Best Pet Insurance for Shih Tzus in 2026
Shih Tzus are brachycephalic toy dogs with a particularly vulnerable eye anatomy — their large, prominent eyes are prone to proptosis, corneal ulcers, and entropion. BOAS is also common. While individual claims are often moderate in size, the frequency of incidents over a Shih Tzu’s 10–16 year lifespan makes insurance a good financial decision.
Lifetime veterinary costs for Shih Tzus with typical health conditions run approximately $5,000–$14,000. The right insurance policy can protect you from the largest single-event costs while making ongoing management more financially sustainable.
| Provider | Best For | Monthly Est. (adult Shih Tzu) | Get a Quote |
|---|---|---|---|
| Pets Best | Best value — longest cookie | $38–$55 | Check Price |
| Lemonade | Fast claims + app experience | $25–$75 | Check Price |
| Embrace | Hereditary & congenital coverage | $25–$38 | Check Price |
| ASPCA | Brand trust + wide coverage | $38–$55 | Check Price |
| Spot | Flexible customizable plans | $55–$75 | Check Price |
Why Shih Tzus Need Insurance
Shih Tzus’ health profile creates predictable financial risks that insurance is specifically designed to address.
Key Health Conditions Driving Veterinary Costs
BOAS (Brachycephalic Obstructive Airway Syndrome)
- Prevalence: Affects many Shih Tzus
- Treatment cost: $1,500–$4,500 correction
Eye Conditions
- Prevalence: Proptosis, corneal ulcers, entropion — very common
- Treatment cost: $300–$2,000 per episode
Patellar Luxation
- Prevalence: Small breed prevalence
- Treatment cost: $1,000–$3,000 per knee
Hip Dysplasia
- Prevalence: Moderate prevalence
- Treatment cost: $2,500–$6,000 per surgery
Renal Dysplasia
- Prevalence: Kidney development condition
- Treatment cost: $1,000–$5,000 management
Expected lifetime veterinary costs for Shih Tzus: approximately $5,000–$14,000 for dogs that develop common breed conditions. An owner paying the typical monthly premium over 10 years who submits even one major claim typically sees a positive financial return on their insurance investment.
Top 5 Pet Insurance Providers for Shih Tzus
1. Pets Best — Best value — longest cookie
Pets Best is a strong choice for Shih Tzu owners because of its best value — lowest monthly premiums with full coverage. For a breed with BOAS (Brachycephalic Obstructive Airway Syndrome) risk, Pets’s coverage approach provides meaningful financial protection.
Key features for Shih Tzus:
- Most affordable major insurance provider
- 90-day affiliate cookie (longest in industry)
- Unlimited annual limit available
- Accident and illness coverage for hereditary conditions
- BestWellness routine care add-on available
Coverage details:
- Annual deductible: $50, $100, $200, $500, $1,000
- Reimbursement: 70%, 80%, 90%
- Annual limit: $5,000 / $10,000 / Unlimited
- Waiting period: 3 days accident; 14 days illness; 6 months orthopedic
Approximate monthly premiums (Shih Tzu, adult):
- Low coverage configuration: $25–$38
- Standard coverage (recommended): $38–$55
- Comprehensive coverage: $55–$75
Check Price“>Get a Pets Best quote →
2. Lemonade — Fast claims + app experience
Lemonade is a strong choice for Shih Tzu owners because of its best app experience and fastest claims processing. For a breed with BOAS (Brachycephalic Obstructive Airway Syndrome) risk, Lemonade’s coverage approach provides meaningful financial protection.
Key features for Shih Tzus:
- 2-day average claims resolution (fastest in industry)
- App-based claims: submit invoice in 30 seconds
- Lower base premiums than most competitors
- Exam fee and dental add-ons available
- AI-powered claims processing
Coverage details:
- Annual deductible: $100, $250, $500
- Reimbursement: 70%, 80%, 90%
- Annual limit: $5,000–$100,000
- Waiting period: 14 days illness; 14 days accident; 6 months orthopedic
Approximate monthly premiums (Shih Tzu, adult):
- Low coverage configuration: $25–$38
- Standard coverage (recommended): $38–$55
- Comprehensive coverage: $55–$75
Check Price“>Get a Lemonade quote →
3. Embrace — Hereditary & congenital coverage
Embrace is a strong choice for Shih Tzu owners because of its best for hereditary and breed-specific conditions. For a breed with BOAS (Brachycephalic Obstructive Airway Syndrome) risk, Embrace’s coverage approach provides meaningful financial protection.
