Cat Health Insurance Comparison – Protected from Head to Paw

A comparison of cat health insurance is worthwhile because benefits, prices, and conditions vary significantly depending on the provider. Especially full-coverage policies offer comprehensive protection in case of illness and accident, including surgeries, preventive care, and alternative healing methods. Depending on the age and health status of your cat, the best choice can differ significantly.

Cat health insurance policies vary greatly. A comparison helps to find suitable benefits and fair prices – depending on your cat's age and needs.

Summary

  • Surgery Insurance vs. Health Insurance for Cats: Only with a full protection policy are treatment costs for cats covered for both medical treatments and surgeries.
  • Differences: Cat health insurance policies differ considerably in terms of price and benefits in comparison.
  • Range of Benefits: A good full protection should also include preventive services, such as vaccinations.
  • Tariffs: When comparing cat insurance, the different tariffs are noticeable. Some insurers offer optional additional modules, for example for dental treatments.
  • Contractual Conditions: Before concluding a contract, one should read the fine print thoroughly. Contractual conditions that lead to the exclusion of certain benefits are often hidden there.

Why a Comparison is Sensible for Cat Health Insurance

They come on soft paws and take our hearts by storm: cats are among the most popular pets worldwide. But even if they proverbially have nine lives – these acrobatic climbers can get injured or fall ill. As a cat owner, you naturally want to do everything in such a case so that your animal feels better again quickly. To ensure that this does not fail due to the costs of veterinary treatment, there are insurance policies from various providers. But which health insurance for cats is the best?

In fact, they differ. One cat insurance may be cheap but does not cover the full costs. Another might not cover your pet's specific illness or has a very long waiting period before coverage begins. Therefore, it is difficult to determine a single "test winner" for cat health insurance. We present ten health insurance policies for cats in comparison and look closely at what each of them offers.

In addition to price, the speed of reimbursement is a decisive criterion. While many providers carry out a lengthy review, we at Dalma usually reimburse costs within 48 hours directly via our app – so you can concentrate fully on your pet's recovery.

Cat Insurance in Comparison: Health Insurance or Surgery Insurance?

Cats don't even have to be sick: since the veterinary fee schedule (GOT) was adjusted in 2022, even the annual check-up costs quite a bit, not to mention preventive services like vaccinations and deworming. Therefore, you should pay close attention when choosing the best insurance model for your pet to avoid unpleasant surprises at the vet. Let's first look at surgery insurance for cats in comparison with full health insurance:

  • Surgery Insurance: This cat insurance covers the costs of medically necessary operations as well as follow-up care and necessary medication in connection with the procedure.
  • Full Insurance: This policy is the best cat health insurance if the animal is to be protected all around. It covers veterinary treatments and medication for illnesses and injuries, the costs of surgeries and their follow-up care, and also offers preventive benefits such as vaccinations.

Comparison of Benefits for Full-Protection Cat Health Insurance

Have you decided on full protection for your animal companion? Congratulations, that's a good choice. However, when you compare the full-protection pet insurance policies offered for cats, you will certainly notice some differences. What should you look out for so that the supposedly cheap cat health insurance actually pays off?

  • Reimbursement Level: Does the insurance cover 100% of the costs, or does it only pay a portion of the treatment costs?
  • Deductible: Does the insurance require a deductible?
  • Insured Benefits: Which benefits are insured? Important are: preventive check-ups , dental treatments , vaccinations , MRI, CT, and X-ray examinations , surgery costs , treatment of illnesses , and medication. 


Some insurers also offer telemedicine.

  • Fee Rates: Are higher fee rates also covered, for example, for emergency services or difficult treatments? Section 2 (1) sentence 1 of the GOT provides for double the fee rate for treatments at night, on weekends, or holidays, and four times the rate for nightly weekend assignments. There is also an emergency service fee of 50 €.
  • Waiting Period: When is the cat insured – immediately or only after a waiting period? Sometimes longer waiting periods apply for certain diseases.
  • Exclusion of Certain Animals: Does the insurance accept all cats regardless of age, breed, and pre-existing conditions, or does it require a particularly expensive tariff for such animals?
  • Free Choice of Vet: Does the insurance allow treatment by the veterinarian of your choice?
  • Freedom of Therapy: Are only conventional treatment methods covered, or also alternative healing methods?
  • Foreign Health Insurance: Is the cat also insured while on holiday abroad?
  • Terms and Deadlines: How long does the contract run and what are the notice periods? Does the insurer reserve the right to cancel the insurance themselves in the event of a claim?

