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Trupanion pet insurance review

Updated December 20, 2024

As a founding member of the North American Pet Health Insurance Association (NAPHIA), Trupanion has cemented its reputation as a leader in the pet insurance industry and a trusted partner in the veterinary community. With over 25 years of experience, Trupanion is dedicated to helping pets receive top-tier care.

What truly sets Trupanion apart is its approach to coverage and claims processing. Unlike many competitors, Trupanion offers unlimited lifetime payouts for covered conditions, eliminating the stress of caps on reimbursements. Trupanion’s unique VetDirect Pay™ system allows pet owners to avoid out-of-pocket expenses by settling claims directly at participating veterinary clinics. Combine this with quick claims processing and comprehensive accident and illness coverage, and it’s easy to see why Trupanion is a top choice for pet parents seeking peace of mind.

While Trupanion's premiums are higher than average, the provider’s focus on delivering extensive and straightforward coverage makes it an appealing option for those prioritizing their pet’s health over cost. In this review, we’ll explore Trupanion’s plans, features and potential drawbacks to help you decide if it’s the right fit for your furry family member.

Trupanion

Trupanion

Rating: 3.9 stars out of 5
3.9

Summary

Annual deductible options: $0–$1,000
Reimbursement percentage: 90 percent
Claim turnaround time: At checkout (with Vet Direct Pay™) or within 24 hours
Enrollment age: From birth to 14 years
Direct vet pay: Yes

Why Trupanion is best for fast payouts

Trupanion offers the option to pay the vet directly, so you can keep your money in your bank account without having to wait for reimbursement later.

Trupanion coverage options

It's important to carefully review Trupanion's policies, terms and coverage options to determine if they fit your and your pet's needs. When deciding, consider factors such as your budget and your pet's age, breed and health history.

Trupanion provides comprehensive coverage for cats and dogs of all ages and breeds. This includes veterinary care for:

  • Advanced dentistry
  • Allergies
  • Breed-specific conditions such as hip dysplasia in German Shepherds
  • Diagnostic tests
  • Herbal therapy
  • Hereditary conditions, including congenital issues your pet may have inherited before birth
  • Hospital stays
  • Medications
  • Prescription food
  • Unexpected injuries
  • Unidentified issues
  • Veterinary supplements

Conditions and items not covered by Trupanion

Trupanion is one of the most comprehensive pet insurance policies available in the U.S. However, as with all insurance policies, there are some items to which coverage doesn't apply:

  • Dental exams and routine teeth cleaning
  • Exam fees and taxes
  • Exotic pets
  • Pre-existing conditions
  • Preventable conditions such as tooth decay and parasite infestations
  • Routine care such as pest control, vaccinations, and spaying or neutering

Trupanion plans and customizations

Trupanion has only one plan. It includes a 90 percent payout with no annual cap. You can adjust your preferred annual deductible from $0 to $ 1,000 to suit your budget. 

For a more comprehensive plan, you can add:

  • Recovery and complementary care: For an additional monthly fee, pet owners can include coverage for acupuncture, hydrotherapy, physical therapy, behavioral modification and therapy, naturopathy and homeopathy in their policy.
  • Pet owner assistance: For $4.95 per month, this includes advertising and reward for lost pets, boarding fees, liability coverage for third-party damage, cremation or burial for deaths due to accident or vacation cancellation costs.

Pros and cons

Pros

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    Comprehensive coverage: Trupanion offers comprehensive coverage for various injuries, accidents and illnesses, including hereditary and congenital conditions.

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    Customizable deductibles: Trupanion allows you to choose your deductible amount, which can help tailor your policy to your budget and needs.

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    Direct payment to veterinarians: Trupanion offers direct payment to veterinarians, so you may not have to pay out of pocket and wait for reimbursement.

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    Unlimited coverage: Trupanion policies have no annual, per-incident or lifetime payout limits. Pet parents can rest easy knowing that their pet can receive vital medical care without worrying about reaching a maximum coverage amount.

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    Quick claim processing: If you visit a vet that doesn’t accept VetDirect Pay™, Trupanion typically processes claims quickly, over 70 percent of submissions receive reimbursement within 24 hours.

Cons

  • No wellness coverage: Trupanion's coverage focuses primarily on accidents and illnesses. Routine care and wellness visits are not covered.

  • Pre-existing conditions exclusion: Trupanion does not cover pre-existing conditions. This means conditions diagnosed before the policy start date will not be eligible for coverage.

  • Premium costs: Trupanion's premiums can be relatively high compared to other pet insurance providers, especially if you opt for low deductibles or additional coverage options.

  • Waiting periods: Like many pet insurance companies, Trupanion has waiting periods before coverage begins. This means you will have to wait before being able to file claims for certain conditions.

