Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Written by Leslie Kasperowicz
Farmers CSR for 4 Years Leslie Kasperowicz

Melanie Musson is the fourth generation in her family to work in the insurance industry. She grew up with insurance talk as part of her everyday conversation and has studied to gain an in-depth knowledge of state-specific car insurance laws and dynamics as well as a broad understanding of how insurance fits into every person’s life, from budgets to coverage levels. She also specializes in automa...

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Reviewed by Melanie Musson
Published Insurance Expert Melanie Musson

UPDATED: Jun 10, 2021

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Pet Insurance U receives compensation from the third parties included on this site. This includes payment for clicks from our site to insurance providers’ sites and quote requests generated. Our rankings and reviews are not affected by payments from the insurance companies. The compensation we receive allows the site to be free and regularly updated. Our goal is to review every pet insurance provider, but not all companies are listed on the site.

And many of the companies we review do not pay us anything. We simply rate, compare and review their plan because we feel it will be valuable to you. Our reviews are guaranteed to be unbiased, professional and advertising compensation does not influence rankings.

We are a free online resource for anyone interested in learning more about pet insurance. Our goal is to be an objective, third-party resource for everything pet insurance related. We update our site regularly, and all content is reviewed by pet insurance experts.

As pet parents, keeping your pet’s health is a major priority, especially if your pet has a chronic condition.

Routine care costs, exam fees, and basic vet check-ups can get expensive.

Finding the right wellness care plan for your furry baby doesn’t have to be difficult.

There is an assortment of pet medical insurance companies to choose from including Figo, PetPlan, Nationwide, ASPCA, Healthy Paws, and Trupanion.

Healthy Paws vs Trupanion are both reputable pet health insurance companies with comprehensive coverage.

We did an in-depth review of the two pet insurance providers to see how Healthy Paws and Trupanion compare.

As a general disclaimer, always be sure to read the fine print of whatever policy you choose.

Let’s jump right into this pet insurance review to decide if pet insurance is worth it and what company works best for your fur baby and budget.

Need Pet Insurance?

FACT: Pet insurance pays up to 90% of vet bills when your pet is sick or injured!

Healthy Paws vs Trupanion Pet Insurance Plans

Healthy Paws is our number one rated insurance policy because they have unlimited payout options in all of their plans, customizable reimbursement levels, and annual deductible options.

Their solid comprehensive illness and accident coverage is extremely comprehensive and even adds alternative care options.

They do not however cover routine vet visits, however, they do offer direct pay to vets to cover treatments.

Healthy Paws has consistently strong customer reviews.  Even the BBB gives Healthy Paws A + rating.

Trupanion pet insurance company has been around for years with a strong reputation.

Trupanion includes some unique additional coverage options for things like orthotics, carts, and even some prescription food.

You can also add on the recovery and complementary care option,  that covers a wide range of alternative care options including behavioral modification.

Trupanion is one of the few providers that has the option of an unlimited per-incident lifetime coverage option also offers direct pay to vets, preventing out of pocket costs.




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Trupanion vs Healthy Paws: Coverage

Healthy Paws stands out in offering unlimited coverage in all plans, while Trupanion has only one plan with one benefit limit.

All of Healthy Paws plans give you the choices of an unlimited benefit option and also includes treatment for congenital conditions or hereditary conditions.

If your pet’s age is over 8 years old, they will still cover them, but with only 60% reimbursement rates.

Related: 10 Things You Must Know Before You Buy Pet Insurance

Healthy Paws coverage even includes alternative treatment options which are great for older pets and include:

  • Hydrotherapy
  • Physical therapy
  • Acupuncture
  • Chiropractic Services

All of their policies cover the following with up to a 90% reimbursement rate:

  • Emergency Veterinary Care
  • Hospital Stays
  • Accident and Illness- Related Injuries

Healthy Paws reimburses off the actual medical bill which is always the preferred choice.

With Healthy Paws, your pet will have continuous coverage for his or her life!

Trupanion makes it easy for pet owners by having one comprehensive policy.

But, since there is only one plan to choose from you have very limited options in changing premium and reimbursement rates.

Trupanion Covers the Following:

  • Accidents and Illnesses
  • Congenital or Hereditary Conditions
  • Emergency Care
  • Hospital Stays
  • Surgeries
  • X-rays
  • Blood Tests
  • Ultrasound
  • Specialty Care
  • Alternative Treatments

Trupanion is one of the few companies that pays for hip dysplasia without a waiting period which is a nice benefit and pretty rare.

