Lemonade leads MoneyGeek's pet surgery insurance rankings with a 4.7 score for dogs and 4.5 for cats, combining affordable premiums with reliable service. Pumpkin, AKC, Spot and Pets Best also offer solid surgical coverage options.
Best Pet Insurance for Surgery
The best pet insurance companies for surgery are Lemonade, Rainwalk and AKC. Coverage starts at $20 monthly for cats and $41 monthly for dogs.
Find the best cheap pet insurance with surgery coverage below.

Updated: December 30, 2025
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Lemonade is the best pet insurance company for surgery in our analysis, earning a 4.7 out of 5 score for dogs and 4.5 for cats.
Lemonade offers the cheapest pet insurance for dog surgery coverage at $41 monthly, while Pumpkin has the lowest cat rates at $20 monthly.
Compare pet insurance costs from different insurers and read customer reviews to find surgery coverage that fits your budget and needs.
What Are the Best Pet Insurance Companies for Surgery?
Ensure you are getting the best rate for your insurance. Compare quotes from the top insurance companies.

Best Overall
Average Monthly Rate for Dogs
$41Average Monthly Rate for Cats
$23Overall Reddit Sentiment
72% positiveMaximum Annual Limit
$100,000
- pros
Lowest premiums for dogs
Annual limits up to $100,000
Fast digital claims processing
consCovers pets under 14 years old only
Unavailable in nine states
Lemonade ranks first for pet insurance covering surgery with top scores for affordability and customer experience. Lemonade offers annual limits up to $100,000 and processes claims digitally within minutes. Pets must be under 14 years old to enroll, and Lemonade operates in 41 states.
Lemonade ranks first for dog insurance affordability and second for cat insurance affordability among pet insurers covering surgery. Monthly premiums range from $9 to $101 based on your pet's type, age and coverage choices.
Data filtered by:DogMiddle Aged$500$5,00080%$52 $626 27% Lemonade ranks third for customer experience among pet insurers covering surgery. Lemonade has a 4 out of 5 Trustpilot rating and 72% positive Reddit sentiment, with 23 of 32 comments showing favorable experiences.
Lemonade offers accident and illness policies with annual limits from $5,000 to $100,000, deductibles from $100 to $750 and reimbursement rates between 60% and 90%. Orthopedic surgeries have a 30-day waiting period and other illnesses have 14 days, with coverage including diagnostics, procedures and medications.
Pets must be under 14 years old to enroll. Lemonade excludes pre-existing non-chronic conditions unless your pet stays symptom- and treatment-free for 12 consecutive months.

Best Customer Experience
Average Monthly Rate for Dogs
$60Average Monthly Rate for Cats
$30Trustpilot Ratings
4.7 out of 5Maximum Annual Limit
$20,000
- pros
Excellent customer service
24/7 virtual vet visits included
Covers curable pre-existing conditions after 180 days symptom-free
consHigh premiums
Not available in five states
Rainwalk ranks first for customer experience in our study, processing reimbursements within days. The insurer's responsive support and prompt claims handling consistently earn praise from policyholders.
Premiums run higher than competitors, and coverage isn't available in five states. Rainwalk covers previously treated conditions after your pet goes 180 consecutive days without symptoms. You also get 24/7 virtual vet access at no extra charge.
Monthly premiums range from $11 to $128. Rainwalk ranked 10th for dog insurance affordability and eighth for cats in our analysis. Your actual rate depends on your annual limit, deductible and reimbursement percentage.
Data filtered by:DogMiddle Aged$500$5,00080%$69 $828 4% Rainwalk earns a 4.6 out of 5 Trustpilot rating, with customers praising fast claims and responsive support. Reddit sentiment runs 71% positive across the seven comments we analyzed.
Policies include accident and illness coverage with $5,000 to $20,000 annual limits, $100 to $750 deductibles and 70% to 90% reimbursement rates. A 14-day waiting period applies to accidents, illnesses and surgical procedures.
Previously treated conditions become eligible after 180 consecutive symptom-free days. Coverage is available in 45 states with no upper age limit for enrollment.