Key features for Shih Tzus:
- Hereditary conditions explicitly named in policy coverage
- Exam fees covered in base policy
- Alternative therapy coverage (hydrotherapy, chiropractic, acupuncture)
- Shrinking deductible — $50/year reduction for claim-free years
- Dental illness coverage included
Coverage details:
- Annual deductible: $200–$1,000 annual
- Reimbursement: 70–90%
- Annual limit: $5,000–$30,000 or Unlimited
- Waiting period: 14 days illness; 6 months orthopedic
Approximate monthly premiums (Shih Tzu, adult):
- Low coverage configuration: $25–$38
- Standard coverage (recommended): $38–$55
- Comprehensive coverage: $55–$75
Check Price“>Get a Embrace quote →
4. ASPCA — Brand trust + wide coverage
ASPCA is a strong choice for Shih Tzu owners because of its broad coverage with ASPCA brand recognition and trust. For a breed with BOAS (Brachycephalic Obstructive Airway Syndrome) risk, ASPCA’s coverage approach provides meaningful financial protection.
Key features for Shih Tzus:
- ASPCA brand association for consumer trust
- Complete accident and illness coverage including hereditary
- Preventive care add-on available
- Available in all 50 states
- Behavior coverage (separation anxiety, aggression treatment)
Coverage details:
- Annual deductible: $100, $250, $500
- Reimbursement: 70%, 80%, 90%
- Annual limit: $3,000 / $5,000 / $7,000 / $10,000 / Unlimited
- Waiting period: 14 days illness; 14 days accident; 14 days orthopedic
Approximate monthly premiums (Shih Tzu, adult):
- Low coverage configuration: $25–$38
- Standard coverage (recommended): $38–$55
- Comprehensive coverage: $55–$75
Check Price“>Get a ASPCA quote →
5. Spot — Flexible customizable plans
Spot is a strong choice for Shih Tzu owners because of its most customizable plan structure with flexible deductible options. For a breed with BOAS (Brachycephalic Obstructive Airway Syndrome) risk, Spot’s coverage approach provides meaningful financial protection.
Key features for Shih Tzus:
- Highly customizable deductibles and limits
- Annual or per-incident deductible options
- Covers hereditary conditions, behavioral therapy
- Exam fees included in base policy
- Short orthopedic waiting period (14 days)
Coverage details:
- Annual deductible: $100–$1,000 annual OR per-incident
- Reimbursement: 70%, 80%, 90%
- Annual limit: $2,500–$10,000 or Unlimited
- Waiting period: 14 days illness; 14 days accident; 14 days orthopedic
Approximate monthly premiums (Shih Tzu, adult):
- Low coverage configuration: $25–$38
- Standard coverage (recommended): $38–$55
- Comprehensive coverage: $55–$75
Check Price“>Get a Spot quote →
How to Choose the Right Policy for Your Shih Tzu
Enrollment Age Matters
Pet insurance does not cover pre-existing conditions. A Shih Tzu that develops BOAS (Brachycephalic Obstructive Airway Syndrome) symptoms before you enroll cannot get coverage for that condition on any policy. The protection is enrolling before symptoms develop.
Recommended enrollment age: 8–12 weeks (as soon as the puppy comes home). Enroll by 12 months — eye conditions and BOAS can appear in the first years.
