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Best Shih Tzu Insurance
The best pet insurance providers for Shih Tzus are Pumpkin, Pets Best and Lemonade. Your ideal fit depends on your budget, along with your dog's age, location and coverage needs for potential health risks.
MoneyGeek's provider network can help you compare top pet insurance options for Shih Tzus below.

Updated: September 24, 2026
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Best Shih Tzu Insurance Companies
My analysis found that the best pet insurance companies for Shih Tzus are:
- Choose if you want excellent service and same-day reimbursements: Pumpkin
- Choose if you want the option for direct vet pay and to waive orthopedic waiting period: Pets Best
- Choose if you want immediate accident coverage and flexible policies: Lemonade
To evaluate each provider, I reviewed its base coverage, plan customization options, pre-existing condition terms and waiting periods. I also compared its average costs with the national breed average and assessed the customer experience across buying a policy, managing coverage and submitting claims.
Each of my top recommendations has features that may suit different needs. Use the table below to see how they compare.
PumpkinBest overall4.77$21Top-tier customer service for buying, policy management and claims, can provide same-day reimbursements through urgent pay servicePets BestBest for direct vet pay4.75$20Option to pay licensed vets directly for covered claims, waiver for orthopedic waiting periodLemonadeBest for accidents4.71$25No waiting period for accidents, multiple ways to customize coverage level
For our best Shih Tzu insurance ratings, we evaluated affordability, customer experience and coverage across 18 major pet insurers. Our analysis used a standard profile of a 6-year-old Shih Tzu with a $5,000 annual limit, $500 deductible and 80% reimbursement rate to ensure consistent comparisons across providers.
We analyzed pricing competitiveness across different locations, measured customer experience throughout the policy lifecycle from enrollment to claims and assessed coverage options and terms. Each insurer received a composite score based on affordability (50% of overall score), customer experience (30% of overall score) and coverage (20% of overall score).
For a detailed breakdown of the metrics, scoring methodology and analysis approach, see our full methodology.

Pumpkin: Best Shih Tzu Insurance Overall
Exceptional customer experience
Urgent pay service for same-day reimbursements
Options for customizing policies are limited
14-day waiting period for accident coverage
Pumpkin is my pick for the best Shih Tzu insurance overall, outperforming in customer experience. You can expect a fast and smooth service at each stage of the policy lifecycle, from buying coverage to managing your account and filing claims. The company also features Pumpkin Now, which expedites reviews of claims over $500 and deposits instant reimbursements to qualifying bank accounts, which you can use to pay your bill.
With Pumpkin’s limited options for reimbursement rates, deductibles and annual limits, however, you have fewer ways to balance your monthly premium with the level of coverage and out-of-pocket costs you prefer for your Shih Tzu.
Learn more: Pumpkin Pet Insurance Review
- Shih Tzu owners who value customer experience: Pumpkin leads my customer experience analysis, with consistently strong performance across buying, policy management and claims, so you can expect responsive support at every stage of the policyholder journey.
- Those who want faster reimbursements: With Pumpkin Now, eligible claims over $500 submitted at the vet during service hours can qualify for same-day reimbursement, provided your bank supports real-time payments.
- Owners who prioritize faster coverage for accidents: Pumpkin requires you to wait 14 days before accident coverage takes effect, so an eligible injury that happens during that period would not be eligible for reimbursement. Lemonade is the better alternative.
- Those looking for highly flexible policies: Pumpkin only provides two reimbursement rates, four deductibles and four annual limits, which can make it harder to match your premium and out-of-pocket costs to your budget. Lemonade is more suitable.

Pets Best: Best Shih Tzu Insurance for Direct Vet Pay
Pays licensed vets directly on request
Waiver for orthopedic waiting period
Add-ons for exam fee and physical therapy coverage
Ranks last for claim submission ease
Pets Best stands out for its Vet Direct Pay feature, allowing it to send approved claim payments directly to your vet, so you only have to pay your annual deductible, co-insurance and non-covered items rather than the full bill. The company can also waive its orthopedic waiting period through a physical exam, which provides coverage sooner for Shih Tzus that are predisposed to knee and ligament issues like patellar luxation.
