Insurance Review

Trupanion Pet Insurance

Founded in 2000. Available in 50 states. BBB rating: A+. AM Best: A-.

4.4/5 Our rating
1d Avg claim time
$0 Min deductible
Unlimited Max annual limit

Pricing by dog size

Monthly premium ranges for typical dogs. Actual pricing varies by breed, age, and ZIP code.

Small dogs

< 25 lbs

$28–$48/mo

Young dog

$45–$82/mo

Senior

Medium dogs

25–60 lbs

$35–$62/mo

Young dog

Large dogs

> 60 lbs

$48–$90/mo

Young dog

$70–$140/mo

Senior

Brachycephalic breeds

Bulldogs, Pugs, French Bulldogs, etc.

$55–$105/mo

Plan options

Deductibles $0, $50, $100, $200, $500, $700, $1000
Reimbursement rates 90%
Annual limits Unlimited
Available discounts
10% off Multi Pet

Coverage details

What Trupanion covers, and what costs extra or isn't included.

Hereditary ✓ Included
Congenital ✓ Included
Bilateral ✓ Included
Dental ✗ Not covered
Behavioral ✗ Not covered
Prescription ✓ Included
Alternative Therapies ✗ Not covered
Exam Fees ✗ Not covered

Waiting periods

Accidents 5 days
Illness 30 days
Orthopedic None
Cruciate None

Enrollment requirements

Minimum age 8 weeks
Maximum age 14 years

Pros and cons

Strengths

  • ✓ Direct vet pay at point of service
  • ✓ No per-incident or annual caps
  • ✓ No orthopedic waiting period
  • ✓ Per-condition deductible (lifetime)

Weaknesses

  • ✗ Higher premiums
  • ✗ Only 90% reimbursement
  • ✗ 30-day illness wait
  • ✗ Age limit of 14
  • ✗ No dental/behavioral/alternative

Best for

  • → owners wanting direct vet pay
  • → high-risk breeds
  • → those wanting no orthopedic wait

Less ideal for

  • → budget-conscious buyers
  • → senior dog enrollments
  • → those wanting lower reimbursement/lower premium

Frequently asked questions

How much does Trupanion cost?

Trupanion premiums start at $28/month for small young dogs and range up to $140/month for large senior dogs. Actual pricing depends on breed, age, and location.

Does Trupanion cover hereditary conditions?

Yes, Trupanion covers hereditary and breed-specific conditions.

What is Trupanion's waiting period?

Trupanion has a 5-day accident waiting period and 30-day illness waiting period. Orthopedic conditions have a 0-month wait.

Is there an age limit for Trupanion?

Yes, Trupanion only enrolls dogs up to 14 years old.

Get your free cost report

Enter your email and we'll send a personalized breakdown of costs.

Get a quote from Trupanion

Last verified: 2026-05-12