Most of the big vet bills cat owners face come from a short list: a blocked bladder, dental disease, kidney disease, an overactive thyroid, diabetes, and swallowed string or toy parts. A good cat policy is one whose wording covers those problems at the age your cat is likely to have them.

We read each insurer's policy or sample policy and record what it says in our fine print library. Every insurer fact on this page comes from that library and names the insurer it applies to. We are not an insurance agent, and nothing here is advice to buy a particular plan.

The ranking is sorted by our score. Half of it comes from policy terms: waiting periods, knee and hip rules, how cured conditions are handled, dental cover and enrollment age. The rest comes from public customer ratings and how popular each insurer is. The score is the same for cats and dogs, and knee and hip rules mostly affect dogs, so the cat-specific notes below can matter more than a small gap in score.

Best cat insurance for each situation

Which insurer fits depends on your cat's teeth, history and age. Each pick below comes only from the policy wording in our library.

Best for dental illness: Fetch, Embrace, Figo and Odie

These four policies name dental illness as covered, and each attaches a condition. That matters for cats: Cornell's Feline Health Center reports that 50 to 90% of cats older than four have some form of dental disease [1].

  • Fetch: covers dental disease as an illness unless signs showed before enrollment or during the waiting period. Its definition of dental disease includes gingivitis and stomatitis. Preventive cleanings are excluded.
  • Embrace: covers dental illness up to a $1,000 annual sub-limit. Tartar, plaque or gingivitis present before enrollment blocks cover until treated, and cleanings are never covered.
  • Figo: covers dental illness as long as your cat has an annual dental exam and you follow your vet's advice. Periodontal signs before the start date or during the wait are excluded.
  • Odie: covers periodontal disease, including extractions, if there were no prior signs. From age 3 it requires an anesthetic cleaning and exam within the prior 13 months.

ASPCA, MetLife, Pumpkin and Spot do not name dental disease as a benefit of its own. Their policies cover it under general illness. ASPCA, Pumpkin and Spot list tooth extractions and exclude cleanings unless they treat a covered illness. Pumpkin's marketing says periodontal disease is covered, but the policy reaches it only through the general illness benefit. More detail is in our dental cover guide.

Best for senior cats: no upper age limit

Six insurers in our library state no upper enrollment age: Fetch, Figo, MetLife, Odie, Pumpkin and Spot.

  • Fetch: no upper age limit (minimum 6 weeks). The policy adds vet-care duties at renewal for cats 10 and older.
  • Figo: no upper age limit (minimum 8 weeks).
  • MetLife: no upper age limit.
  • Odie: no upper age limit (minimum 7 weeks).
  • Pumpkin: no upper age limit, with cat annual limits of $5,000, $7,000, $15,000 or unlimited.
  • Spot: no upper age limit.

Embrace takes accident and illness enrollments only for cats under 15. At 15 and older it offers an accident-only plan. We could not confirm ASPCA's enrollment age from a current document, so it is left off this list. For most of these insurers, the age fact comes from the policy not setting a maximum, so confirm it on your quote.

Age matters because the expensive cat diseases tend to arrive late. Cornell reports chronic kidney disease in up to 40% of cats over 10 and 80% of cats over 15 [2], and says hyperthyroidism mostly affects cats middle-aged and older [3]. No age limit only helps with problems that start after the policy does.

Best for a cat with a past condition: ASPCA, Pumpkin and Spot

ASPCA, Pumpkin and Spot have the shortest cured-condition period in our library: a curable condition that has gone 180 days without treatment or symptoms is treated as new.

  • ASPCA: 180 days, except ligament and knee conditions. This comes from a 2020 sample form, and newer forms may be stricter on chronic conditions.
  • Pumpkin: 180 days, except chronic and ligament or knee conditions.
  • Spot: 180 days, except chronic and ligament or knee conditions.

The others take longer or work differently. Embrace needs 12 consecutive months free of signs and treatment. Figo needs 365 days and says chronic conditions are never curable. Fetch excludes a curable condition for 365 days, then covers it with an annual vet exam, with stricter rules if it comes back. Odie has no cure clause but looks back only 18 months, so a non-chronic problem last seen before that window falls outside it. MetLife's 2021 sample policy has no cured-condition clause, though its website says curable conditions are typically covered. Our pre-existing conditions guide compares the full wording.