Cat Health Insurance: Comparison of Providers

To help you find the best health insurance for your cat, we only list full-protection cat insurance policies here and compare them according to the criteria listed above.

Dalma Cat Health Insurance

Since October 2023, the company Dalma, founded in France, has been shaking up the landscape of cat insurance and is at the forefront of price comparisons. Dalma offers a particularly large number of inclusive benefits and can be expanded with additional services. In the comparison of health insurance for cats, this provider stands out with its modular system, allowing you to choose exactly the protection your animal needs. And since one cat rarely comes alone, Dalma offers a discount for every additional animal. Furthermore, the provider promises reimbursement within 48 hours.

Category Details
Reimbursement Level 60 to 100% depending on animal and contract
Start / Waiting Period Surgical procedures: 14 days (Exception: 2 days after accident) Veterinary treatments: 30 days (Exception: 2 days after accident) Breed-specific diseases: 12 months Dental diseases (Gingivitis, Periodontitis, FORL): 12 months
Scope of Benefits Medically necessary surgeries; Diagnosis and treatment (up to 30 days before surgery); Hospital stay (up to 30 days after surgery); Medication, bandages, healing aids and appliances; Tooth extraction/root canal (if medically necessary; possibly after waiting period); Neutering (due to illness or accident; observe exclusions); Medically necessary treatments; Diagnostics and examinations in case of illness (X-ray, ECG, blood test, etc.); Drugs and medication; Physiotherapy: unlimited; Alternative healing methods: unlimited (Acupuncture, Acupressure, Homeopathy, Laser therapy, Magnetic field therapy, Neural therapy, Bioresonance therapy, Phytotherapy, Chiropractic, Osteopathy); Behavioral therapy: up to 5 hours/year; Prostheses and implants: up to 500 €/year; Emergency accommodation: up to 250 €/year; Video consultation/telemedicine; Chipping; Euthanasia for medical reasons.
Optional Preventive Budget 70 or 100 €/year for: Preventive examinations and health checks, Tartar removal, Vaccinations, Antiparasitics (e.g., flea and tick protection, deworming), Neutering (without medical indication), Claw clipping, Issuance of health certificates, Therapeutic feed, Treatments related to pregnancy and birth.
Fee Rates Up to 4-fold rate, emergency service fee
Exclusion of Certain Animals No
Age Limit at Start Minimum age: 2 months; Maximum age: 8 years
Freedom of Therapy Yes
Foreign Coverage Yes
Terms and Deadlines 12-month minimum contract term, thereafter monthly right of termination
Annual Maximum Benefit Freely selectable, from 500 € to unlimited
Monthly Costs From 15.99 €
Special Features 15% discount from the 2nd insured animal; Waiver of the right of termination after a claim; Adjustable preventive budget; Very fast cost reimbursement.

Agila Cat Health Insurance

The provider has been on the market for more than 30 years. Agila offers three tariffs to choose from:

  • Tierkrankenschutz 24
  • Tierkrankenschutz
  • Tierkrankenschutz Exklusiv

The benefits of the individual tariffs differ, as does the level of reimbursement. Coverage for surgeries ranges from €2,500 to unlimited depending on the tariff, while outpatient and inpatient medical treatments are reimbursed at either €500 to €1,100.

