Shih Tzu Pet Insurance: Costs, Coverage & Health Risks

Shih Tzu insurance costs $52–$65/mo. With average annual vet bills of $1,080 and 5 common health conditions, the right coverage can save you thousands.

Quick Facts: Shih Tzu

Avg Vet Cost

$1,080/year

Insurance Premium

$52–$65/mo

Size & Weight

small · 915 lbs

Lifespan

1416 years

Shih Tzu Insurance Guide

The Shih Tzu has captured the hearts of dog lovers with its strong and growing fanbase, but the breed's predisposition to certain health conditions means veterinary costs can add up quickly without proper insurance coverage. Small breeds tend to live longer than their larger counterparts, which means more years of potential health issues and veterinary costs. Dental problems are especially common in small breeds, often requiring professional cleanings under anesthesia starting as early as age two. Patellar luxation affects many small breeds, and while mild cases can be managed conservatively, severe grades often need surgery. Their longer lifespans also increase the likelihood of developing age-related conditions like heart disease and vision problems. The breed is particularly susceptible to Brachycephalic Airway Syndrome, which can require treatment costing $2,000 to $7,000, Luxating Patella, which can require treatment costing $1,500 to $5,000, Keratoconjunctivitis Sicca with typical treatment costs of $500 to $3,000, and Dental Disease with typical treatment costs of $500 to $3,000. These conditions can emerge at different life stages, making comprehensive coverage from an early age a sound strategy. From a cost perspective, insuring your Shih Tzu at an average monthly premium of $45 means an annual investment of $540. With average annual veterinary costs of $1,080 for the breed and the potential for a single major health event to cost $3,240 or more, the math clearly favors coverage. Puppy policies start around $52 per month, making early enrollment the most cost-effective approach since premiums increase with age — senior coverage runs approximately $65 monthly. For optimal protection, choose a plan with hereditary and congenital condition coverage — this is crucial for a breed predisposed to Brachycephalic Airway Syndrome. Consider plans with lower deductibles if your budget allows, as the higher monthly premium often pays for itself with just one significant claim. Ultimately, insuring your Shih Tzu transforms unpredictable veterinary emergencies into manageable monthly payments. Given this breed's health profile, going without coverage means gambling with potentially devastating out-of-pocket costs.

Common Health Problems in Shih Tzus

Brachycephalic Airway Syndrome (BAS)

A set of upper airway abnormalities in short-nosed breeds including stenotic nares, elongated soft palate, and hypoplastic trachea, causing breathing difficulty.

Treatment: $2,000–$7,000✓ Usually covered

Luxating Patella

A condition where the kneecap dislocates from its normal position in the groove of the femur, causing intermittent or persistent lameness.

Treatment: $1,500–$5,000✓ Usually covered

Keratoconjunctivitis Sicca (Dry Eye / KCS)

Insufficient tear production causing chronic eye irritation, thick discharge, corneal ulceration, and potential blindness. Often autoimmune in origin.

Treatment: $500–$3,000✓ Usually covered

Dental Disease (Periodontal Disease)

Progressive disease of the teeth and gums affecting over 80% of dogs by age 3. Causes pain, tooth loss, and can spread bacteria to heart, liver, and kidneys.

Treatment: $500–$3,000✓ Usually covered

Intervertebral Disc Disease (IVDD)

Degeneration or herniation of spinal discs causing pain, nerve damage, and potentially paralysis. Especially common in long-backed breeds.

Treatment: $3,000–$12,000✓ Usually covered
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Shih Tzu Insurance Costs by Age

Age GroupMonthly PremiumAnnual Cost
Puppy (under 1)$52/mo$624/yr
Adult (1–7)$45/mo$540/yr
Senior (8+)$65/mo$780/yr

Coverage Recommendations

Breathing difficulties are common and can require surgery. Choose plans covering respiratory conditions and anesthesia.

  • Look for plans with no breed-specific exclusions
  • Ensure coverage for brachycephalic airway syndrome (bas)
  • Consider plans with $standard annual limits ($5K+)
  • Check waiting periods — orthopedic conditions often have 6–12 month waits

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Frequently Asked Questions

How much does Shih Tzu pet insurance cost?
Shih Tzu pet insurance typically costs $52–$65 per month, depending on age, location, and coverage level. Puppies cost around $52/mo, adults $45/mo, and seniors $65/mo.
What health problems are common in Shih Tzus?
Shih Tzus are prone to brachycephalic airway syndrome (bas), luxating patella, keratoconjunctivitis sicca (dry eye / kcs), dental disease (periodontal disease), intervertebral disc disease (ivdd). Treatment costs can range from $500 to $12,000.
Is pet insurance worth it for a Shih Tzu?
With average annual vet costs of $1,080 and potential treatment costs up to $12,000, insurance can save Shih Tzu owners thousands. Breathing difficulties are common and can require surgery. Choose plans covering respiratory conditions and anesthesia.