For cats, the line between curable and chronic decides most of this. Cornell describes kidney disease as progressive with no definitive cure [2], and diabetes as having no cure even though many cats reach remission [4]. None of the clauses in our library say how diabetic remission is treated, so ask the insurer before counting on it. A one-off bout of urinary trouble is where a cure clause can help, if the insurer agrees it was cured. Cornell notes that most cats rarely have lower urinary tract problems again, while a few have frequent recurrences [5].

Best for fast accident cover: Embrace, MetLife, Figo and Fetch

Illness cover starts after 14 days at every insurer in our library except Fetch, where it is 15 days, so the real difference is how soon accidents are covered.

  • Embrace: 0 days for accidents (2 days in Kansas and South Carolina).
  • MetLife: 0 days for accidents.
  • Figo: 1 day. Its 6-month orthopedic wait applies to dogs only.
  • Fetch: no wait for accidents from an unexpected event. Injuries from normal activity fall under the 15-day wait.

This matters for cats that chew string, hair ties or toy parts. NAPHIA's industry report gives foreign body ingestion as an example of what accident cover is for [6]. PetMD puts intestinal blockage surgery in cats at $500 to $4,000, and notes that linear foreign bodies such as string are more likely to perforate the intestine [7]. See every insurer's waits in our waiting periods guide.

What cat owners should check in a policy

Check three things: how dental disease is worded, how urinary and kidney problems fit the pre-existing rules, and whether your cat can enroll at its age. These details sit in the exclusions and definitions, not on the marketing page.

Dental. Look for dental illness named as covered, then read the condition next to it. Because most adult cats have some dental disease [1], tartar or gingivitis present before enrollment can block cover at Embrace, Fetch, Figo and Odie. Cornell also reports that 30 to 70% of cats show some sign of tooth resorption, the most common cause of tooth loss in cats [1].

Urinary and kidney. Cornell calls urethral obstruction "a true medical emergency" and says male cats are at greater risk [5]. One study estimated standard treatment at $1,200 to $1,800 in 2010, and cited reported recurrence rates of 35% and 36% with conventional care [8]. If your cat has had a blockage, the pre-existing clause decides whether the next one is covered. Kidney disease and hyperthyroidism build more slowly but cost a lot: radioactive iodine treatment for hyperthyroidism runs about $2,300 to $2,900 at the University of Illinois teaching hospital [9]. NAPHIA's list of the largest cat claims paid in 2025 includes a $36.6K urinary claim and a $35.9K kidney disease claim [6].

Age. Check the maximum enrollment age and any renewal duties. Embrace's accident and illness cover is for cats under 15, and Fetch adds vet-care duties at renewal for cats 10 and older.

  • ASPCAPet Health Insurance
    Dental illness
    As general illness

    Dental disease is not named as its own benefit; covered under general illness. Tooth extractions are a listed benefit; cleanings excluded unless treating a covered illness; aesthetic, endodontic and orthodontic work and root planing excluded.

    Policy, p. 5
    Pre-existing conditions
    Cured: covered after 6 mo

    Excluded. Curable conditions cured and free of treatment and symptoms for 180 days become a new occurrence (not ligament/knee) (from a 2020 sample form; newer forms may be stricter on chronic conditions).

    Policy, p. 4
    Maximum enrollment age
    Not stated
  • Embrace Pet Insurance logo
    Dental illness
    Covered, with conditions

    Covered, conditional: $1,000 annual sub-limit; pre-existing dental signs (tartar, plaque, gingivitis) block cover until treated; dental prophylaxis never covered

    Policy
    Pre-existing conditions
    Cured: covered after 12 mo

    Excluded. Temporary (curable) conditions free of signs and treatment for 12 consecutive months are no longer pre-existing.

    Policy
    Maximum enrollment age
    Full cover under 15

    Accident & illness: under 15 years. 15+ = accident-only plan.

    Insurer website
  • Fetch Pet Insurance logo
    Dental illness
    Covered, with conditions

    Covered as illness unless clinical signs appeared before enrollment or during the waiting period; preventive cleanings excluded

    Policy, p. 11
    Pre-existing conditions
    Cured: covered after 12 mo

    Excluded. Curable conditions seen in the 365 days before enrollment or during the wait: 365-day exclusion, then coverable with an annual vet exam; if it recurs, a second 365-day period; recurrence in the second period = excluded for life. The policy's wording is unclear on the second year; check with Fetch.

