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The Best Pet Insurance Companies in North Carolina (2024)

Did You Know?

5,534 pet owners requested and received a free no-obligation quote from one of the above companies in the last 30 days.

The 6 Best Pet Insurance Companies in North Carolina

Based on our extensive research, these are the top pet insurance providers in North Carolina:

Why Trust Us?

Here’s a breakdown of how we reviewed and rated the best pet insurance companies
35
Companies Reviewed Our team reviewed over 35 pet insurance companies, collecting and comparing data on monthly premiums, customizable coverage selections and more.
1000
Quotes Collected We’ve collected more than 1,000 sample quotes from pet insurance companies for a variety of age ranges, species and breeds to give readers an accurate view of pricing and how competitors stack up in terms of rates. We update our pages regularly to reflect accurate cost information.
42
Rating Factors Our comprehensive rating system scores providers based on 42 data points in eight key rating factors: monthly pricing, plan options, covered treatments, coverage customizations, customer care, industry reputation, age limits and waiting periods.
5
Veterinary Professionals We’ve consulted several veterinary professionals to confirm the accuracy of our pet care information and pricing.

The Best Pet Insurance Companies in North Carolina

After comparing factors such as customer care, customization options and covered treatment, we selected Lemonade as the best pet insurance in North Carolina.

Lemonade

Cheapest plans for dogs
4.8
Our Rating
Annual Limits $5k-$100k Deductibles $100-$500 Reimbursement Rates 70%-90%
MONTHLY COST $16-$40

Pros and Cons

Pros Extends a 10% discount when you bundle pet insurance with other Lemonade policies Has a two-day waiting period for accident coverage Features a 24/7 pet telehealth line Cons Coverage for vet exam fees costs extra No accident-only or unlimited coverage option

Why Lemonade is #1 in North Carolina

Our pet insurance methodology scores providers based on a 100-point scale that weighs factors such as customer care, monthly pricing and plan options. Lemonade earned 4.8 out of 5 stars and is our top recommendation for its overall affordability, comprehensive coverage options and speedy claims process.

While Lemonade offers only one basic accident and illness plan, you can purchase additional coverage for vet visit fees, dental illnesses, behavioral conditions and physical therapy. Before enrolling in a plan, all pets must receive a full exam, which not all companies require. Lemonade does not offer an accident-only plan or unlimited coverage.

Useful Coverage and Cost Information

Lemonade offers a basic accident and illness policy that covers diagnostics testing, treatment, hospitalization and surgery for skin issues, heart disease, broken bones and toxin ingestion. Lemonade’s policy excludes the following conditions and services:

  • Pre-existing conditions
  • Preventable illnesses
  • Bilateral conditions
  • Prescription diets
  • Experimental treatments
  • Alternative medicine (such as herbal therapy or homeopathy)

Lemonades covers the following services with an add-on package:

  • Exam and consultation fees
  • Physical therapy
  • Dental cleaning
  • Spay or neuter (only available in puppy or kitten packages for pets up to 2 years old)

Additionally, Lemonade has a maximum enrollment age of 14 years. Once your pet turns 14 years old, it will no longer be eligible for a new Lemonade pet insurance policy.

Lemonade Average Monthly Premium for Pets in North Carolina

To help you estimate pricing for Lemonade, we requested quotes for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Accident and illness $17 per month $36 per month
Comprehensive coverage* $30–$35 per month $54–$63 per month

*Comprehensive coverage includes a range of available add-ons, such as preventive care, routine dental cleanings and parasite prevention.

Spot Pet Insurance

Most Customizable Coverage
4.5
Our Rating
Annual Limits $2.5k-Unlimited Deductibles $100-$1k Reimbursement Rates 70%-90%
MONTHLY COST $38-$84

Pros and Cons

Pros Unlimited annual coverage option Coverage includes microchip implantation Features a 10% multi-pet discount Cons Has a 14-day waiting period for accidents Customer support is not available on weekends

Why Spot is a Good Option

Spot earned 4.5 out of 5 stars in our analysis and is our pick for top customizable coverage. Unlike some competitors, Spot has no age limit for animals, making it a sound option for senior pets in North Carolina.

