Figo Pet Insurance Review (2026): 100% Tier and the Payout Order

Figo sells three accident-and-illness plans that differ by annual limit: Essential at $5,000, Preferred at $10,000, and Ultimate with no limit. Under each you pick an annual deductible between $100 and $750 and a reimbursement rate from 70% up to 100%. The payout order is the unusual part. Figo applies your co-pay percentage first and subtracts the deductible second, so its own example of a $1,000 claim at a 10% co-pay with a $50 deductible pays $850. Waits are 1 day for accidents on the current coverage page but 5 days in Figo’s California disclosure, 14 days for illness, and 6 months for orthopedic conditions unless you complete the waiver in the first 30 days. Exam fees come through an optional Powerup, there’s no upper age limit, and a curable condition can return to cover after 12 months without signs.

Figo’s three plans and the terms behind them

Figo’s dog insurance page and Illinois page lay out the three plans; the California disclosure adds Ultimate Plus and Accident Only for that state.

Source: insurer’s pages, checked October 23, 2026.

One day or five: Figo’s accident wait and the orthopedic waiver

Figo’s coverage page says accident coverage starts 1 day after the policy begins. Its California disclosure says injury coverage begins 5 days after the effective date. We can’t tell you which one governs a policy in your state. The practical answer is dull: open the state disclosure or policy document Figo issues for your ZIP code, read the waiting period section, and hold Figo to that number. Policies take effect at 12:01 am the day after enrollment, so an accident is covered from the second day on one reading and the sixth on the other.

The illness wait is 14 days on both documents. The orthopedic wait is 6 months and covers cruciate and patella conditions, which is the clause that matters most for a large young dog, as the cruciate surgery and hip dysplasia guides explain. Figo offers an Orthopedic Conditions waiver, available in the first 30 days through the Pet Cloud app. The pages we read don’t detail what the waiver requires; the 30-day window is the firm part, and it’s easy to miss without a reminder set on the day you buy.

Pre-existing status is decided from the last 12 months of veterinary records before enrollment plus anything that turns up during the waiting period. No exam is required to enroll, but if the pet hasn’t seen a vet in the prior 12 months, the first exam after the effective date is the one Figo uses. Whatever that first visit records is the baseline. Pre-existing conditions explains how a records review works, and the waiting period guide covers the general timing problem.

Figo’s co-pay-first order, worked on a $2,000 bill

Many insurers subtract the deductible first and then pay their percentage of what’s left. Figo’s California disclosure describes the reverse: the co-pay percentage is taken off the bill first, and the deductible comes out of what Figo would otherwise pay. How reimbursement works covers the common order; this is example arithmetic for Figo’s.

Say the bill is $2,000, reimbursement is 90%, and a $250 annual deductible hasn’t been met.

The gap is $25 on this bill, and it’s always the deductible multiplied by your co-pay share: 10% of $250. At 80% it would be $50, at 70% it would be $75. Small per claim, but it applies every time the deductible does; how deductibles work covers the usual order. Figo’s own example on the disclosure page, a $1,000 claim at a 10% co-pay with a $50 deductible paying $850, follows the same path. Figo isn’t alone here: Lemonade’s published formula takes the same route, while Embrace, ASPCA, and Spot describe the deductible coming off first.

At 100% the order stops mattering. Same $2,000 bill, 100% reimbursement, $250 deductible: $2,000 minus $250 is $1,750 whichever way you compute it, because there’s no co-pay to multiply. That’s the draw of the top tier: after the deductible, the whole eligible bill comes back, up to the plan’s annual limit. Figo’s pages give 70% to 100% as the range, but they don’t promise every tier in every state; the quote for your ZIP code is where you confirm 100% is on offer, and the reimbursement calculator shows what each tier does to a bill. The disclosure also says no co-pay or deductible applies to immediate life-saving treatment; read that clause in the policy before relying on it.

Powerups, exam fees, and the 12-month curable rule

Figo’s base policy doesn’t pay the exam fee, the charge at the top of every sick visit. It needs the exam fee Powerup, which covers exam and consultation fees for accident and illness visits. Wellness is a second Powerup with a fixed pay schedule; does pet insurance cover vaccinations explains why routine care sits outside the insurance policy. If you’re comparing a Figo quote against one that includes exam fees, such as Pets Best, add the Powerup before comparing prices, or the comparison is off by an exam fee per visit.

The curable-condition rule says a pre-existing condition may be covered if there have been no signs or symptoms within 12 months of treatment. That’s a similar shape to Embrace’s rule and longer than the 180 days some policies use. The reimbursement percentage isn’t reduced at specialist or emergency hospitals, which matters when big bills land at a referral center (emergency vet visits covers that side). Figo’s own claims statement is that most claims close in 3 working days on average; its Illinois page says 2.6. Filing a claim describes what every insurer needs from you.

Who Figo fits, and who should look at other structures

Figo suits an owner who wants the option of 100% reimbursement, a short accident wait, and an unlimited annual limit on the Ultimate plan, and who will do the orthopedic waiver inside the first 30 days. No upper age limit makes it worth a quote for a senior pet too, with the renewal-time wellness testing for dogs 8 and older and cats 10 and older factored in; older dogs discusses what to expect there. Multi-pet and military discounts are both 5%.

It’s a weaker fit for an owner who wants to push the deductible above $750 to bring the premium down; Pets Best goes to $1,000 and Trupanion uses a different model entirely. It’s a poor fit for anyone who assumes exam fees are included, because they’re a Powerup, and for anyone who wants the deductible-first payout order that ASPCA and Spot describe. The Healthy Paws, ASPCA, and Spot reviews cover those policies on the same terms-only basis. And if the 5-day accident wait turns out to apply in your state, the short-accident-wait reason weakens. Switching from another insurer restarts all of these waits, including the 6-month orthopedic one.

What Figo’s pages don’t settle

Three gaps. Which accident waiting period, 1 day or 5, applies in a given state outside California. What Figo’s Extra Care Pack contains, which the pages we read don’t itemize. And what the senior wellness testing at renewal involves beyond the ages at which it’s requested. The policy document for your state should close the first; the other two are questions for the quote.

Pets Best vs Figo puts the co-pay-first order next to a deductible-first policy with exam fees included.

Terms vary by state and change over time. This page reflects Figo’s published terms as of October 23, 2026, read from its coverage page, dog insurance page, Illinois page, FAQ, and California disclosure. Read the policy document before you buy.

For just the waiting-period numbers and the waiver mechanics, there’s a shorter page: Figo waiting period.

Figo is the policy behind Costco pet insurance, where members get a channel discount on the same terms.

This article is general information, not insurance or veterinary advice. Coverage, prices, and terms vary by insurer, pet, and location. Always read the policy and confirm details with the provider before buying.