Category Details
Reimbursement Level 80 to 100% depending on the tariff. Deductible depends on the tariff and age of the animal.
Start / Waiting Period No waiting period for preventive services and after accidents. 1-month waiting period for all other services.
Scope of Benefits Medically necessary treatments; MRI, CT, ultrasound, and X-ray examinations; Coverage of medication costs; Video consultation/telemedicine; Dental prophylaxis and treatments including extractions and root canals; Physiotherapy; Costs for medically necessary neutering (Tierkrankenschutz Exklusiv also covers non-medically necessary neutering); €100 health allowance/year for preventive services.
Fee Rates Up to 4-fold rate, emergency service fee.
Exclusion of Certain Animals No, but different monthly amounts possible for certain breeds.
Age Limit at Start Minimum age: 8 weeks; Maximum age: 5th/10th birthday depending on tariff.
Freedom of Therapy Yes.
Foreign Coverage Yes, up to a maximum of 12 months.
Terms and Deadlines Minimum term: 12 months; Automatic renewal: for another 12 months; Notice period: 1 month after 1 year.
Annual Maximum Benefit Health and Accident Protection: TKS24: max. €500 + 20% deductible per insurance case and submitted invoice; TKS: max. €600 without deductible; TKS Exklusiv: max. €1,100 without deductible. Preventive Care: TKS24: 20% deductible per submitted invoice. Surgery Protection: TKS24: €2,500 + 20% deductible per insurance case and submitted invoice; TKS: max. €3,000; TKS Exklusiv: unlimited.
Monthly Costs TKS24: from €21.90; TKS: from €34.90; TKS Exklusiv: €58.40.
Special Features No exclusion of certain breeds. Coverage of treatment costs for breed-typical diseases that had not broken out before the start of the contract (Exception: costs for treatments due to brachycephaly are not covered). Very low insurance sum for medical treatments.

Cat Health Insurance with Uelzener

Cat owners have been able to take out cat health insurance with Uelzener since the mid-1980s. There is only one tariff for cats, but there is the optional "Gesundheit PLUS" module. Without this, the benefits of this otherwise quite affordable cat health insurance are modest compared to other providers. However, in our insurance comparison, it is one of the few cat health insurance policies that insure animals of all ages. The breed also plays no role—though monthly contributions increase for certain breeds and with the age of the animal.

Category Details
Reimbursement Level Up to 100%. Selectable deductible of 40, 20, or 0%.
Start / Waiting Period 30 days; 7 days for accidents; 1 year for certain diseases/surgeries.
Scope of Benefits Medically necessary treatments; MRI, CT, ultrasound, and X-ray examinations; Coverage of medication costs; Neutering subsidy (Male €100, Female €150); Chipping subsidy €25; Telediagnostics/teleconsultation; Vet consultation in neighboring countries of Germany. Only in the "Gesundheit PLUS" module: Prophylactic blood checks and dental cleanings; Preventive treatments such as vaccinations; Behavioral therapy; Nutritional therapy, physiotherapy, osteopathy, alternative treatments, and naturopathic treatment up to 12 weeks after an insured treatment.
Fee Rates Up to 4-fold rate + emergency service fee for surgeries.
Exclusion of Certain Animals No.
Age Limit at Start From the 1st day of life, no age limit.
Freedom of Therapy Yes.
Foreign Coverage Yes, up to a maximum of 12 months.
Terms and Deadlines Minimum term of less than 12 months possible; Automatic renewal for another 12 months; 1 month notice period before the end of the contract term.
Annual Maximum Benefit Selectable: €500, €1,000, or unlimited.
Monthly Costs From €22.08 (Example: Female cat, breed category 1, age 0–1 years, reimbursement €500/year, 40% deductible per invoice including 5% paperless discount) .
Special Features Special surgeries (e.g., due to heart disease, brachycephaly, cryptorchidism) are covered. Insurance possible despite pre-existing conditions or previous operations.

Gothaer Cat Health Insurance

Actually, Gothaer's pet health insurance is not a classic full protection, as only treatments in the context of surgeries are covered. There are also subsidies for preventive care. Additional protection for medical treatments is possible but costs more.