Additional features of Trupanion

24/7 customer service

Trupanion's customer service team is available at any time of day or night, 365 days a year,  via call center or online chat.

Breeder support program

Trupanion understands breeders’ dedication to ensuring prime health from day one of a pet’s life. The breeder support program offers:

  • A dedicated relationship manager to offer support and insights
  • A Go Home Day Offer to provide to new pet owners, which includes a waiver for applicable waiting periods
  • Free informational materials to pass on to new pet parents
  • Peer-to-peer support via an exclusive Facebook page and networking events

Lifetime coverage

Trupanion provides lifetime coverage for eligible conditions. In other words, once a condition is enrolled and covered, it will continue to be covered for the life of your pet as long as the policy remains in force.

Mobile app

Trupanion offers a user-friendly mobile app for policyholders on iOS and Android devices. The app allows pet owners to manage their policies, submit claims, track claim status and conveniently access helpful pet health resources from their mobile devices.

No network restrictions

Trupanion has no network of preferred providers. Policyholders may choose any licensed veterinarian or specialist for their pet's care without restrictions. This flexibility ensures that pet owners can seek care from their preferred provider.

Vet pay options

Trupanion Pet Insurance does not offer any wellness plans. However, one of its biggest selling points is its real-time vet bill payments, known as Vet Direct Pay™. 

This feature allows eligible veterinary hospitals to receive payment directly from Trupanion, reducing the need for pet owners to pay out of pocket and submit claims for reimbursement. More than 60 percent of vet bills are paid in real-time at checkout. 

For pet parents who visit vets not set up for direct pay, over 70 percent of claims are paid within 24 hours of submission.

Exclusions and restrictions

If you are considering taking out a policy with Trupanion, there are a few important restrictions to be aware of.

Age restrictions

Trupanion insures dogs and cats from birth to the age of 14 years.

Location restrictions

Trupanion will honor claims from any licensed veterinary clinic, animal hospital or specialty hospital in the United States, Canada or Puerto Rico.

Waiting periods

A waiting period refers to the time you must wait before being eligible to submit claims after enrolling in a pet insurance plan. Trupanion's waiting periods vary depending on the type of claim. Accident claims require a five-day waiting period, while illness claims have a 30-day waiting period.

Trupanion pet insurance costs

The cost of pet insurance can vary depending on several factors, including your pet's age and breed, location, coverage options and the deductible amount you select.

To get an accurate price tailored to your pet's specific needs and circumstances, it's best to request a personalized quote directly from Trupanion or use its online quote tool. This allows you to input information about your pet and desired coverage options to receive an estimate of the monthly premium cost.

Example rates for dogs

Breed 2 years old 5 years old 8 years old 10 years old

*Sample policies were for a female dog with excellent health in Arizona with the ZIP code 85251. The choices for customization selected were for an accident and illness plan with a $250 deductible, 90 percent reimbursement limit and no annual benefit limit. Other companies we quoted did have an annual limit. The rates listed are for illustrative purposes only. You should contact the company directly for applicable quotes.

French bulldog $299 $518 $770 $859
Labrador retriever  $207 $358  $531  $591
Golden retriever $199 $342 $508 $566
German shepherd  $221  $382 $567  $632
Poodle $170 $293  $433 $483
Dachshund $139  $239 $353 $393

Example rates for cats

Breed 2 years old 5 years old 8 years old 10 years old

*Sample policies were for a male cat with excellent health in Arizona with the ZIP code 85251. The choices for customization selected were for an accident and illness plan with a $250 deductible, 90 percent reimbursement limit and no annual benefit limit. Other companies we quoted did have an annual limit. The rates listed are for illustrative purposes only. You should contact the company directly for applicable quotes.

Rates last checked and verified December 19, 2024.

Ragdoll $64  $115 $183 $249
Maine coon $98 $180 $289 $395
Persian $74  $135  $214  $293
Exotic $75 $137 $219 $299
Devon rex $85 $157 $250 $342
British shorthair $74 $135  $214 $293

How to file a claim with Trupanion

Trupanion was the world’s first pet insurance company to pay vet bills at checkout. If your furry friend visits a pet health provider that accepts Vet Direct Pay™, Trupanion’s software will make payment for you in real-time.

If your companion’s doctor is not set up for direct pay, there are three ways to file a claim.

Frequently asked questions

Methodology

CTA Trupanion has 19 reviews

Trupanion has 19 reviews

Dive into community reviews below and see what others think about Trupanion.

3.7 Star Icon
19 ratings
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Score breakdown
5 stars
16%
4 stars
53%
3 stars
21%
2 stars
5%
1 star
5%
Score by category
Overall Experience Rating 3.7 / 5
Affordability Rating 3.4 / 5
Coverage Rating 3.8 / 5
Customer Support Rating 3.9 / 5
Customizations Rating 3.3 / 5

Community Reviews

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