Trupanion also offers two additional riders or add-on coverage to your existing policy but they are at an additional cost:

  1. Trupanion’s Owner Assistance package that is priced around $5 a month and includes the following:

Boarding fees in case the owner is hospitalized, coverage for holiday cancellation, reimbursement for property damage that your pet might have caused, rewards for a lost pet and even costs for your pet’s burial.

  1. Trupanion’s Recovery & Complementary Care Rider averages from $20 to $30 a month and includes:

Chiropractic services, behavior therapy, rehab, dental care and more (some of these are included in Healthy Paws’ standard plan).

While these are nice benefits, they do come at an extra cost.

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Benefit Limits of Healthy Paws vs Trupanion

When looking at benefit limits, Healthy Paws vs Trupanion both have unlimited benefits in all of their plans.

All of Healthy Paws coverage does not have any annual restriction limits or even over the lifetime of your pet.

And no per-incident caps which means you can visit the vet many times for one specific condition.

All of these options are included in their most basic plan.

Trupanion, similar to the top pet insurance companies, offers unlimited coverage with no payout limits or caps.


Healthy Paws vs. Trupanion: Deductibles

Healthy Paws has a one-time annual deductible, but Trupanion is unique in allowing you to choose a lifetime per-condition deductible level:

With Healthy Paws, you pay your deductible only once per policy year. 

The choice of a deductible is yours and ranges from $100 to $500. 

If you decide on the $500 deductible, you will receive less reimbursement on each claim, but your monthly premium rate will be lower.

Trupanion has a per-incident lifetime deductible that you meet once each year. 

For any condition or illness, once you pay your deductible for that specific condition, you will have unlimited benefits for the rest of the pet’s life which can be really beneficial if your dog or cat has a serious illness or even something as simple as allergies.

With Trupanion, you can have deductible choices up to $1,000 per condition or illness.

How this works is if your dog has an illness like diabetes and you chose a $200 deductible, you pay that once for any diabetes-related treatment for your pets’ lifetime.

This is a great option if your dog or cat is ill and has one specific condition or disease, but can get tricky if your cat or dog has multiple issues.

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Trupanion vs Healthy Paws: Reimbursement

Healthy Paws vs Trupanion both offer reimbursement of the actual vet bills, but Healthy Paws gives you more options:

With Healthy Paws, you can choose reimbursements from 70% to 90%.  Once your deductible and co-pay are met, they will pay you on your actual vet bill.

Trupanion has one reimbursement option of 90%.  While it makes your choice easy, it doesn’t give pet owners the opportunity to choose a lesser reimbursement choice and lower the premium.

However, Trupanion does pay the vet directly off the invoice which is definitely a nice addition so you are never out of pocket for the entire bill.  You just pay your portion at check-out and Trupanion works with your veterinarian to pay the rest of the invoice.

One of the best perks of Trupanion.




Pricing of Trupanion vs. Healthy Paws

Healthy Paws is less expensive than Trupanion and offers more flexibility in pricing:

Healthy Paws plans are standard in the industry but do offer more than the other plans we have reviewed.

The monthly costs for dogs averages $33 and cats are $18.  Of course, it depends on your dog or cat’s breed, age and where you live.

Discounts are available for various membership groups and organizations and are typically around 10 %.

Trupanion’s monthly premiums are more expensive than some of the other insurance companies we reviewed.  Although it does offer comprehensive insurance, their pricing tends to range about $20 per month more than the others.

The average starting premium for dogs is $59 and for cats is $32.

Sample Quotes For Healthy Paws vs Trupanion

All of these quotes when possible used the following factors in calculating the estimated pet insurance premium cost for your dog in 2021. 

When possible the data we entered for these prices was as follows; a female, puppy under the age of 12 months, with unlimited coverage (or max offered when unlimited not an option), a $500 deductible, and 70% reimbursement. We did not include the wellness checkup add-on when available. 

Keep in mind that insurance rates are ever-changing and what seems like minor changes such as, your zip code or breed can actually make a major impact on the cost of pet insurance. 

These Pet Insurance Company Price charts are a good tool, not a guarantee of rates, do your own research before you buy. 