That said, Pets Best is least competitive for claim submission ease in my customer experience analysis, so filing a claim may require extra steps or documentation, adding more work when you're already managing your Shih Tzu's vet care.
Learn more: Pets Best Pet Insurance Review
- Owners who want to avoid covering large vet bills upfront: Through Vet Direct Pay, Pets Best can pay licensed vets directly if you submit a completed claim with a signed veterinarian reimbursement release form, reducing your out-of-pocket costs to just your deductible, co-insurance and non-covered items.
- Those who want waiving the waiting period for orthopedic issues: Pets Best provides the option to waive its waiting period for knee and ligament conditions through a physical exam, allowing your Shih Tzu to get coverage for orthopedic care sooner.
- Shih Tzu owners who want exam fees and physical rehabilitation covered in the base plan: Pets Best requires optional add-ons for exam fees and physical therapies prescribed after an injury or surgery, which raise your premium. Pumpkin is the better fit.
- Those who want a simpler claim submission process: Pets Best lands in the bottom of my study for claim submission ease, at 18th place. You may need to provide additional paperwork or spend more time responding to requests when filing a claim. Pumpkin is a more suitable alternative.

Lemonade: Best Shih Tzu Insurance for Accidents
Immediate coverage for accidents
Wide range of options for policy customization
Charges extra for comprehensive coverage
30-day waiting period for orthopedic issues
Among my recommendations, Lemonade is the only one that doesn’t impose a waiting period for accidents. Your Shih Tzu is already eligible for coverage if it gets injured from falling off furniture, interacting with another animal or exploring outdoors after enrollment. The insurer also provides a wide range of deductibles, reimbursement rates and annual limits, giving you more control over your premium, deductible and share of eligible vet bills.
Lemonade, however, requires optional add-ons for vet exam fees, dental illnesses, behavioral conditions and physical rehabilitation, so you’ll need to pay more if you want the most comprehensive coverage for your Shih Tzu.
Learn more: Lemonade Pet Insurance Review
- Those who want accident coverage to start quickly: Lemonade doesn't have a waiting period for accidents, so injuries that happen after your Shih Tzu’s enrollment are eligible for coverage without any delay.
- Owners who want precise control when matching coverage to their budget: Lemonade offers four deductibles, four reimbursement rates and five annual limits, allowing you to adjust your policy based on how much you want to pay each month and how much you want your insurer to cover when your pet needs treatment.
- Shih Tzu owners seeking broader coverage without stacking add-ons: Lemonade doesn't include vet exam fees, behavioral conditions, dental illnesses and physical therapies in its base plan, so you need multiple add-ons to obtain these benefits and pay more each month. Pumpkin is a stronger option.
- Owners who don't want to wait a month for orthopedic coverage: Lemonade's orthopedic waiting period is 30 days and while it’s better than the six-month industry average, it’s not the shortest among my picks. Pumpkin is the more suitable alternative.
Cheapest Shih Tzu Insurance Companies
For Shih Tzus, the most affordable pet insurance providers are:
- ASPCA: As the cheapest option for Shih Tzu insurance, ASPCA costs 46% less than the national breed benchmark, averaging $20 per month.
- Pets Best: Pets Best ranks second for affordability and costs an average of $20 monthly, which saves owners 46% against the national breed average.
- Pumpkin: At $21 per month on average, Pumpkin is among the lowest-cost providers for Shih Tzu owners, providing 44% savings compared to the national average of the breed.
ASPCA | $20 | $237 | 46% |
Pets Best | $20 | $238 | 46% |
Pumpkin | $21 | $248 | 44% |
How Much Does Shih Tzu Insurance Cost?
On average, pet insurance costs $37 monthly ($440 annually) for Shih Tzus under a standard policy with a $5,000 annual limit, $500 deductible and 80% reimbursement rate. How much you’ll pay for a month may range between $24 and $107 based on your pet’s location and age.
Use MoneyGeek’s Shih Tzu insurance cost estimate calculator to get your average monthly rate based on where you live and how old your dog is.