    Policy, p. 10
    Maximum enrollment age
    No upper limit

    No upper age limit (minimum 6 weeks)

    Insurer website
  • Figo Pet Insurance logo
    Dental illness
    Covered, with conditions

    Covered, conditional on an annual dental exam and following vet advice; excluded if periodontal signs existed before start or during the wait

    Policy, p. 5
    Pre-existing conditions
    Cured: covered after 12 mo

    Excluded. Curable conditions become coverable after 365 consecutive days without symptoms or treatment; genetic, ligament/knee, orthopedic and chronic conditions are never curable.

    Policy, p. 5
    Maximum enrollment age
    No upper limit

    No upper age limit (minimum 8 weeks)

    Insurer website
  • MetLife Pet Insurance logo
    Dental illness
    As general illness

    Dental disease is not named as its own benefit; covered under general illness. The sample lists 'emergency dental Treatment' only as an example and has no dental exclusion or sub-limit

    Policy, p. 4
    Pre-existing conditions
    No cure clause

    Excluded. The 2021 sample policy we read has no cured-condition clause; MetLife's website says curable conditions are typically covered.

    Policy, p. 7
    Maximum enrollment age
    No upper limit

    No upper age limit

    Insurer website
  • Odie Pet Insurance logo
    Dental illness
    Covered, with conditions

    Covered, conditional: periodontal disease (endodontics on canine/carnassial teeth, extractions) if no prior signs; from age 3 requires an anesthetic cleaning and exam within the prior 13 months; cleanings and root planing never covered

    Policy, p. 14
    Pre-existing conditions
    18-month look-back, no cure clause

    Excluded. 18-month look-back: anything Present in the 18 months before the effective date (or during the wait) is excluded. No cure clause. Chronic, bilateral and IVDD conditions are excluded if Present at any time before.

    Policy, p. 16
    Maximum enrollment age
    No upper limit

    No upper age limit (minimum 7 weeks)

    Insurer website
  • Pumpkin Pet Insurance logo
    Dental illness
    As general illness

    Dental disease is not named in the policy; covered under general illness. Tooth extractions are listed; cleanings excluded unless treating a covered illness; aesthetic, endodontic and orthodontic work and root planing excluded.

    Policy, p. 7
    Pre-existing conditions
    Cured: covered after 6 mo

    Excluded. Curable conditions free of treatment and symptoms for 180 days become a new occurrence (not chronic or ligament/knee).

    Policy, p. 6
    Maximum enrollment age
    No upper limit

    No upper age limit

    Insurer website
  • Spot Pet Insurance logo
    Dental illness
    As general illness

    Dental disease is not named in the policy; covered under general illness. Tooth extractions are listed; cleanings excluded unless treating a covered illness (Gold/Platinum preventive add-ons pay toward cleanings); aesthetic, endodontic and orthodontic work and root planing excluded.

    Policy, p. 6
    Pre-existing conditions
    Cured: covered after 6 mo

    Excluded. Curable conditions free of treatment and symptoms for 180 days become a new occurrence (not chronic or ligament/knee).

    Policy, p. 5
    Maximum enrollment age
    No upper limit

    No upper age limit

    Insurer website

Indoor vs outdoor cats: does it change anything?

It does not change the policy terms we track. None of the waiting periods, dental rules, pre-existing rules or age limits in our library depend on whether a cat goes outside. It can change which risks you are insuring against.

Outdoor access brings its own risks. A 2019 Auburn University meta-analysis, published in Biology Letters, found that cats allowed to roam outdoors were 2.77 times more likely to have parasitic infections than indoor-only cats [10].

Indoor cats are not free of risk. Cornell lists an indoor litter box, restricted outdoor access, little exercise and extra weight among the patterns seen in cats with lower urinary tract disease [5]. Urinary, dental, kidney and thyroid problems are all illnesses, so an accident-only plan would pay for none of them, indoors or out.

How much is cat insurance?

The average accident and illness policy for a US cat cost $435 a year in 2025, about $36 a month, according to NAPHIA's 2026 State of the Industry report [6]. That was up 12.6% from $386 in 2024. The average for dogs was $836. Accident-only cover for cats averaged $112 a year.

