Is pet insurance worth it?
Work out what you will actually pay over your pet's life, and how big a vet bill you would need for the policy to break even. Then hold it against the one number the regulators publish and the insurers do not advertise: across the whole industry, 72 cents of every premium dollar goes back out as claims. That is what happens to the POOL. What happens to you is that you probably claim nothing, and occasionally you claim a fortune. That is not a flaw in insurance. It is what insurance is.
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§ 02 What you will pay, and what the industry pays back
The loss ratio is an average across every policyholder. Most people claim nothing and get back nothing; a few have a catastrophic year and get back many times what they paid. That spread is exactly what you are buying.
By the numbers
- NAIC (2024): US pet insurers earned $4,395.9 million in premium and paid $3,148.5 million in claims, a loss ratio of 71.62 percent.
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These are financial statements insurers are legally required to file with state regulators, not a survey. 2024 is the first year pet insurance was broken out as its own line of business. - NAPHIA (2024): the average US accident-and-illness premium is about $749 a year for a dog and $386 for a cat. Dog premiums rose 11 percent in a single year, and your own premium climbs again as the pet ages.
- BLS, 12 months to May 2026: veterinary services rose 4.9 percent against 4.2 percent for all items. Vet bills are still outrunning inflation, but only just.
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We used to print 6.3 percent and "about 2.4 times headline inflation" here, in the present tense and with no date on it. That was roughly right in mid-2025 and it is not right now: headline inflation re-accelerated while vet inflation eased, and the gap has almost closed. Pet food is up 1.8 percent and rising, which we also used to call roughly flat. A fact with no period on it is a fact with an expiry date you cannot see, so this one now carries its month.
What is sourced here and what is not. The loss ratio is regulator-filed and is the number this whole
page turns on. The average premiums come from NAPHIA, a trade association reporting on its own members, so we label them
as such and would rather you typed in your real quote.More
Where every number above comes from
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Insurance filings
NAIC, 2024 Market Share Reports for Property/Casualty Groups and Companies (June 2025). Table 'Direct Loss Ratios by Line of Business', line 9.2 Pet insurance plans: 4,395.9 earned / 3,148.5 incurred / 71.62 loss ratio. Also, verbatim: 'Beginning with the 2024 data year, Pet Insurance is reported as a separate line of business and is no longer included under Inland Marine.' We previously cited the CIPR topic landing page, which carries none of those numbers
content.naic.org -
NAPHIA, State of the Industry 2025, Report Highlights (trade association). Section 4, 'Average Annual Premium Per Cat, Per Dog (U.S.)', 2024: accident and illness $749.29 dog / $386.47 cat; accident only $193.29 / $110.03; insurance with embedded wellness $1,321.33 / $651.30. All six of our premium options come from this one table; we previously cited a press release that carried only two of them
naphia.org -
Wage data
BLS, Consumer Price Index, series CUUR0000SS62054 (Veterinarian services), CUUR0000SA0 (All items) and CUUR0000SS61031 (Pet food and treats), 12 months to May 2026. We previously cited the CPI landing page, which carries none of these series
api.bls.gov
What this assumes, and where it could be wrong
Every one of these is a place the number could be off. They are here because you should be able to check our working, not because we are hedging.
WHERE WE LOOKED, AND HOW BIG EACH PLACE IS.
Lifetime premiums assume your premium rises each year at the rate you set. Premiums genuinely do climb as a pet ages, so a flat premium is the optimistic case rather than the neutral one.
Expected claims back applies the industry-wide loss ratio of 71.62 percent (NAIC, 2024) to what you pay. It is the average outcome across all policyholders, not a forecast of your own claims.
The break-even vet bill is what you would need to spend in a single year, after your deductible and reimbursement rate, just to get that FIRST year's premium back.
We ignore wellness add-ons paying out on routine care, which are closer to a payment plan than to insurance, and we ignore the fact that many policies exclude pre-existing conditions, which is where most disputes happen.