Coverage

Spot’s pet insurance coverage is split into two options: accidents only or accidents and illnesses. It pays for common veterinary services related to covered incidents in each plan, including exam fees and microchip implantation. Still, its exclusions includepre-existing conditions, elective procedures and pregnancy-related issues.

Optional Add-Ons: You can also add $250 or $450 annually for wellness care at an additional monthly cost.

Spot Pricing Information by Plan

To determine Spot pet insurance pricing, we requested quotes for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Accident-only $8 per month $13 per month
Accident and illness $11 per month $24 per month
Accident and illness with preventative care* $21–$36 per month $33–$48 per month

*Spot offers two preventative care plans, the Gold and Platinum packages. Pricing varies depending on your selection.

Embrace

Our Pick for Savings
4.7
Our Rating
Annual Limits $5k-$30k Deductibles $200-$1k Reimbursement Rates 70%-90%
MONTHLY COST $54-$105

Pros and Cons

Pros Deductible drops by $50 for each year you do not file a claim Coverage includes vet visit fees for illness and accidents Has a 24/7 pet telehealth line Cons Lower annual limit of $650 for wellness benefits Standard plan excludes coverage for supplements and prescription food

Why Embrace Is a Good Option

Embrace earned 4.7 out of 5 stars for its affordable rates and discount options. Embrace offers several ways for North Carolina policyholders to save on pet insurance, including a 5% to 10% multi-pet discount and a 5% military discount. Additionally, Embrace will reduce your deductible by $50 every year you do not file a pet insurance claim.

Coverage

Embrace offers pet insurance coverage for costs related to accidents and illnesses, including chronic condition treatments, exam fees, dental procedures, prescription medications, cancer treatments, allergy testing, alternative treatments and more. It doesn’t cover pre-existing conditions, cosmetic or elective surgeries, issues related to pregnancy or breeding and organ transplants.

Optional Add-Ons: If you want coverage for preventive treatments, you can purchase Embrace’s Wellness Rewards plan, which covers 100% of costs related to routine care, including vet visits, microchipping, grooming, teeth cleaning, anal gland expression and more. It comes with $250, $450 or $650 of annual coverage, depending on how much you need.

Embrace Pricing Information by Plan

To better estimate Embrace pet insurance costs, we requested quotes for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Accident and illness $23 per month $ 34 per month
Comprehensive coverage $27 per month $40 per month
Accident and illness with wellness rewards $23 per month $34 per month

ASPCA Pet Health Insurance

Our Pick for Older pets
4.8
Our Rating
Annual Limits $3k-$10k Deductibles $200-$500 Reimbursement Rates 70%-90%
MONTHLY COST $20-$49

Pros and Cons

Pros Extensive experience in the pet insurance market Only provider to offer horse insurance Offers an accident-only plan Cons Has a 14-day waiting period for accidents, which is longer than some competitors Highest annual coverage option is only $10,000

Why ASPCA Pet Health Insurance Is a Good Option

ASPCA Pet Health Insurance is one of the oldest pet insurance companies on the market and the only provider on our list that offers horse insurance. With no upper age restrictions for enrollment, it’s a good option for older pets in North Carolina. For these reasons, we rated the company 4.8 out of 5 stars and recommended it as a top choice.

Coverage

You can purchase the Accident-Only Coverage plan from ASPCA Pet Health Insurance for reimbursement on veterinary costs related to injuries and accidents, or you can buy the Complete Coverage plan for coverage on those accidents and other conditions, such as hip dysplasia, cancer, hereditary conditions, general illnesses and more.

Povider doesn’t pay for your pet’s pre-existing health issues, elective procedures, spay or neutering and issues related to pregnancy or breeding. However, it does offer preventive care options for dental cleanings, wellness exams and vaccinations. You can buy the Basic plan with $250 of total annual coverage or the Prime plan with $450 of coverage per year.