Best Pet Insurance Coverage Options
Average Monthly Rate for Dogs
$59Average Monthly Rate for Cats
$35Overall Reddit Sentiment
86% positiveMaximum Annual Limit
$10,000
- pros
Top-ranked coverage options
Two-day waiting period for accidents
Covers curable and incurable pre-existing conditions
consHigher premiums than competitors
Lower maximum annual limit
AKC ranks first for coverage options among pet insurers covering surgery in our analysis. AKC's surgery coverage starts after a two-day waiting period for accidents and includes curable and incurable pre-existing conditions after 365 days of continuous enrollment. AKC has lower maximum annual limits than competitors, and premiums run higher.
AKC ranks ninth for both dog and cat insurance affordability, with monthly premiums between $14 and $235 based on your coverage limit, deductible and reimbursement rate.
Data filtered by:DogMiddle Aged$500$5,00080%$66 $788 9% AKC ranks third for customer experience with 86% positive Reddit sentiment from seven comments. AKC has a 2.9 out of 5 Trustpilot rating. Customers praise AKC's comprehensive coverage and responsive claims service.
AKC offers accident and illness policies with annual limits from $2,500 to $10,000, deductibles from $100 to $1,000 and reimbursement rates between 70% and 90%. Surgical coverage starts after two days for accidents and 14 days for illnesses. Cruciate ligament and IVDD (intervertebral disc disease) surgeries require a 180-day waiting period. AKC covers pre-existing conditions after a year of continuous enrollment and offers optional hereditary and breeding add-ons, covering pets of any age needing surgical treatment.
What Are the Cheapest Pet Insurance Companies for Surgery?
Lemonade has the cheapest pet insurance for dogs needing surgery coverage at $41 per month. For cats, Pumpkin offers the lowest rates at $20. Cats cost less to insure because they have lower surgery risks and veterinary expenses than dogs, who need orthopedic procedures like ACL surgery more frequently.
Cheapest Dog Insurance for Surgery
Lemonade provides the cheapest dog insurance for surgery coverage at $41 monthly ($492 annually), followed by Pumpkin at $46 monthly ($548 annually). These rates reflect our standard 6-year-old Labrador Retriever profile with a $5,000 annual limit, $500 deductible and 80% reimbursement rate.
| Lemonade | $41 | $492 | 32% |
| Pumpkin | $46 | $548 | 25% |
| Pets Best | $53 | $643 | 11% |
| AKC | $59 | $705 | 3% |
| Rainwalk | $60 | $717 | 1% |
Cheapest Cat Insurance for Surgery
For cat insurance covering surgery, Pumpkin offers the lowest monthly premium at $20 ($238 annually). Lemonade comes in second at $23 monthly ($274 annually). These rates are for a 7-year-old Ragdoll with a $5,000 annual limit, $500 deductible and 80% reimbursement rate.
| Pumpkin | $20 | $238 | 37% |
| Lemonade | $23 | $274 | 28% |
| Spot | $23 | $284 | 25% |
| Pets Best | $28 | $329 | 13% |
| Rainwalk | $30 | $359 | 5% |
How to Get the Best Cheap Pet Insurance for Surgery
Getting pet insurance at a reasonable price means comparing plans carefully and knowing what your pet needs. Use these steps to find the best value for your pet’s surgical care.
- 1Decide on your coverage needs
Determine how much coverage your pet needs for possible surgeries. Annual limits between $5,000 and $20,000 cover most procedures. Complex surgeries like spinal operations or cancer treatments need higher pet insurance coverage limits. Balance your deductible and reimbursement rate to find affordable monthly premiums.
- 2Check quotes from several insurers
Get quotes from three to five insurers to compare premiums for the same annual limit, deductible and reimbursement rate. Look for discounts for multiple pets, annual payment plans or military service. Bundling pet insurance with other policies can lower your monthly costs. Check if you qualify for low-income pet insurance programs that prioritize coverage for surgical procedures.
- 3Review policy details
Read sample policies before purchasing. Focus on waiting periods and which breed-related conditions are eligible for reimbursement. Check coverage for orthopedic surgeries like ACL repairs and IVDD procedures, which have longer waiting periods than other conditions.
- 4Read customer feedback
Check customer satisfaction ratings and complaint data from Trustpilot, the Better Business Bureau and state insurance departments. Reviews from pet owners who've filed surgery claims show how fast insurers process reimbursements and handle disputes. Look for patterns in feedback, not isolated complaints.
- 5Check your policy
Before renewing pet insurance, review your policy each year to confirm it meets your pet's needs and your budget. As your pet ages, surgical risks increase. Consider higher annual limits or lower deductibles for better financial protection. Compare your renewal premium against current market rates to get competitive pricing for your coverage level.
