Accident & Illness

Trupanion is a premium pet insurance provider known for paying vets directly at the time of visit and offering 90% reimbursement with no payout caps.

Dogs: $60-$200/mo Compare →

Healthy Paws

Founded 2009 • Accident & Illness

Healthy Paws is one of the most-recommended pet insurance providers, known for fast claims processing and unlimited annual coverage on accident & illness.

Dogs: $35-$150/mo Compare →

Lemonade Pet Insurance

Founded 2015 • Wellness Add-on Available

Lemonade is a tech-forward pet insurance built on instant AI-driven claims, lower premiums, and wellness add-ons. Strong choice for first-time insurance buyers.

Dogs: $20-$80/mo Compare →

Spot Pet Insurance

Founded 2019 • Wellness Add-on Available

Spot Pet Insurance is a flexible newer provider known for customizable coverage, wellness add-ons, and partnerships with major pet brands like Cesar Millan.

Dogs: $25-$100/mo Compare →

ASPCA Pet Health Insurance

Founded 2006 • Wellness Add-on Available

ASPCA Pet Health Insurance is a long-running provider offering flexible accident & illness coverage with optional wellness add-ons.

Dogs: $30-$100/mo Compare →

Embrace Pet Insurance

Founded 2003 • Wellness Add-on Available

Embrace is a mid-tier pet insurance provider known for diminishing deductibles (rewards you for not filing claims), wellness rewards, and curable pre-existing conditions coverage.

Dogs: $30-$110/mo Compare →

Nationwide Pet Insurance

Founded 1982 • Wellness Add-on Available

Nationwide is the oldest pet insurance provider in the U.S. — and one of the few that covers EXOTIC pets like birds, reptiles, and small mammals in addition to dogs and cats.

Dogs: $35-$130/mo Compare →

Skip the wellness add-on. Use RexVet for routine.

Most pet insurance wellness add-ons cost $15-30/mo and cover $250-450 of routine care per year. RexVet's Family Plan is $10/mo and covers unlimited consultations and messaging.

See the Family Plan

Reviewed by Dr. Tiffany Delacruz, DVM

These comparisons are editorial commentary, not insurance advice. Always get a personal quote from any insurer before deciding.

Last reviewed: 2026-06-03 by Dr. Tiffany Delacruz, DVM.

Get care for your pet in Florida, New York, or Virginia

$64.99 video visit with a licensed vet — same-day prescriptions and RexVetRx delivery in the states we serve.

Browse more RexVet guides

Reviewed by Dr. Tiffany Delacruz, DVM — written for pet parents in Florida, New York, and Virginia.

Online Vet (Overview)

How an online vet visit works and what we treat.

Online Vet by City

FL, NY, and VA city-level vet care landers (89 cities).

Online Pet Prescriptions

Same-day Rx, delivery, and local-pharmacy pickup.

Pet Medications A–Z

Reference guide to common dog & cat medications.

Medication Dosage by Weight

Dosage guides for top drugs across 6 dog and 4 cat weight classes.

Breed Health Guides

Diagnosed conditions in 21 dog and 10 cat breeds.

Symptoms by Breed

Symptom guides for top dog breeds.

Symptoms by City

Dog & cat symptom guides for 24 top FL/NY/VA cities.

Symptoms by State

FL/NY/VA-specific symptom guides — climate triggers, common causes, telehealth fit.

Breeds by State

Top 10 dog breeds × FL/NY/VA — state-specific health risks and care plans.

Breeds by City

Hyper-local breed care guides for the top FL/NY/VA cities — same-day delivery in your ZIP.

Cat Breeds by City

Feline breed-specific care guides for FL/NY/VA cities — no carrier stress.

Conditions by State

Chronic condition management for FL/NY/VA pets — arthritis, allergies, kidney, diabetes, anxiety, and more.

Conditions by City

Hyper-local chronic condition guides for the top FL/NY/VA cities — same-day delivery in your ZIP.

2026 Pet Care Costs

What pet care actually costs, by procedure & state.

Online vs In-Person Cost

Real cost comparison for 10 common vet scenarios across FL/NY/VA.

Online Vet Near Me

How licensed-by-state telehealth actually works for FL, NY, VA pet parents.

Online Vet for Dogs

Licensed video visits, prescriptions, and chronic care for dogs.

Online Vet for Cats

Carrier-free feline care with licensed cat-savvy veterinarians.

Pet Health Library

Vet-authored guides on seasonal pet hazards, anxiety, and emergencies.

Pet Health Glossary

Plain-English definitions for 32 common vet medicine terms.

Pet Emergencies

Toxic foods, plants, heatstroke, fireworks anxiety — what to do right now + Pet Poison Helpline numbers.

Pet Emergencies by City

Immediate-action guides for poisoning, trauma, bloat, urinary blockage, breathing distress — FL/NY/VA cities.

Vet-Built Tools & Calculators

Dog age, pet weight, vaccine schedule, and calorie calculators — all vet-reviewed.

Online Vet by State

Where RexVet is licensed across all 50 U.S. states — served, roadmap, watchlist.