ASPCA Pet Health Insurance Pricing Information by Plan

To estimate pricing for ASPCA Pet Health Insurance, we requested quotes for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Accident-only $14 per month $26 per month
Complete Coverage $21 per month $46 per month
Complete Coverage with preventative care $31 per month $56 per month

*ASPCA Pet Health Insurance offers two levels of preventative care plans, Basic and Prime. Pricing varies depending on your selection.

Fetch Pet Insurance

Our Pick for Comprehensive Coverage
4.3
Our Rating
Annual Limits $5k-$15k Deductibles $250-$500 Reimbursement Rates 70%-90%
MONTHLY COST $53-$109

Pros and Cons

Pros Covers fees for vet visits Offers unlimited annual coverage No enrollment fee and you can cancel at any time Cons Has a 15-day waiting period for accidents and illnesses Higher plan prices for older pets than most competitors

Why Fetch Is a Good Option

Fetch earned 4.3 out of 5 stars based on our review, and it stands out for its comprehensive coverage and discount options. Unlike other insurers, Fetch covers up to $1,000 for behavioral treatments. It also covers homeopathy, hydrotherapy, acupuncture, chiropractic care and laser therapy, which other companies typically limit or exclude.

Coverage

Fetch’s standard policy covers your pet’s treatments, procedures, exam fees and other costs related to accidents and illnesses, such as holistic care, dental procedures, telehealth calls, cancer treatments, rehabilitation and more. It doesn’t cover any pre-existing issues that arise before coverage starts, routine and wellness care or cosmetic and elective procedures. It requires your pet to be examined yearly to remain eligible for coverage.

Fetch Pricing Information by Plan

We requested quotes on Fetch’s website for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Accident and illness $31 per month $60 per month
Accident and illness with preventative care $40–$61 per month $55–$76 per month

*Fetch offers three preventative care plans, Essentials, Advantage and Prime. Pricing varies depending on your selection.

Healthy Paws

Most Affordable Unlimited Coverage
4.0
Our Rating
Annual Limits Unlimited Deductibles $250-$1k Reimbursement Rates 50%-80%
MONTHLY COST $22-$55

Pros and Cons

Pros Includes alternative and chiropractic treatments Features a 30-day money-back guarantee No annual coverage limit on claim payouts Cons Does not offer wellness or routine care coverage Accident and illness coverage does not include vet exam fees

Why Healthy Paws is a Good Option

We rated Healthy Paws 4 out of 5 stars for its affordable unlimited coverage. Healthy Paws offers a comprehensive and flexible plan that is ideal for North Carolina pet owners looking for unlimited annual and lifetime coverage options on a budget.

Coverage

Although Healthy Paws’ policies exclude office visits and exam fees, pre-existing conditions and hip dysplasia during the first 12 months of coverage, they pay unlimited costs for accidents and illnesses, which means you’ll never owe out of pocket beyond your annual deductible and copay. Unlike some pet insurance providers, Healthy Paws offers no preventive care add-ons.

Healthy Paws Pricing Information by Plan

To estimate pricing for a Healthy Paws policy, we gathered quotes for a 5-year-old medium-sized, mixed-breed dog and a 5-year-old mixed-breed cat in North Carolina.

Plan Type Average Cat Cost Average Dog Cost
Standard plan $19 per month $41 per month

Compare the Top Pet Insurance Providers in North Carolina

Whether you’re welcoming a new animal into your home or looking to protect your older companion, consider a policy from one of these top pet insurance companies in North Carolina.

Company Monthly Cost Star Rating Accident Waiting Period BBB Rating Visit Site
$34-$75
4.5
14 days A- EXPLORE PLANS
$39-$73
4.7
48 hours A+ EXPLORE PLANS
$18-$44
4.8
14 days N/R EXPLORE PLANS
$45-$90
4.3
up to 15 days A+ EXPLORE PLANS
$24-$54
4.0
15 days A+ EXPLORE PLANS
Company BBB Rating Monthly Cost Star Rating Accident Waiting Period Visit Site
A- $34-$75
4.5
14 days EXPLORE PLANS
A+ $39-$73
4.7
48 hours EXPLORE PLANS
N/R $18-$44
4.8
14 days EXPLORE PLANS
A+ $45-$90
4.3
up to 15 days EXPLORE PLANS
A+ $24-$54
4.0
15 days EXPLORE PLANS
No results were found.

