Dog Breeds / Shih Tzu

Best Pet Insurance for Shih Tzus (2026)

Shih Tzus are affectionate lap dogs with moderate health concerns. Their bulging eyes are prone to injury, their flat faces can cause breathing issues, and their small mouths lead to dental problems. Good insurance coverage helps manage these risks.

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🏆 Our Top Picks for Shih Tzus

1

Embrace

Best overall (eye conditions, dental covered)

2

Pumpkin

Best dental coverage

3

Healthy Paws

Best unlimited coverage

Why Shih Tzus Need Insurance

Shih Tzus' prominent eyes are easily injured, sometimes requiring expensive surgery. Breathing issues and dental disease add to their care costs. Insurance provides a safety net for these common problems.

Common Health Issues & Costs

ConditionWhat It IsTypical Cost
Eye ProblemsUlcers, proptosis, dry eye$500 - $3,000
Brachycephalic SyndromeBreathing difficulties$1,500 - $4,000
Dental DiseaseCrowding, decay, extractions$500 - $2,000
Hip DysplasiaJoint malformation$3,000 - $6,000
Ear InfectionsChronic infections$100 - $300/episode
IVDDSpinal disc problems$3,000 - $8,000

What to Look For in Shih Tzu Insurance

✓ Must-Have Coverage

  • Eye injury and disease coverage — Their bulging eyes are vulnerable
  • Respiratory condition coverage — Flat face causes breathing issues
  • Dental illness coverage — Small mouths mean dental problems
  • No breed-specific exclusions

✗ Red Flags to Avoid

  • Eye condition exclusions
  • Brachycephalic condition exclusions
  • Dental exclusions
  • Pre-existing condition traps for eye issues

Best Insurance Providers for Shih Tzus

Top Pick

Embrace

Best Overall for Shih Tzus

$35-55/mo

estimated monthly

Embrace covers eye conditions, dental illness, and hereditary conditions. For a breed with multiple health concerns, comprehensive coverage is key.

Pros

  • Covers eye conditions
  • Covers dental illness
  • Covers hereditary conditions
  • Wellness option available

Cons

  • Annual limits apply
  • Wellness costs extra
Get Quote from Embrace

Pumpkin

Best Dental Coverage

$32-50/mo

estimated monthly

Pumpkin includes dental illness coverage standard—important for Shih Tzus with their small, crowded mouths prone to decay and gum disease.

Pros

  • Dental illness included
  • 90% reimbursement available
  • Covers hereditary conditions
  • No breed restrictions

Cons

  • Newer company
  • Annual limits apply
Get Quote from Pumpkin

Healthy Paws

Best Unlimited Coverage

$35-55/mo

estimated monthly

If your Shih Tzu needs multiple surgeries (eyes, breathing, spine), unlimited coverage ensures you never hit a cap.

Pros

  • No annual or lifetime limits
  • Covers eye conditions
  • Fast claims processing
  • No per-incident caps

Cons

  • No dental illness coverage
  • No wellness option
Get Quote from Healthy Paws

How Much Does Shih Tzu Insurance Cost?

Shih Tzus have moderate insurance costs. Here's what to expect:

Puppy (8 weeks - 1 year)

$25 - $40/month

Adult (1-7 years)

$32 - $60/month

Senior (8+ years)

$55 - $95+/month

* Estimates based on average rates. Actual cost depends on your location, chosen deductible, reimbursement level, and coverage limits.

Frequently Asked Questions

Why do Shih Tzus have so many eye problems?

Shih Tzus have shallow eye sockets causing their eyes to bulge, making them vulnerable to scratches, ulcers, and proptosis (eye popping out). Eye injuries are common and often require veterinary care.

Is pet insurance worth it for a Shih Tzu?

Yes. Between eye issues, potential breathing problems, and dental disease, Shih Tzus often need veterinary care. Insurance helps manage costs for this affectionate but health-prone breed.

Do Shih Tzus have breathing problems like Bulldogs?

Shih Tzus are brachycephalic (flat-faced) and can have breathing issues, though typically less severe than Bulldogs. Some may need surgery to correct elongated soft palates or narrow nostrils.

Should I get dental coverage for my Shih Tzu?

Yes, dental coverage is valuable for Shih Tzus. Their small mouths lead to crowded teeth and decay. Look for policies covering dental illness (infections, extractions), not just accidents.

Are Shih Tzus expensive to insure?

Shih Tzus have moderate insurance costs—typically $35-60/month. They're less expensive than large breeds or breeds with severe health issues, but still need comprehensive coverage.

Protect Your Shih Tzu

Protect your Shih Tzu's eyes, teeth, and overall health. Compare insurance quotes and find the right coverage today.

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