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 Does an ESA Cost? What Do I Need to Know about Emotional Support Dogs? How Long Does it Take to Get an ESA Letter? Can Your Dog Be Mad at You? [therapypet_step1_form show_in_mobile="1"]