Category Details
Reimbursement Level 100% for surgeries. Medical treatments/medication are only covered if separately agreed; 20% deductible applies for medical treatments.
Start / Waiting Period Basis: 3 months; Plus: 30 days; Premium: 30 days. No waiting period for accidents (except cruciate ligament tear).
Scope of Benefits Surgeries and separately agreed medical treatments (outpatient/inpatient including diagnostics if medically necessary); Lab, ultrasound, and X-ray exams for surgeries; MRI and CT exams up to max: Basis €100, Plus €200, Premium €300; Tartar removal during covered surgery up to max €50; Inpatient stay after surgery and follow-up (max 15 days; Premium tariff with physiotherapy max 5 applications at max €30 each); Chipping subsidy: €25. For agreed medical treatments: Outpatient/inpatient treatments incl. diagnostics and drugs up to sum insured (with 20% deductible); Neutering/sterilization subsidy €40 (Male)/€80 (Female); Annual preventive care subsidy: Basis €25, Plus €50, Premium €75; Cremation/burial subsidy: Basis €25, Plus €50, Premium €100; Telemedicine max 5 consultations per year.
Fee Rates Basis: 2-fold; Plus: 3-fold; Premium: 4-fold, emergency service fee.
Exclusion of Certain Animals No, contribution adjustment as age increases.
Age Limit at Start Minimum age: 9 weeks; Maximum age: 8 years.
Freedom of Therapy Yes.
Foreign Coverage Basis/Plus: 12 months Europe-wide; Premium: 12 months worldwide.
Terms and Deadlines Duration: 1 year or 5 years. Termination must occur at least 3 months before the end of the contract, otherwise it is renewed.
Annual Maximum Benefit Basis: max. €2,500; Plus: max. €5,000; Premium: unlimited.
Monthly Costs Basis: €44.24; Plus: €48.76; Premium: €56.07 (Basis tariff with surgery protection and medical treatment module; 1-year term; 3-year-old Domestic Shorthair) .
Special Features Death benefit for accidents if medical treatment agreed: €250. Coverage for cat accommodation in emergencies. Document and data depot. JurLine telephone legal advice. Only insures healthy cats (no surgery in last 12 months, no severe disease diagnosis/treatment in last 24 months). Euthanasia for accidents/incurable diseases. Cremation subsidy (requires medical treatment cover and 2 years continuous insurance). Certain diseases are not or not fully insured regardless of cause (HD, Entropion/Ectropion limited to one case, cleft lip/palate, Cryptorchidism subsidy for neutering, umbilical/inguinal hernia including diaphragmatic hernia, Brachycephalic syndrome, Brachyury/Anury, Urachus persistens).

Cat Health Insurance with Allianz

Allianz offers four tariffs, but only the Premium tariff is a full protection that covers medical treatments and preventive care in addition to surgery costs. This tariff is one of the most expensive full-protection cat health insurance policies in comparison but offers extensive benefits. An optional "Medical Treatment and Preventive Protection" module can be added to any tariff except Premium (where it is included). Price calculations vary based on deductible, breed, age, housing (outdoor/indoor), pre-existing conditions, payment method, and zip code.

Category Details
Reimbursement Level Depending on tariff, up to 100%. Deductible possible (10 or 20%).
Start / Waiting Period For illness and maldevelopment: 3 months; For accidents: none.
Scope of Benefits Surgeries due to accident or illness; Final exam before surgery and follow-up treatments incl. X-ray/lab; Medication resulting from surgery and hospital stay incl. care/feed; Post-surgery follow-up: Basis/Smart 15 days, Komfort/Premium 20 days; Treatment of breed-specific/special diseases and malpositions: Basis /; Smart one-time to €500; Komfort one-time to €2,500; Premium one-time to €5,000; Radiation therapy after surgeries: Basis /; Smart €500; Komfort €2,500; Premium unlimited; Physiotherapy: €500; Dental treatments under anesthesia; Imaging (X-ray, MRI, CT); Prostheses and implants; Orthoses & aids; Telemedicine. Only in Premium: Feeding advice; pregnancy exams; euthanasia costs; outpatient/inpatient treatments without surgery for accident/illness; subsidy for routine/prophylactic services.
Fee Rates Basis: 2-fold rate; Other tariffs: 4-fold rate, emergency fee.
Exclusion of Certain Animals No, but different monthly amounts possible for certain breeds.
Age Limit at Start Minimum age: 8 weeks.
Freedom of Therapy Yes.
Foreign Coverage Yes, up to 12 months worldwide.
Terms and Deadlines Minimum term 12 months; automatic renewal for another 12 months; 3-month notice period.
Annual Maximum Benefit Medical Treatment Protection (module except in Premium): Basis: up to €2,000 + €50 preventive subsidy; Smart/Komfort: up to €2,000 + €50 subsidy or for surcharge €5,000 + €100 subsidy; Premium: €5,000 + €100 subsidy included. Surgery Protection: Basis: €3,000; Smart: €7,500; Komfort: unlimited; Premium: unlimited.
Monthly Costs Basis: €23.43; Smart: €29.58 - €41.80; Komfort: €36.30 - €50.78; Premium: €117.13 (Example: Male cat, 2y 10m, neutered, mix, indoor, Berlin, no pre-existing conditions, no deductible, monthly pay) .
Special Features One-month right of termination if premiums increase without more cover. Insures even very old animals, though at a very high price.

