Does Insurance Cover a Service Dog? March 11th, 2021 No, it doesn’t. Health insurance under Medicare, Medicaid, or any private health insurance plan does not cover service dogs. However, expenses around service dogs can be deducted from your taxes. Related Posts How Much Is to Certify a Therapy Dog? How Much Does an ESA Letter Cost? What are the Benefits of an ESA Letter? What is the Best Pet for Beginners? [therapypet_step1_form show_in_mobile="1"]