Best Pet Insurance for Surgery Coverage: Bottom Line
Lemonade is MoneyGeek's choice for the best pet insurance with surgery coverage for dogs and cats, offering strong customer service and the most affordable premiums for dogs. Pumpkin offers the cheapest cat insurance for surgery.
Compare quotes from multiple companies, review policy terms and check customer feedback before purchasing coverage to get the best deal for your budget and pet's needs.
Find the top pet insurance companies for your pet:
Which Pet Insurance Is Best for Covering Surgery: FAQ
What is the best pet insurance for surgery?
Lemonade earns a 4.7 out of 5 score for dogs and 4.5 for cats in our analysis. Lemonade offers affordable premiums starting at $41 monthly for dogs and $23 for cats with comprehensive coverage, including annual limits up to $100,000 and fast digital claims processing.
What is the cheapest pet insurance for surgery?
Lemonade has the cheapest dog insurance for surgery at $41 monthly ($492 yearly). For cats, Pumpkin offers the lowest rates at $20 monthly ($238 yearly).
Does pet insurance cover all types of surgery?
Pet insurance covers most medically necessary surgeries, including emergency procedures, orthopedic surgeries like ACL repairs and cancer treatments. Coverage depends on your policy terms and waiting periods. Elective procedures like cosmetic surgeries aren't covered.
Will pet insurance cover surgery for pre-existing conditions?
Coverage for pre-existing conditions varies by provider. AKC covers curable and incurable pre-existing conditions after 365 days of continuous enrollment. This makes AKC the most comprehensive option for pets with prior health issues. Rainwalk covers previously treated conditions if your pet remains symptom-free for 180 consecutive days, while Lemonade excludes pre-existing conditions unless they're non-chronic and your pet stays symptom-free for 12 months.
What's the difference between accident and illness coverage for surgery?
Accident coverage reimburses costs for injuries from unexpected events like car accidents, falls or ingesting foreign objects, with waiting periods between 0 and 14 days. Illness coverage handles medical conditions that develop over time, including infections, cancers and degenerative diseases, with longer waiting periods of 14 to 30 days.
Does pet insurance cover emergency surgery?
Pet insurance covers emergency surgery after waiting periods end. Enroll before an emergency occurs and your pet's covered for surgery costs up to your annual limit. Emergencies during the waiting period or related to pre-existing conditions aren't covered unless you have pre-existing condition coverage.
Does pet insurance cover multiple surgeries in one year?
Pet insurance covers multiple surgeries within a policy year up to your annual limit. If your pet needs ACL surgery on one leg for $3,000 and later requires a tumor removal for $2,000, both procedures count toward your annual limit. Once you reach your limit, you're responsible for any additional costs until your policy renews.
How We Found the Best and Cheapest Pet Insurance for Surgery
Surgical procedures for pets can cost thousands of dollars, creating financial stress when your pet needs emergency or planned surgery. We analyzed 20 major pet insurance providers to find which companies offer the strongest combination of affordable premiums, comprehensive surgical coverage and responsive claims handling when you need it most.
Our analysis weighted affordability at 50% because surgical costs vary. ACL repairs run $3,000 to $5,000 while cancer surgeries can exceed $10,000. We gathered quotes using a 6-year-old Labrador Retriever (dogs have higher surgical risk) and 7-year-old Ragdoll cat with a $5,000 annual limit, $500 deductible and 80% reimbursement rate to compare identical coverage across all providers.
Customer experience counted for 30% because pet owners need responsive support when filing surgery claims. We analyzed Trustpilot ratings and Reddit comments from pet owners who've actually filed claims to see how insurers handle reimbursements and disputes.
Coverage options made up 20% of our score. We examined policy contracts in each state to compare surgical coverage specifics: waiting periods for orthopedic procedures, cruciate ligament surgery coverage, pre-existing condition policies and cancer treatment inclusions. Providers with shorter waiting periods, broader surgical coverage and fewer exclusions scored higher since pets needing surgery can't afford long delays or coverage gaps.
About Mark Fitzpatrick

Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.
Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!
He writes about economics and insurance, breaking down complex topics so people know what they're buying.

