Wellness plans vs pet insurance

By Raúl Vaquerizo · Published · Editorial policy

A wellness plan and pet insurance solve different problems. Insurance is for the bill you didn’t see coming. A wellness plan spreads the cost of care you already know your pet will get: the annual checkup, vaccines and, depending on the plan, things like screening tests or a dental cleaning.

You can buy one without the other. Many insurers sell wellness as an add-on to a policy, which is why the two get mixed up.

The law treats them differently

The NAIC Pet Insurance Model Act, which 17 states have adopted in some form, is unusually blunt on this point. A separate wellness program:

  • may not be marketed as pet insurance;
  • must have costs that are separate and identifiable from the insurance policy;
  • can’t be a condition of buying insurance, and your eligibility for insurance can’t depend on it;
  • must come with a clear notice, in bold 12-point type, that wellness programs are not insurance.

There’s one twist. If wellness benefits are written into the insurance policy itself, the model says they are insurance and follow the insurance rules. Either way, the practical message is the same: know which one you’re paying for.

What a wellness add-on costs

Two data points give a sense of scale:

Dogs Cats
Accident & illness, average quote (MoneyGeek) $61/month $32/month
Same, with a wellness plan $92/month $61/month
Difference $31/month ($372/year) $29/month ($348/year)

NAPHIA’s industry averages for 2025 show a bigger gap. Policies with embedded wellness averaged $1,414 a year for dogs and $859 for cats, against $836 and $435 for accident and illness alone. Those embedded plans are usually richer, so the comparison isn’t exact, but the direction is clear: routine care cover isn’t cheap.

The five-minute test

A wellness plan is a prepayment deal, and you can check the math before you sign:

  1. Write down the routine care your pet actually gets in a normal year: exam, vaccines, parasite prevention, maybe a dental cleaning or blood work for an older pet.
  2. Ask your vet’s front desk for the price of each item.
  3. Compare that total with the yearly cost of the plan (for the averages above, around $350 to $370).
  4. Look at the caps. If the plan pays a set allowance per item, a $50 allowance doesn’t help much when your vet charges $90.
  5. Ask what happens to money you don’t use. If the dental allowance disappears in December, you need to actually book the cleaning.

If your real routine spending comes out clearly higher than the plan’s cost, it can make sense. If it’s about the same, you’re mostly paying for budgeting help. Putting the same amount aside each month gets you that for free.

What a wellness plan won’t do

It won’t pay for the expensive surprises: a swallowed toy, a cruciate tear, cancer, a urinary blockage. That’s the job of accident and illness insurance, and it’s where a policy earns its keep. If your budget allows only one of the two, insurance is the one that protects you from a bill you can’t absorb.

Want to see the effect on your own premium? The calculator has a wellness toggle. For more on what routine dental care costs and how it’s covered, see does pet insurance cover dental?

Estimates only, not a quote. Not financial or veterinary advice. We are not an insurer, agent or broker. Prices come from public data and change by insurer, ZIP code, policy options and your pet's medical history. Always read the policy and ask your veterinarian about your pet's health. Full disclaimer.

More guides

Sources

  1. MoneyGeek. How Much Does Pet Insurance Cost? (10/14/2026). Accessed 11/06/2026.
  2. National Association of Insurance Commissioners (NAIC). Pet Insurance Model Act (MO-633) (08/13/2022). Accessed 11/06/2026.
  3. North American Pet Health Insurance Association (NAPHIA), compiled by Willis Towers Watson. State of the Industry Report 2026 (Highlights) (06/21/2026). Accessed 11/06/2026.

Full list, limitations and how each figure is used: methodology.

Data last reviewed: · How we estimate