How Much Does Pet Insurance in North Carolina Cost?

According to our research, the average cost of dog insurance in North Carolina is $74 per month, while the average cost of cat insurance is about $34 per month.

The table below reflects the average monthly premium for cats and dogs in North Carolina for our top providers.

ProviderAverage Dog Insurance CostAverage Cat Insurance Cost
Lemonade$40$16
Spot$84$38
Embrace$105$54
ASPCA Pet Health Insurance$49$20
Fetch$109$53
Healthy Paws$55$22

What’s the Cheapest Pet Insurance in North Carolina?

Based on our quotes, Lemonade is the cheapest pet insurance in North Carolina. Lemonade’s affordable coverage makes it a good option for North Carolina pet owners who are seeking accident and illness insurance on a budget. We received the following quotes for pets in North Carolina:

  • 5-year-old medium, mixed-breed dog: $32
  • 2-year-old golden retriever: $38
  • 5-year-old mixed-breed cat: $15
  • 2-year-old Siamese cat: $13

Lemonade also offers two preventative care add-on packages for an additional monthly cost. The exact cost of your Lemonade pet insurance plan will depend on your pet’s age, breed and location.

Cheapest N.C. Pet Insurance Companies

Here are the top five most affordable pet insurance providers in North Carolina:

RankCompanyAverage Monthly Cost in North Carolina
1Lemonade$28
2ASPCA$34
3Figo$38
4Healthy Paws$38
5Pets Best$54

How To Choose the Best Pet Insurance in North Carolina

When you shop for pet insurance in North Carolina, weigh these four factors to help you choose the right policy for your pet.

Consider High Annual Limits For Ocean or Mountain Dogs

Pet owners who live in coastal or mountainous regions of North Carolina should strongly consider pet insurance plans that offer higher annual coverage limits due to the abundance of outdoor recreation opportunities and risks posed by weather events. Pets in these areas are more prone to injuries that require expensive diagnostics and treatments. 

Higher plan limits of $10,000 or more per year help buffer the high costs that may rapidly accumulate from incidents like snake bites, injuries from hiking on rough terrain, ingestion of harmful plants or marine life, etc. 

Opting for low caps on annual payouts could leave owners with steep vet bills they must pay out-of-pocket after quickly exceeding maximums, making higher limits a wise investment for these pet owners.

Customizing Your Coverage To Fit Your Budget

Most insurance providers allow you to adjust your coverage limit, deductible and reimbursement rate, which will impact the cost of your policy.

Let’s say you’re quoted $55 per month for a standard policy that has an 80% reimbursement rate, a $250 deductible and a $10,000 annual limit. If you lower your reimbursement rate by 70% and increase your deductible to $500, your policy would cost less, say $40 per month. Customizing these options can get you to a coverage level with a monthly premium within your budget. 

Depending on the provider, you can also select from different add-ons, such as exam fees, wellness care, or behavioral treatment coverage, to further customize your coverage.

Watch For Policy Exclusions

Pet health insurance policies are complex. Before enrolling, read a policy’s fine print for significant treatment and pharmacy exclusions. 

For example, most providers will not cover pre-existing conditions but may offer coverage if your pet remains symptom-free for a certain time.

Consider The Effects of High Heat and Humidity

With some areas of North Carolina reaching temperatures of 98º in the summer, pet owners should consider pet insurance plans with higher annual coverage, as heat-related illnesses can require extensive veterinary care. 

Pets face increased risks of heat stroke, dehydration, and other heat-induced conditions that may require emergency services or hospitalization. Higher annual limits of $8,000 or more can prevent owners from facing high out-of-pocket costs in the event their pet experiences a heat injury requiring expensive, lifesaving veterinary care. 

Read Up On Customer Satisfaction

Reading customer reviews on platforms like the Better Business Bureau (BBB) and Trustpilot can help you learn about customer experiences with each pet insurance company. 

Although review sites offer some insight into the customer experience, take each review with a grain of salt, as your experience could be very different.

