Trupanion pet insurance review 2026: 2.5 out of 5 stars

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Skip to navigationSkip to main content':"";if(a){var r=n.promos.showYahooLogo?"":"yns-no-logo";a=a.replace("{notifOnboardBtnLabel}",n.promos.notifOnboardBtnLabel).replace("{notifOnboardMsg}",n.promos.notifOnboardMsg).replace("{subscriptionTopic}",n.promos.subscriptionTopic).replace("{noLogoClass}",r).replace("{promoLogo}",n.promos.promoLogo)}var s=t.newCount>n.panel.maxCount?t.newCount:"",c=n.panel.notificationCenterPath,l=c?"":R,u=n.panel.headerMsg?"":" "+R,d=c?H:"",p=void 0;t.count?p=t.markup:p='{emptyPanelMsg}'.replace("{emptyPanelMsg}",n.panel.emptyPanelMsg);return e=e.replace("{notifMarkup}",p).replace("{promoMarkup}",a).replace("{hideClass}",l).replace("{notifCenterLink}",c).replace("{paddingClass}",d).replace("{headerMsg}",n.panel.headerMsg).replace("{hideHeaderClass}",u).replace(/{notificationCenterNavMsg}/g,n.panel.notificationCenterNavMsg).replace(/{newCount}/g,s)}},{key:"render",value:function(e,t){var n=this;if(n._panelNode){var o=void 0,i=n._panelNode,a=void 0,r=void 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See our Advertiser Disclosure.KKaz WeidaEElizabeth RivelliUpdated Wed, January 14, 2026 at 5:04 PM GMT+1 9 min readTrupanion stands out for having the easiest way to get payment directly to the vet: If your veterinarian has Trupanion’s VetDirect Pay software, they can submit your claim from the office and you won’t have to pay and then wait for reimbursement. Other pet insurers that pay the vet directly typically require you or the vet to fill out extra forms. Trupanion also has a unique lifetime per-condition deductible.Unfortunately, Trupanion’s rates were much higher than the average for the pet insurance quotes we analyzed, which hurt it in our ratings. It also requires add-ons for some coverage types, which would push costs even higher.Learn more: The best pet insurance companiesCan pay the vet directlyNo special waiting periods for conditions like cruciate ligament problemsDeductible choices from $0 to $1,000Prescription supplements coveredPrescription food covered at 50%Rider available for illnesses and injuries related to breedingHigh average ratesNo multi-pet discountNo wellness plan available for routine care costsNo coverage for vet exam feesLearn more: Is pet insurance worth it?Annual maximum limit choices: UnlimitedDeductible choices: $0 to $1,000Reimbursement choices: 90%For accident coverage: 5 days (in most states)For illness coverage: 30 daysSpecial waiting period: NoneLearn more: Pet insurance with no waiting period: How it works?Minimum pet age: NoneMaximum pet age: 14 yearsTrupanion offers an accident and illness policy, which provides broad basic coverage that can be expanded with add-ons. It doesn’t sell an accident-only policy or a wellness plan. Trupanion’s base policy (without add-ons) covers:Hereditary and congenital conditionsCancerDiagnostics such as X-rays, CT scans, and ultrasoundsDental accidents and illnessesPrescription drugsPrescription food and supplementsLearn more: Your guide to what pet insurance coversTrupanion does not cover preexisting conditions, which is a standard approach for most pet insurance companies. Although some pet insurers allow certain preexisting conditions to be considered curable after a certain period of time with no symptoms or treatment, Trupanion does not offer a “curable” preexisting condition exception.If your pet had an illness, injury, or symptoms of a condition before your policy went into effect, anything related to that health problem would not be covered by Trupanion.Learn more: Pet insurance that covers preexisting conditionsTrupanion does not offer access to a 24/7 telehealth line, although it does have a pet parent resource center with tips on behavioral training, lifestyle, and health and safety topics for cats and dogs.Trupanion’s policies do not cover expenses such as:The vet exam feeRehabilitative, behavioral, and alternative therapies (unless you buy the Recovery and Complementary Care add-on)Cremation or burial expenses (unless you buy the Pet Owner Assistance package)Anal gland expressionIllnesses and injuries related to reckless activityIllnesses and injuries related to breeding, whelping, and queening (unless you purchased the Breeding rider)Injuries related to racing, such as sled or track racingElective, preventive, and cosmetic procedures such as microchipping and tail dockingBoardingLearn more: How does pet insurance work? A complete guide.Also, because Trupanion doesn’t offer a pet wellness plan, the preventive services that would typically be included in a wellness plan are not covered, such as:Wellness examsVaccinesRoutine testsLearn more: Does pet insurance cover separation anxiety in dogs?Want to change your coverage in the middle of a policy period? You can contact Trupanion and it will adjust your coverage.Increases: Within the first 30 days after policy enrollment, you can increase your deductible or add the Recovery and Complementary Care rider. You can add a breeding rider or Pet Owner Assistance package at any time.Decreases: Within the first thirty 30 after policy enrollment, you can decrease your deductible or remove the Recovery and Complementary Care rider. You can also remove a breeding rider or Pet Owner Assistance package from your policy at any time.Unfortunately, Trupanion has some of the highest average pet insurance costs in our analysis, so it may not be the most budget-friendly option.Trupanion’s average premium for a policy with unlimited annual coverage is $258.64 per month, which makes it one of the most expensive insurers we reviewed.Learn more: How to compare pet insurance quotesUnlike some other pet insurers, Trupanion does not offer a discount for households insuring multiple pets.This is one area where Trupanion excels. If your vet is signed up to participate in VetDirect Pay and has installed Trupanion’s software, Trupanion will pay for veterinary costs covered by your policy right at checkout. A tool on Trupanion’s website lets you see if your vet takes Trupanion’s direct payments.Learn more: Pet insurance that pays the vet directly: How does it work?If you don’t have a vet that uses Trupanion’s VetDirect Pay, you’ll need to submit claims to Trupanion directly. You can do that either online in the member portal or by filling out the claim form and emailing to claims@trupanion.com or faxing it to 866-405-4536.Like most pet insurance claims, you’ll need an itemized invoice that reflects what you’ve paid and some details about your visit and the pet.Trupanion has a claims window of 90 days from the treatment or service date. This is relatively short compared to pet insurers that offer 180 days or more. Of course, if you’re using the VetDirect Pay your claim is approved automatically and you don’t need to worry about submitting anything to Trupanion.The turnaround time on reimbursements for claims depends on the method you used to submit your claim to Trupanion. If you see a vet who is part of the VetDirect Pay network, payment is usually immediate. If you’re submitting a claim directly, Trupanion says 70% of claims are paid within 24 hours.Trupanion has a member portal online, but its mobile app is no longer available for download in the Apple or Google stores. You can submit and track claims through the online portal.Yes, Trupanion covers dental illnesses and accidents. To qualify for dental illness coverage the pet’s teeth must be examined by a vet at least once every 12 months. If the pet’s teeth haven’t been examined, dental illness coverage starts from the date of the exam.You also must follow the vet’s dental advice and the pet must get a dental cleaning if you want to qualify for dental illness coverage.Learn more: Does pet insurance cover dental treatment?Trupanion pet insurance only covers neutering if it’s recommended by a veterinarian following an illness or injury that damaged the reproductive organs.Learn more: Does pet insurance cover spaying and neutering?No, Trupanion does not cover vaccines because they are considered routine care, which is not covered. Still, you will be responsible for getting your pet properly vaccinated. Trupanion won’t pay claims for illnesses (including treatment or diagnostics) that could have been prevented with a vaccination.Learn more: Does pet insurance cover vaccines?Trupanion sells pet insurance in all 50 states, and you can make claims with Trupanion for bills from any licensed veterinarian in the U.S., its territories, Puerto Rico, and Canada. If you want to find a veterinarian that accepts its VetDirect Pay, you can use the vet finder on its website.While Trupanion doesn’t technically require a vet visit for enrollment, it does stipulate you’ll have to have your pet’s teeth cleaned once every 12 months if you’d like coverage for dental illness.Trupanion’s customer care team is available 24 hours a day, seven days a week, 365 days per year. You can reach them by phone at 1-888-733-2685 or chat with them online through the chat tool available on Trupanion’s website.To cancel a Trupanion policy, contact the customer care team with your member policy number. The primary pet parent listed on the policy is the only one authorized to cancel the policy.Canceling your policy means if you decide to return to Trupanion later, you’ll be considered a new customer and will have to restart the clock on waiting periods and what qualifies as a pre-existing condition.Tim Manni edited this articleWe researched the coverage details and prices for 28 pet insurance plans. We then weighted categories, and each pet insurer was scored relative to the others to find the best pet insurance companies. Here are the factors we incorporated.Coverage types: 40% of score. We examined the coverage provided by the base policy without the extra cost of add-ons. This encompassed coverage for alternative therapy, behavioral therapy, dental illness, euthanasia or end-of-life expenses, exotic pets, hereditary and congenital conditions, preexisting conditions, prescription food and supplements, veterinary exam fees, and advertising/reward for lost/stolen pets.Average cost: 30% of score. We evaluated costs in five states for $5,000 and unlimited coverage for a mixed-breed dog (age 1), a French bulldog (age 5), and a Labrador retriever (age 8).Unlimited coverage option: 10% of score. We gave points when pet insurers offered an unlimited annual limit (or a $100,000 limit), which gives pet owners the most robust financial protection possible in the event of a catastrophic pet medical issue.Direct payments to the veterinarian: 5% of score. We gave points to pet insurers that state on their websites that they accommodate direct vet payments.No special waiting periods for special conditions: 5% of score. We gave points when pet insurers have no waiting periods for special conditions, such as cruciate ligament conditions.Routine wellness plan: 5% of score. Companies that offer a routine wellness plan in addition to pet insurance received points.Multi-pet discount: 5% of score. We gave points when pet insurers offered a discount for insuring multiple pets.