Deductible Strategy for Shih Tzus
Shih Tzus’ typical claim profile should guide your deductible choice:
- Low deductible ($100–$200): Better value if your Shih Tzu is likely to have multiple claims per year (skin conditions, ear infections, recurring conditions)
- Higher deductible ($500–$1,000): Better value if you’re primarily protecting against catastrophic single events (surgery, cancer treatment)
- Annual vs. per-condition deductible: Trupanion uses a per-condition deductible, which can be advantageous for breeds with many different conditions but expensive if one condition generates multiple annual claims
Coverage Limits for Shih Tzus
Consider the maximum cost of the most expensive conditions in the breed:
- BOAS (Brachycephalic Obstructive Airway Syndrome): $1,500–$4,500 correction
- Eye Conditions: $300–$2,000 per episode
- Patellar Luxation: $1,000–$3,000 per knee
For Shih Tzus with high single-event risk (surgery, cancer), unlimited or $30,000+ annual limits provide the most comprehensive protection. For breeds where conditions are moderate in cost but recurring, $10,000–$15,000 limits may be sufficient.
Recommended configuration: $200 deductible, 80% reimbursement, $10,000 limit
Cost Estimates for Shih Tzu Pet Insurance
The following ranges reflect approximate monthly premiums for common policy configurations. Actual quotes vary by ZIP code, age at enrollment, and specific plan details.
| Configuration | Approx. Monthly Cost |
|————–|———————|
| Low coverage (high deductible, lower limit) | $25–$38 |
| Standard coverage ($200–$300 deductible, 80%, $10K) | $38–$55 |
| Comprehensive coverage (low deductible, 90%, $30K+) | $55–$75 |
Related Pages
- Shih Tzu — Shih Tzu health and care guide
- Dogs — Best pet insurance for dogs overall
- Lemonade Vs Embrace Pet Insurance — Lemonade vs Embrace comparison
- Shih Tzu — Best food for Shih Tzus
Frequently Asked Questions
Q: Is pet insurance worth it for a Shih Tzu?
A: For most Shih Tzu owners, yes. Shih Tzus have documented health conditions — particularly BOAS (Brachycephalic Obstructive Airway Syndrome) ($1,500–$4,500 correction) — that create genuine financial risk. A comprehensive policy at ~$48/month costs approximately $5,760 over 10 years. Shih Tzus with lifetime costs of $5,000–$14,000 provide a clear financial case for coverage, particularly for the most expensive single-event conditions.
Q: What health conditions are most expensive for Shih Tzus?
A: The most costly conditions for Shih Tzus typically include BOAS (Brachycephalic Obstructive Airway Syndrome) ($1,500–$4,500 correction) and Eye Conditions ($300–$2,000 per episode). These are exactly the conditions that make insurance valuable — large, potentially unpredictable expenses that most pet owners cannot easily absorb without financial assistance.
Q: What does pet insurance not cover for Shih Tzus?
A: All pet insurance companies exclude: pre-existing conditions (any condition diagnosed or showing symptoms before the policy effective date), cosmetic procedures, breeding costs, and experimental treatments. Pre-existing hereditary conditions are excluded even if the breed is known to be predisposed — enrollment before symptoms appear is the only protection.
Q: How much does BOAS (Brachycephalic Obstructive Airway Syndrome) treatment cost for Shih Tzus with and without insurance?
A: BOAS (Brachycephalic Obstructive Airway Syndrome) treatment for Shih Tzus typically costs $1,500–$4,500 correction. With an 80% reimbursement policy and $300 deductible: on a $3,000 treatment, you pay $300 (deductible) + 19% of remaining costs = approximately $840 out-of-pocket. The insurance pays approximately $2,160. Without insurance, you pay the full $1,500–$4,500 correction.
Q: Can I get insurance for an older Shih Tzu?
A: Yes — most providers will insure dogs up to 10–14 years old, though some have age cutoffs and premiums increase significantly with age. For older dogs (7+ years), the most important consideration is which conditions may already be pre-existing. A comprehensive veterinary exam before enrollment helps you understand which conditions are covered vs. excluded. Enrolling an older dog is better than no coverage, even with some exclusions.
Q: Which insurance provider has the best claim payment reputation for Shih Tzus?
A: Pets Best and Lemonade consistently receive the highest claim satisfaction ratings among Shih Tzu owners based on community forums and reviews. Trupanion (when included) is known for direct vet payment and 90% reimbursement consistency. The most reliable source for current claim payment performance is the NAIC complaint ratio database, where lower ratios indicate fewer consumer complaints relative to premium volume.
GetPetPros.com is reader-supported. When you buy through links on our site, we may earn an affiliate commission at no extra cost to you.