Is Shih Tzu Insurance Worth It?
Pet insurance is worth it for Shih Tzus if you want financial protection from the breed’s risks for costly health problems and injuries. Depending on the insurer, a policy can reimburse 50% to 100% of veterinary expenses after you pay the bill and meet your deductible, which reduces your out-of-pocket costs for covered conditions and treatments. Below are the average cost ranges for conditions that Shih Tzus often develop, based on MoneyGeek’s data:
- Brachycephalic obstructive airway syndrome (BOAS): $3,437 to $13,749
- Intervertebral disc disease (IVDD): $4,448 to $26,690
- Luxating patella: $1,716 to $10,312
- Corneal ulcer: $515 to $3,437
- Periodontal disease: $394 to $2,628
After determining whether a policy is worth the cost, decide on your pet insurance coverage needs with the calculator below, which provides a baseline recommendation for annual limits, deductibles and reimbursement rates.
Use this calculator to get pet insurance coverage recommendations by entering your pet's species, breed, state and age.
What is your pet type?
Best Shih Tzu Insurance Buying Checklist
Use this checklist before buying Shih Tzu insurance, and download the accompanying PDF to document your progress as you collect quotes or contact insurers. The steps cover determining your dog’s potential health risks and coverage needs, as well as comparing insurers based on their policy terms, customer reviews and premiums.
Download: Shih Tzu Insurance Buying Checklist
- Identify your Shih Tzu's potential health risks
Discuss with your veterinarian the health conditions your Shih Tzu may be more likely to develop based on its age, medical history, weight and lifestyle. Shih Tzus can develop dental disease caused by their small, crowded mouths, as well as eye and breathing problems due to their facial structure. They can also have orthopedic issues such as patellar luxation and hip dysplasia because of inherited joint abnormalities.
Use your veterinarian's guidance to identify the types of care you may want your policy to cover. For a Shih Tzu, this could include hereditary condition coverage, veterinary exams for eye or respiratory problems, dental illness treatment, prescription medications and physical rehabilitation for orthopedic conditions.
- Choose the right level of coverage
Think about whether you want an accident-only plan, which generally pays for eligible injuries, or an accident and illness policy, which also covers eligible diseases. Because Shih Tzus can have both injury and illness risks, consider which types of veterinary expenses you want insurance to help with and whether an optional wellness plan for routine care is beneficial for your budget.
Then, select a deductible, annual limit and reimbursement rate that fit your finances. The deductible is the amount you pay toward eligible veterinary expenses before the insurer starts paying, while the annual limit is the maximum the insurer will pay during the policy year. Your reimbursement rate determines the percentage of eligible costs the insurer pays after you've met your deductible, with a higher rate leaving you with less to pay for covered care.
- Compare Shih Tzu insurance providers
Once you've identified the coverage you want, compare insurers available in your state by reading their sample policies carefully. Check for the following terms:
- Pre-existing condition rules: Determine how each insurer defines a pre-existing condition and how it treats symptoms that appeared before enrollment. Some insurers may exclude only conditions that were diagnosed or showed clear symptoms before coverage began, while others may apply exclusions to related or recurring signs even when your Shih Tzu never received a formal diagnosis.
- Curable condition terms: Find out whether an insurer can cover a condition that existed before enrollment if your Shih Tzu remains symptom- and treatment-free for a specified period. These periods commonly range from 180 days to 12 months, but the requirements vary by provider and condition.
- Waiting periods: Look for providers with waiting periods of one to five days for accident, 14 days or less for illnesses and under six months for orthopedic conditions. Also check whether an insurer can waive or shorten a waiting period under certain circumstances.
- Hereditary and congenital conditions: Confirm that the policy covers hereditary and congenital conditions, whether by default or through an optional add-on, and does not exclude them simply because Shih Tzus may be predisposed to certain problems.
- Dental illnesses: Check whether the policy covers dental illnesses and medically necessary dental treatment, including prescribed teeth cleanings. This is particularly important for Shih Tzus because their small mouths can result in crowded teeth and plaque buildup, which can contribute to periodontal disease and the need for professional dental treatment.
