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100% Reimbursement Pet Insurance: Is It Ever Actually the Better Deal?

Short answer

Usually not — but sometimes. Figo is the only insurer in our comparison selling 100% reimbursement, and only with a $500 or $750 deductible on its $10,000-cap Popular plan, never the unlimited-limit option, at a premium 'priced accordingly.' On a $5,000 claim with a $750 deductible, 90% pays about $425 more out of pocket. If the premium difference exceeds that kind of gap over the years you hold the policy, 90% with a stronger annual limit wins. 100% fits households that need a hard cap on worst-case spending.

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TL;DR

What 100% Reimbursement Actually Buys You

One hundred percent reimbursement means that after your deductible is met, the insurer pays every remaining dollar of a covered claim instead of your usual 70–90% share. It sounds like 'full coverage,' and in one narrow sense it is — but it changes exactly two numbers in your financial life: it removes your coinsurance exposure on big claims, and it raises your premium, because the carrier has taken on the risk slice other customers keep. WhichPetPlan's data shows precisely one carrier selling this tier: Figo, whose reimbursement options run '70%, 80%, 90% or 100% — the only insurer here offering a 100% tier.' Its own catalog catch says the rest plainly: full reimbursement is rare, useful, and 'priced accordingly.'

The second restriction matters just as much as the price. Per our verified fact-check, Figo's 100% reimbursement is only available with a $500 or $750 deductible, and it cannot be paired with the unlimited-annual-limit plan — the Popular plan caps at $10,000. So the buyer choosing 100% is simultaneously accepting a mid-size deductible, a hard annual ceiling, and a higher monthly bill. That is a specific bundle, not an upgrade button.

The Math: When 100% Wins and When It Doesn't

Work a single large claim to see the shape of it. Say a covered surgery runs $5,000 against a $750 deductible. At 100% reimbursement you pay $750 total. At 90%, you pay $750 plus 10% of the remaining $4,250 — another $425, or $1,175 all-in. The gap on that one claim is $425. Now spread the difference in premium across every month you hold the policy: if the 100% configuration costs meaningfully more per month than a 90% configuration (and it does — 'priced accordingly'), a healthy pet can accumulate years of extra premium without ever hitting a claim where the 10-point difference exceeds what you paid for it.

That asymmetry is the honest verdict: insurance is priced so the carrier expects to profit from the spread between premiums and payouts, and buying back the last 10% of coinsurance is buying the most expensive risk reduction on the menu. Where 100% genuinely wins is predictability. If your household budget cannot absorb ANY surprise beyond the deductible — fixed income, tight margins, no emergency fund — then capping your worst-case spend at roughly $500–$750 per policy year has value beyond the expected-value math. You are paying premium as insurance against budget chaos, not against the vet bill itself.

Alternatives That Compete With 100%

Two other structures get close to the same goal differently. Trupanion fixes reimbursement at 90% — non-negotiable, the only such design in our comparison — but uses a per-condition deductible you pay once for the life of the pet rather than annually. After the deductible is met on a chronic diagnosis, your ongoing share of that condition's costs is just the fixed 10%, year after year, with unlimited limits behind it. For lifelong conditions, lifetime-deductible-plus-90% can beat a capped 100% plan, because there is no annual ceiling to blow through. The catch is cost: at roughly $62/mo illustrative for dogs, Trupanion is by far the most expensive plan we track month to month.

The cheaper path most owners should model first: take a standard 90% plan with a moderate deductible and put the premium savings aside. Healthy Paws ($44/mo dogs), Embrace ($41/mo), Spot ($38/mo) and Pets Best ($33/mo) all offer 90% tiers with unlimited or near-unlimited limit options available — unlike Figo's 100% configuration. One avoided-claim year of savings often covers several years' worth of the 10-point coinsurance difference. Lemonade tops out at 90% too, at the category-lowest entry prices ($28/mo dogs, $16/mo cats illustrative), though availability excludes eight states.

Who Should Actually Buy 100%

Buy Figo's 100% tier if three things are true at once: your budget truly breaks above a few hundred dollars of surprise, you accept the $10,000 Popular-plan cap (realistic for most single-incident claims, thin for multi-year cancer care), and you have compared its actual quoted premium against a 90% quote from an unlimited-limit rival and decided the difference is worth it. Everyone else — which is most owners — gets more protection per dollar from a 90% plan with the strongest annual limit they can afford, or from Trupanion's per-condition design if chronic illness is the dominant worry and the premium fits.

One last honesty check: whatever reimbursement rate you pick, pre-existing conditions are excluded everywhere in our comparison. A 100% plan does not cover the limp that started last month. The rate shapes how much of each NEW covered bill you pay, nothing more.

100% reimbursement FAQ

Is 100% reimbursement pet insurance worth it?
Rarely, on pure math. Only Figo offers a 100% tier in our comparison, restricted to a $500 or $750 deductible and the $10,000-cap Popular plan — not the unlimited-limit option — and priced accordingly. On a $5,000 claim with a $750 deductible, 90% costs about $425 more out of pocket; if the 100% premium costs less than that difference accumulates over years, it loses. It earns its keep for households needing a hard cap on worst-case spending.
Which pet insurers offer 100% reimbursement?
Figo is the only insurer in WhichPetPlan's eight-carrier comparison offering a 100% reimbursement option. Every other carrier tops out at 90% — including Trupanion, which is fixed at 90% by design and not configurable, and Lemonade, Healthy Paws, Embrace, Spot, Pets Best and Fetch, which all offer 70/80/90% menus.
Does 100% reimbursement mean I pay nothing?
No. You still pay the deductible first — Figo's 100% tier requires a $500 or $750 deductible — plus your monthly premium, and anything excluded from the policy (pre-existing conditions, wellness care outside add-ons) is on you entirely. The 100% figure describes only the coinsurance split after the deductible on covered claims.

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