Barmenia Cat Health Insurance

Barmenia cat health insurance is possible in four tariffs, each with or without a deductible. Insured benefits differ, and except for the Basis tariff, additional modules can be added. The company offers an app for submitting invoices.

Category Details
Reimbursement Level 80 or 100%.
Start / Waiting Period General: 30 days; Accidents: none; Certain diseases: 6 or 18 months; Surgeries/dental: 18 months (Premium Plus 6 months); ED, HD, Ectropion: 18 months.
Scope of Benefits X-ray, MRI, endoscopy, biopsy, lab for diagnosis and before surgeries; Post-surgery treatment incl. acupuncture, homeopathy, physio, laser, magnetic, or neural therapy: 30 days (Premium Plus 120 days); Medical treatment costs incl. outpatient/inpatient, physiotherapy (up to 10 treatments/30 mins) or behavioral therapy (up to 7 treatments/1.5 hours); Prostheses subsidy: Basis/Top/Premium max €500 (18m wait); Premium Plus unlimited (6m wait); Telemedicine; Preventive and dental module: Basis N/A, Top max €70/€150, Premium/Premium Plus max €100/€500; Unlimited conservative treatment module in Premium/Premium Plus; Chipping (except Basis).
Fee Rates Up to 4-fold rate.
Exclusion of Certain Animals No.
Age Limit at Start Minimum: 8 weeks; Maximum: under 6 years.
Freedom of Therapy Yes.
Foreign Coverage Basis/Top/Premium: 12 months worldwide; Premium Plus: unlimited worldwide.
Terms and Deadlines Flexible; automatic 1-year renewal; Terms under 1 year possible; No notice period.
Annual Maximum Benefit Medical treatments: Basis €400, Top €800, Premium/Premium Plus €1,200 or unlimited.
Monthly Costs Basis: from €22.74; Top: €40.54; Premium: from €61.42; Premium Plus: from €71.91.
Special Features Premium Plus adds: Gold acupuncture/implants (6m wait); Travel cancellation cover to €1,500; Pet accommodation if owner is in hospital/rehab €25/day from 2nd day (max 30 days/year); Burial subsidy €300 from 4th year; One-time neutering subsidy €150. 20% deductible capped at €250/year for simultaneous invoices. One-time pregnancy/birth cover after 30 days.

Helvetia Cat Health Insurance

The Swiss company is represented in Germany with a large range of products. There are three tariffs with increasing benefits. Only in the most expensive tariff is the 20% deductible waived—but only until the animal's 4th birthday. After that, 20% applies there too. The benefit spectrum of the three tariffs is quite similar, differing mainly in the annual coverage of €2,000, €4,000, or unlimited.