- Physical rehabilitation: Find out if therapies such as hydrotherapy, chiropractic care and acupuncture are included in the base plan or excluded unless you purchase an add-on. These benefits may be useful if your Shih Tzu needs recovery support after orthopedic surgery or treatment for a joint or mobility problem.
- Read customer reviews
Aside from policy documents, research the providers you're considering based on what current and former customers report about their claims process, customer service, reimbursements and handling of coverage questions.
Check multiple sources, including Trustpilot, the Better Business Bureau (BBB) and Reddit communities such as r/shihtzu and r/petinsurancereviews. Look out for recurring comments about requests for medical records, disputes over whether a Shih Tzu's condition is pre-existing and delays in processing claims for treatment.
- Get multiple quotes
Request quotes from your shortlisted insurers using identical deductibles, annual limits and reimbursement rates so you can make an accurate price comparison. Then look at what each policy includes for Shih Tzu-relevant care, such as prescription medications, dental illnesses, exam fees and physical rehabilitation. Check whether these benefits are automatically included or require multiple add-ons. Account for any extra charges when comparing plans so you can judge the total cost of getting the coverage you want for your Shih Tzu.
Best Shih Tzu Insurance: Bottom Line
For Shih Tzus, the best pet insurance companies are Pumpkin, Pets Best and Lemonade. The option best suited for your situation may vary based on your dog's age, medical history, location and coverage needs. Compare each provider's coverage terms, quotes and customer reviews to find a policy that aligns with your Shih Tzu's health needs and your budget.

Pet Insurance for Shih Tzu: FAQ
The following providers offer the best Shih Tzu insurance, based on my analysis:
- Pumpkin: Best Shih Tzu Insurance Overall
- Pets Best: Best Shih Tzu Insurance for Direct Vet Pay
- Lemonade: Best Shih Tzu Insurance for Accidents
ASPCA provides the lowest average rate for Shih Tzu insurance at $20 per month, which is 46% lower than the national breed benchmark.
The average cost of pet insurance for Shih Tzus is $37 monthly ($440 annually) for a policy with a $5,000 annual limit, $500 deductible and 80% reimbursement rate. Your actual rate will differ based on your dog's age at enrollment and location, along with your coverage selection.
Pet insurance is worth considering for Shih Tzus because some of the breed’s potential health conditions can lead to expensive vet bills. A policy can cover eligible accident- and illness-related expenses and reimburse part of the cost, helping you manage large bills when your dog needs treatment. The value depends on your Shih Tzu's health risks, the coverage you choose and whether the policy covers the specific condition or treatment you need.
Buying Shih Tzu insurance involves assessing your dog's potential for costly conditions, selecting the coverage level that fits your needs, comparing eligible insurers and reviewing customer feedback. Then get quotes from multiple providers on similar terms so you can evaluate their prices alongside coverage for conditions your Shih Tzu may develop.
Get Shih Tzu Insurance Quotes
Use MoneyGeek’s tool below to find the top pet insurance companies for your Shih Tzu's health needs and your budget.
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About Ritchel Mendiola

Ritchel Mendiola is a Pet Insurance Content Writer at MoneyGeek. She produces coverage guides, provider comparisons and cost analyses so pet owners can understand their options and avoid overpaying.
Ritchel spent over four years as a News and Feature Writer at Asian Journal Publications, where she reported for the Asian Journal newspaper and Balikbayan Magazine, conducted interviews and covered media events. At MoneyGeek, she covers policy terms, exclusions, waiting periods and reimbursement structures the way she treated news facts. They're sourced, verified and reported accurately rather than summarized from marketing copy.
She joined MoneyGeek in late 2021 in the loans vertical and moved to pet insurance content, which she now leads. Her published work includes provider comparisons, breed-specific cost guides, age-specific coverage analyses and state-level pricing studies, all from the vertical's 5 million pet insurance profiles across 18 major providers and all U.S. states.
LinkedIn: https://www.linkedin.com/in/rianmendi/
Contact Email: ritchel.mendiola@moneygeek.com