*PetFirst first monthly payment has an additional $10-$15 startup fee, the number in this chart is the monthly cost after paying the first-month extra charge.

**Trupanion only offers 90% reimbursement, all other companies’ sample quotes are based on a 70% reimbursement policy which is why Trupanion may appear to cost more. 


Healthy Paws Pet Insurance vs Trupanion – Small Mixed Breed Costs Compared

CompanyMonthly Premium
Healthy Paws Pet Insurance$20.37
Trupanion Pet Insurance$57.02
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Medium Crossbred Dogs Price Differences For Trupanion Pet Insurance vs Healthy Paws

CompanyMonthly Premium
Healthy Paws Pet Insurance$29.71
Trupanion Pet Insurance$67.53
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Comparison Of Cost For Large Mixed Breed Dogs – Healthy Paws vs Trupanion

CompanyMonthly Premium
Healthy Paws Pet Insurance$36.05
Trupanion Pet Insurance$87.58
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Labrador Retriever Costs Trupanion Insurance vs Healthy Paws Insurance

CompanyMonthly Premium
Healthy Paws Pet Insurance$43.89
Trupanion Pet Insurance$98.50
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German Shepherd Costs Trupanion vs Healthy Paws

CompanyMonthly Premium
Healthy Paws Pet Insurance$43.89
Trupanion Pet Insurance$99.97
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Poodle Costs Healthy Paws Insurance vs Trupanion Pet Insurance

CompanyMonthly Premium
Healthy Paws Pet Insurance$36.05
Trupanion Pet Insurance$82.62
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Beagle Costs Healthy Paws Pet Insurance vs Trupanion

CompanyMonthly Premium
Healthy Paws Pet Insurance$32.63
Trupanion Pet Insurance$91.51
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Dachshund Costs Healthy Paws vs Trupanion Insurance

CompanyMonthly Premium
Healthy Paws Pet Insurance$32.63
Trupanion Pet Insurance$72.54
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While these figures show Healthy Paws as the better-priced option, keep in mind that Trupanion’s coverage included is probably the best in the business. 

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Claims and Service Compared

Healthy Paws and Trupanion both handle claims professionally and quickly.  Trupanion has had some negative customer reviews about their claims being denied:

Healthy Paws reimburses their claims quickly and honors most claims with quick reimbursement. And their customer service is very helpful and available to you seven days a week.

Trupanion will generally process your claim in 60 days.  While longer than most pet insurance companies, Trupanion will pay your vet directly.

This really is a huge benefit because, unlike most other plans, with Trupanion you never have to worry about being reimbursed personally for any bill.

Enrollment and Waiting Periods

Healthy Paws vs Trupanion are similar in waiting periods and both have an upper age limit:

You can enroll your pet with Healthy Paws at 8 weeks up to 13 years old.  Healthy Paws’ waiting period to enroll is 15 days for its basic insurance and if your pet has hip dysplasia, there is a 12 month waiting period.

Trupanion has the following waiting periods:

  • Injuries – 5 Days
  • Illnesses – 30 Days

Once you are past this time frame, your pet will be covered for:

  • Injuries
  • Mishaps
  • Ailments

But keep in mind, if your furry friend gets hurt or sick while still within that waiting period, it will be looked at as pre-existing and will not be covered.

Trupanion will also cover hip dysplasia as long as it is not a pre-existing condition.

Dogs and cats can enroll in Trupanion from a mere 8 weeks up to 14 years old.


Trupanion vs Healthy Paws: Which Is Best for You?

Make sure to take a look at both Healthy Paws vs Trupanion to see if they are the right pet insurance company for you and your pets.

When comparing both pet insurance companies, they offer great coverage but Healthy Paws gives you more choices of plans and reimbursements.


Other articles you may find helpful: 

Is Exotic Pet Insurance Necessary? 

The Best Pet Insurance By State 

What Is Pet Insurance?

Fun Facts, Dog FAQ, And Unsolicited Dog Advice

5 Training Commands to Save Your Dog’s Life

The Ultimate Guide to Safe Foods for Dogs

Dog Health Problems

Dog Breeds


Cat Health Problems

Cat Breeds

You may find helpful one of our other Best Pet Insurance Reviews which include over 35 top insurers compared with cheap and affordable pet insurance and discounted mixed breed pet insurance

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