Hawaii Pet Insurance (2026)

Average pet insurance rates, top-rated insurers, and state-specific pet health risks in Hawaii. Rates shown for a mixed-breed pet, age 3, with accident and illness coverage.

Dog Monthly

$70

Mixed breed, 3yo

Cat Monthly

$45

Mixed breed, 3yo

Dog Annual

$840

Per year

State Rank

#3

1 = most expensive

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Top Pet Insurers for Hawaii

1

Trupanion

Unlimited coverage, direct vet payment

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Dog/mo

$65

Cat/mo

$42

Annual Limit

Unlimited

Reimbursement

90%

2

Nationwide Pet Insurance

Wellness add-on available

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Dog/mo

$55

Cat/mo

$35

Annual Limit

$10,000

Reimbursement

70%–90%

3

Healthy Paws

Unlimited annual limit + fast claims

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Dog/mo

$50

Cat/mo

$32

Annual Limit

Unlimited

Reimbursement

70%–90%

4

ASPCA Pet Insurance

Comprehensive coverage

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Dog/mo

$48

Cat/mo

$30

Annual Limit

$10,000

Reimbursement

70%–90%

5

Lemonade Pet

Low-cost option, AI claims

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Dog/mo

$35

Cat/mo

$22

Annual Limit

$100,000

Reimbursement

70%–80%

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What to Know Before Buying in Hawaii

  • Import quarantine requirements: understand before bringing pets to Hawaii
  • Emergency care limitations: check if policy covers mainland vet referrals
  • Higher premiums reflect island vet cost structure

Hawaii Pet Health Facts

Hawaii has strict pet import laws — 120-day rabies quarantine for pets arriving from most countries.
Vet costs in Hawaii are above average due to isolation and import costs for supplies.
Limited specialist vet options — serious cases may require mainland travel.

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Compare Pet Insurance in Other States