Remember that where you live impacts the availability and cost of pet insurance, as the laws and regulations governing pet insurance vary from jurisdiction to jurisdiction. Before choosing a pet insurance company, ensure it provides coverage in your state and compare monthly premium costs.


Pet Laws in North Carolina

North Carolina law prohibits dogs from running at large at night and mandates rabies vaccination for all dogs and cats four months of age and older. Local jurisdictions have additional regulations that require owners to leash dogs when not on the owner’s property.

Charlotte Pet Laws

  • Dogs must be on a leash in city parks except for designated off-leash areas.
  • Driving with a pet on your lap is prohibited, and violators are subject to a $100 fine.

Raleigh Pet Laws

  • Dog owners may not tether a dog outside for more than three hours in a 24-hour period.
  • Pet owners must pick up after their pet on someone else’s property.

Greensboro Pet Laws

  • An animal deemed a nuisance may result in a citation of $100 to $500 for the owner.
  • Owners of exotic animals must obtain a permit.

Durham Pet Laws

  • Dogs must be restrained when off their owner’s property, except for off-leash dog parks.
  • Dog park fees for city residents cost $17 for the first dog and $15 for each additional dog. Non-residents pay $22 for the first dog and $20 for additional dogs.
  • Dog owners must pick up after their pets on public and private property without the permission of the property owner. Violators are subject to fines between $50 and $150.

Is Pet Insurance Worth It in North Carolina?

Emergency veterinary care can be costly, and financial assistance can offer relief if you are facing expensive pet treatment costs. Pet insurance can help North Carolina pet owners cover unexpected veterinary expenses to ensure their pet receives high-quality care when needed. Based on our 2023 survey of 1,000 pet owners with pet insurance, 81% consider the investment worthwhile.

North Carolina pet owners may appreciate Lemonade’s competitive rates, customizable options and fast service. However, we recommend comparing quotes from multiple pet insurance companies before deciding on coverage to ensure you benefit from your plan.


Why Get Pet Insurance in NC?

As a pet owner in North Carolina, you want to provide the best care for your pet. Whether your dog loves exploring the mountains or your cat prefers lounging at home, unexpected health issues can arise anytime. That’s why it’s important to consider purchasing pet insurance, which can provide financial security and access to immediate veterinary care during an emergency.


Types of Pet Insurance Plans

There are two types of pet insurance plans offered by providers in addition to optional preventive care coverage. Here are more details about each plan:

Accident-Only

This plan covers just your pet’s accidents and injuries, which can include broken bones, sprains, foreign body obstructions, toxin ingestion and more. It’s an ideal option for those who need only minimal coverage and are on a budget shopping for their pet insurance plan.

Accident and Illness

This type of plan is more expensive than an accident-only plan, but it includes coverage for most conditions and emergency incidents that could happen to your pet, including hereditary, congenital and chronic conditions as well as accidents and injuries.

Preventative Care

These optional coverage items can be added to your policy to help pay for your pet’s wellness and typically include vaccinations and annual checkups. They can be especially valuable for pet parents with young animals. When we surveyed 1,000 pet owners in the U.S., we found that 42% of respondents who got their pet before it turned 1 paid between $200 and $500 for initial wellness costs and 27% paid over $500.


Frequently Asked Questions About Pet Insurance in North Carolina

In general, most medications your pet needs to treat covered accidents, illnesses or other conditions are covered by your pet insurance policy, as long as your licensed veterinarian officially prescribes them, and they have been approved by the U.S. Food and Drug Administration (FDA).

Unlike human health insurance, pet insurance companies do not have specified vet networks. This means you can take your pet to any licensed veterinarian in North Carolina and receive reimbursement from your insurance provider for covered services.

In general, pet insurance policies do not cover pre-existing conditions. A preexisting condition is any illness or injury your pet had before the start of the policy or acquired during the waiting period

If you fail to disclose a preexisting condition, your policy may be voided, or your claims may be denied. Some pet insurance companies may offer coverage for preexisting conditions if the condition is considered curable or if your pet has been symptom-free for a certain period of time. However, this kind of coverage is not standard.

