Trupanion Review | Top 10 Pet Insurance Reviews

Reviewed by:  André Spiteri

The Gist

Trupanion has one comprehensive policy that pays out 90% of your actual vet bills. The company is unique among pet insurance providers because it offers vet direct pay, a perk allowing Trupanion to pay your vet directly so you don’t have to worry about paying out of pocket.  

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  • One simple plan
  • Vet Direct Pay
  • 90% coverage
  • No penalties for filing claims


  • 90% reimbursement on all policies
  • You choose your deductible
  • No annual or per-incident limits
  • Unlimited lifetime coverage


  • Waiting Periods: 5 days for accidents; 30 days for illnesses
  • $35 enrollment fee (in select states)

What Trupanion Covers 

Coverage includes diagnosis, surgery, hospitalization and medication for virtually any accident or illness, as long as it isn’t pre-existing. This includes congenital conditions and even non-routine dental coverage. The policy is unique in that it also covers prosthetic devices and carts.

Where Trupanion shines best is the optional cover for breeding and working pets. This is unique in the pet insurance market. The breeding pet rider covers your pet in the event of injuries and illnesses related to breeding and birthing. Animals involved in law enforcement, search and rescue, herding, hunting and other working pets can also be covered at an additional fee. Pet insurance providers normally do not cover these pets because of the increased likelihood of accident or illness.

What Trupanion coversWhat Trupanion doesn't cover
Unexpected injuries, illnesses, accidentsPre-existing conditions
All hereditary/congenital conditions including hip dysplasia Wellness, elective, cosmetic care
Diagnostic tests, surgeries, medications, overnight hospitalizationExam fees
Prescription food, supplementsSales tax
Endodontics of molars 

Limits and Deductibles

Trupanion has a wide range of deductibles to choose from, including the option not to have a deductible at all.

Should you choose a deductible, however, it will be payable per condition and not per year. The advantage is that, if an incident is ongoing and spans more than one year (in the case of chronic conditions, for instance), you’ll only have to pay the deductible once. Reimbursement is 90% of actual costs across the board, after the deductible. There are no per incident or lifetime caps.

Trupanion's coverage is unlimited for the lifetime of your pet, with no payout caps or limits. Premiums do not increase based on pet's age or number of claims filed. Also, there is no waiting period and no age restrictions for pets with hip dysplasia, and claims are settled within an average of 4 days.


The cost of a Trupanion policy depends on your pet’s age, breed, sex and the standard cost of care in your area. The cost will also be higher if your pet isn’t spayed or neutered.

The cost of insuring a 2-year-old mixed breed cat with a $200 deductible is $35.70. There is also a $35 enrollment fee per pet. This makes Trupanion one of the more expensive pet insurance providers on the market though their coverage is extremely comprehensive, which can make it well worth the additional cost.

Optional Coverage

Recovery & Complementary Care RiderPet Owner Assistance Package
Rehab therapy3rd party property damage
AcupunctureAdvertising and reward for lost pet
HydrotherapyBoarding fees
Chiropractic careHoliday vacation cancellation fees
Behavior modification/therapyBurial fees

Age Limits

Trupanion doesn’t insure pets under 8 weeks old and pets that are over the age of 14 cannot be enrolled. If you enroll your pets before their 14th birthdays, they will be covered for their entire lives.


Trupanion is one of the more expensive providers, but offers a straightforward plan that covers 90% of the cost incurred due to any accident or illness, as long as it isn’t a pre-existing condition. It offers award winning custom service that is open 24 hours a day, seven days a week including holidays. The vet direct pay is an industry first and allows customers to only pay their 10% + deductible instead of having to pay for the entire invoice and wait for reimbursement. The special cover for breeding and working pets is unique among pet insurance providers. Trupanion's A+ BBB rating combined with 24/7 phone support plus a 30-day money-back guarantee make them one of the best choices in the market.

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