Category Details
Reimbursement Level 80 to 100%. Max 80% for animals from 5th year.
Start / Waiting Period General: 3 months; Immediate protection: for urgent treatments/surgeries after accidents.
Scope of Benefits Outpatient/inpatient medical treatments incl. medication; Surgeries incl. pre- and post-treatment; Accommodation/food costs for OPs max 20 days; Telemedicine; Helvetia PetCare protection letter (e.g., pension stay, emergency transport, driving service); Accommodation if owner in hospital/rehab from 2nd day max 30 days/year: Basis /, Kompakt/Komfort €5/day; Annual preventive care flat rate (vaccines, deworming, etc.): Basis /, Kompakt max €30, Komfort max €70; Neutering flat rate: Basis/Kompakt /, Komfort max €35 (male)/€50 (female); Optional modules: Alternative methods, Dental supplement up to €500/year at 80%.
Fee Rates Emergency: 4-fold; With written vet reasoning: 3-fold; Others: 2-fold.
Exclusion of Certain Animals No.
Age Limit at Start Minimum age: 2 months.
Freedom of Therapy Yes.
Foreign Coverage 12 months worldwide.
Terms and Deadlines 12 months minimum term; 3-month notice period.
Annual Maximum Benefit Basis: €2,000; Kompakt: €4,000; Komfort: unlimited.
Monthly Costs Basis: from €28.23; Kompakt: from €33.87; Komfort: from €43.28.
Special Features Premium adjustment for age: 9% increase annually from 5th year. Insures cats with pre-existing conditions, but those may be excluded from cover. No health check needed for kittens 2 to 12 weeks with basic immunization. Health exam required if older than 4 or pre-insured. Consultation needed for cats over 10.

Other Providers

Some providers currently do not offer cat health insurance, making comparison impossible. AXA cooperates with Uelzener. Ergo cooperates with HanseMerkur, Uelzener, and Helvetia. DEVK also redirects to Uelzener. HUK only offers cat health insurance through Gothaer. You can request an offer from HUK, but little info on benefit scope is available beforehand.

Cat Insurance in Tests

Determining a test winner among the examined cat health insurance policies is not easy. To provide necessary treatment without breaking the budget, certain benefits should be insured:

  • Surgeries with pre- and post-care
  • Medical treatments and medication
  • Preventive care and vaccinations
  • Multiple fee rates


Treatments for typical feline infectious diseases are often only covered if vaccination protection exists. Since Panleukopenia, Cat Flu, Leucosis, etc., are chronic diseases requiring regular treatment, you should vaccinate your cat at recommended intervals. Check if preventive services are included or subsidized.


Dental diseases
are a major topic: tartar, gingivitis, periodontitis. One in three cats develops FORL symptoms in the first 5 years; half of cats over 5 years fall ill with it. It is extremely painful; affected teeth must be surgically removed. Check if and which dental treatments are covered.


Important:
Most providers reserve the right to cancel the contract unilaterally once you use benefits. This could leave a chronically ill cat without cover. Dalma is the only one that waives this right after a claim.

Comparison of Cat Health Insurance – The Best Providers

Which cat health insurance is the best? Here are some noteworthy aspects:

Dalma stands out for multi-cat households with a 15% discount for the second and every further animal. It has an outstanding price-performance ratio and offers very fast reimbursement.

Providers like Allianz insure animals of all ages, though it is very expensive for old animals.

Most insurers have a maximum entry age of 6 to 8 years. There are no policies without a waiting period in this comparison. Most cover after 1 month/30 days, excluding accidents. Dalma's waiting period for surgeries is only 14 days. Outdoor cats have a higher risk for accidents and infections, needing more protection than indoor cats.

Conclusion: Which cat health insurance is the best in comparison?

An extensive benefit package, fair conditions, flexible options, and an affordable price make Dalma the best cat insurance in comparison. The modular system allows you to find exactly what makes sense for your cat and budget. The multi-pet discount is another plus.

FAQ: Cat Insurance Comparison

Which cat insurance is the best?
There is no single winner; the best choice depends on age, breed, and budget. Look for no-deductible tariffs and high annual limits.

When should I insure my cat?
As early as possible! Younger cats have cheaper premiums and lower risk of exclusions.


Does insurance pay for neutering and vaccines?

Many full-protection policies offer a preventive budget. At Dalma, you can choose this budget flexibly.

Can the insurance cancel my contract after a claim?
Legally possible for many providers. Dalma explicitly waives this right.


Which insurance do vets recommend?

Usually those with free vet choice, high reimbursement, and multiple GOT rate coverage.

Is there a policy without a waiting period?
No. Many have short wait times for accidents (Dalma: 2 days).

Article written by
Ilona Meier

Certified veterinary nurse (RVN) specializing in anesthesia and nutrition

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