Reviewed in November 2026
Mutual schemes, igualas and vet health plans: better than insurance?
Many clinics offer a monthly fee that includes vaccinations, check-ups and discounts. How they work and how they differ from insurance.
Besides insurance, there is another way to spread the cost of the vet: paying a fee to the clinic or to a mutual scheme (mutua). They have different names depending on where you are, but the idea is similar.
How they usually work
- Clinic health plan: a monthly or yearly fee that includes the basics for the year (vaccinations, worming and flea treatments, check-ups) and discounts on everything else.
- Iguala: a fixed fee that entitles you to certain services at that clinic.
- Mutua (mutual scheme): an organisation you pay a fee to and that covers part of your vet care, often in a network of clinics.
Health plan or insurance
A health plan is mainly for the predictable: what you know you will spend each year. Health insurance is for the unexpected: an operation or an expensive illness. You can have both. A plan for everyday care plus third-party liability is usually a sensible combination.
Always ask
- Exactly what is included and what is not.
- Whether there is a minimum term or you can cancel whenever you like.
- Whether the discounts apply to emergencies and out of hours.
- What happens if you move to another city or change clinic.