Your own quote depends on your cat's age, breed and location, plus the deductible and reimbursement level you choose. Few cat owners have cover at all: NAPHIA puts the share of insured US cats at 2.29% [6].

A single large claim can outweigh years of premiums. One radioactive iodine treatment at the Illinois price [9] costs about as much as five to nearly seven years of the average premium, before any deductible or reimbursement is applied. Whether that trade makes sense depends on what you could pay from savings if it happened.

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Common questions

What is the best pet insurance for cats?+

It depends on the cat. For dental illness, Fetch, Embrace, Figo and Odie name it as covered, each with conditions. For senior cats, six insurers state no upper age limit. For a cat with a past curable condition, ASPCA, Pumpkin and Spot use the shortest cured period, 180 days.

Does cat insurance cover dental disease?+

Often, but the wording varies. Fetch, Embrace, Figo and Odie name dental illness as covered, with conditions such as no prior signs, an annual dental exam, or a $1,000 yearly sub-limit at Embrace. ASPCA, MetLife, Pumpkin and Spot cover it under general illness. Routine cleanings are excluded wherever the policy mentions them.

Will insurance cover a urinary blockage if my cat had one before?+

Only if the insurer treats it as cured. ASPCA, Pumpkin and Spot cover a curable condition again after 180 days without symptoms or treatment, Embrace after 12 months and Figo after 365 days. If the insurer calls the condition chronic, it stays excluded. Get the insurer's decision in writing before relying on it.

Can I get pet insurance for a senior cat?+

Yes. Fetch, Figo, MetLife, Odie, Pumpkin and Spot state no upper enrollment age. Embrace offers accident and illness cover only to cats under 15, and an accident-only plan after that. Anything the cat already has is still excluded as pre-existing, so the cover is for problems that start after enrollment.

Is kidney disease covered by cat insurance?+

Kidney disease that first appears after the waiting period ends is an illness, so an accident and illness policy covers it under its normal terms. If signs showed before enrollment, it is pre-existing. Pumpkin, Spot and Figo state that chronic conditions never count as cured, so an existing diagnosis stays excluded.

How much does cat insurance cost a month?+

The average US accident and illness policy for a cat cost $435 a year in 2025, about $36 a month, according to NAPHIA's 2026 industry report. Accident-only cover for cats averaged $112 a year. Your own price depends on your cat's age, breed, location and the deductible you choose.

Do indoor cats need pet insurance?+

Indoor cats still get the costly cat illnesses: urinary blockages, dental disease, kidney disease and hyperthyroidism. Cornell's Feline Health Center links an indoor litter box, little exercise and extra weight with urinary problems. None of the policy terms we track change for indoor cats, and accident-only plans do not cover illness.

How long is the waiting period for cat insurance?+

For illness, 14 days at ASPCA, Embrace, Figo, MetLife, Odie, Pumpkin and Spot, and 15 days at Fetch. Accident waits are shorter at some insurers: 0 days at Embrace and MetLife, 1 day at Figo, and 3 days at Odie, which drops to 0 days in some states.

Sources

  1. [1] Feline Dental Disease, Cornell Feline Health Center · accessed 2026-11-09
  2. [2] Chronic Kidney Disease, Cornell Feline Health Center · accessed 2026-11-09
  3. [3] Hyperthyroidism in Cats, Cornell Feline Health Center · accessed 2026-11-09
  4. [4] Feline Diabetes, Cornell Feline Health Center · accessed 2026-11-09
  5. [5] Feline Lower Urinary Tract Disease, Cornell Feline Health Center · accessed 2026-11-09
  6. [6] NAPHIA State of the Industry Report 2026, Highlights (June 2026) · accessed 2026-11-09
  7. [7] Cat Intestinal Blockage Surgery, PetMD (Brittany Kleszynski, DVM, March 2026) · accessed 2026-11-09
  8. [8] Cooper ES et al. A protocol for managing urethral obstruction in male cats without urethral catheterization. JAVMA 2010;237(11):1261-1266 · accessed 2026-11-09
  9. [9] Owner Guidelines for I-131 Therapy, University of Illinois Veterinary Teaching Hospital · accessed 2026-11-09
  10. [10] Auburn University study on viruses spread by outdoor domestic cats (Chalkowski et al., Biology Letters, 2019) · accessed 2026-11-09

Not insurance or veterinary advice. Terms vary by state and change over time.