While the cost of your monthly premium can vary, the average cost of pet insurance for a dog in North Carolina is around $77 and the average cost for a cat is $36. Keep in mind that your cost will vary depending on your exact location in North Carolina, type of pet and chosen provider.

If you have pet insurance in North Carolina and your pet is treated for a covered condition, you would pay your veterinarian for treatment upfront and then submit a reimbursement claim to your insurance company. The insurer processes the claim and transfers the reimbursement via direct deposit or a paper check. Some pet insurance companies like Trupanion may pay veterinarians directly, so you would not have to pay out of pocket or file for reimbursement.


How We Ranked Pet Insurance Providers to North Carolina

We ranked pet insurance providers in North Carolina based on the key factors that affect policyholders in the state. To inform our review, we analyzed the average age of pets in North Carolina, state veterinary costs, average monthly premium prices for cats and dogs, and the most reported accidents for pets in the state. Company rankings reflect affordability, coverage options, available discounts and benefits, and more. We also weighed responses to our survey of 1,000 pet owners with pet insurance nationwide, filtered by North Carolina residents.


How We Rated the Pet Insurance Providers

We review each pet insurance company based on factors most important to pet parents like you. To inform our reviews, we surveyed 1,000 dog and cat owners nationwide to determine the most important elements of pet insurance coverage. Our process includes in-depth industry research about each provider, such as comparing coverage options, gathering quotes online to determine pricing and reading reviews to assess customer service. 

We then score each provider on a 100-point scale and divide the final score by 20 to calculate an overall rating out of 5.0 stars. Here are more details about the factors we consider when reviewing pet insurance providers:

  • Monthly pricing (25%): To assess pricing, we collect sample quotes for medium-mixed breed and purebred dogs and cats, ranging from four years old to one year old. Providers earn the most points in this category for offering affordable coverage and a multi-pet discount. 
  • Plans (15%): The best pet insurance companies offer a range of plans to give customers the option to choose the coverage that is best for their pet. Companies offering accident and illness plans, accident-only plans, and wellness or preventive care add-ons earn full points in this category. We also look at coverage limits and award the most points for policies with unlimited coverage. 
  • Covered treatments (15%): According to our survey of pet owners, coverage is one of the most important factors when shopping for pet insurance. Companies with a breadth of included treatments and unique coverages receive more points in this category than providers with more standard or general policies.
  • Customization options (10%): Customizing your pet insurance policy can help lower your cost. Providers that offer more annual limit, deductible and reimbursement rate options earn the highest scores in this category.
  • Customer care (10%): Respondents to our survey also valued customer service when comparing pet insurance providers. We score each company based on its website accessibility and overall usability, customer service availability, mobile apps, money-back guarantees and veterinarian telehealth options, awarding points to insurers with more customer experience offerings.
  • Industry reputation (10%): We review up-to-date ratings and accreditation information from the Better Business Bureau (BBB) and score companies based on years of industry experience and state availability.
  • Waiting periods (10%): Companies with shorter accident, illness and orthopedic waiting periods between the time you sign up for coverage and your policy starts score higher in this category.
  • Eligible age (5%): Some companies do not offer policies for pets over a certain age. For this category, we deduct points from providers that have age limits for covered pets.

We use our rating system to compare each company we review and determine the best pet insurance companies in the industry. To learn more, read our full pet insurance methodology for reviewing and scoring providers. 


Additional Pet Insurance Resources


Angela Beal, DVM Doctor of Veterinary Medicine

Angela Beal, DVM, loves using her writing to help pet owners provide the best possible care for their furry companions. Angela has worked in private practice and taught veterinary technicians for 15 years. Since 2020, she has worked full-time with Rumpus Writing and Editing, a veterinary-specific writing and editing company. Angela lives in Columbus, Ohio with her husband, two sons, and their spoiled Chihuahua mix, Yogi.

Tori Addison Editor

Tori Addison is an editor who has worked in the digital marketing industry for over five years. Her experience includes communications and marketing work in the nonprofit, governmental and academic sectors. A journalist by trade, she started her career covering politics and news in New York’s Hudson Valley. Her work included coverage of local and state budgets, federal financial regulations and health care legislation.

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