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Pets Best vs Trupanion

By the WhichPetPlan editorial team · Last verified 2026-08-17
Short answer

Trupanion wins on payout design, Pets Best wins on price. Trupanion pays unlimited with no annual cap, settles claims directly with participating clinics through Vet Direct Pay (about 75% of claims within 24 hours), and charges its per-condition deductible once per diagnosed condition for life. Pets Best answers with illustrative premiums of about $33/mo for a dog and $14/mo for a cat (the cheapest cat figure in our catalog) versus Trupanion’s roughly $62/$35, the lowest deductible floor in our lineup ($50), two wellness tiers, and a 3-day accident wait waivable entirely with a qualifying exam. Scores run 8.6 for Trupanion against 8.1 for Pets Best on dogs, but 8.4 for Pets Best against 7.8 for Trupanion on cats, where price dominates.

Side by side

Pets BestTrupanion
Editorial score (dogs)8.1/108.6/10
Illustrative starting pricedogs from $33/mo, cats from $14/modogs from $62/mo, cats from $35/mo
Annual limit$5k-unlimitedUnlimited
DeductibleAnnual, $50/$100/$200/$250/$500/$1,000Per-condition, not annual , pay it once per diagnosed condition, for the life of the pet, not every year. Configurable in $50 steps from $0 to $1,000, plus $1,350/$1,500/$1,750 options.
Reimbursement options70%, 80% or 90%Fixed at 90% , not configurable, unlike every other insurer here
Accident wait3 days (waivable entirely with a qualifying vet exam submitted within 30 days of enrollment)5 days
Illness wait14 days30 days
Orthopedic / cruciate wait6 months for cruciate ligament events. Waiting periods may be reduced or waived when a participating veterinarian certifies the pet (exam up to 3 days before or 7 days after the effective date; form back within 30 days of the exam)None listed
Wellness add-onAvailableNot offered
Direct vet payNo, reimbursement onlyYes (VetDirect Pay)

Starting prices are illustrative estimates for a healthy one-year-old animal, not quotes. Your real premium depends on breed, age, ZIP code, deductible and reimbursement rate.

Pre-existing conditions

Pets Best: Not covered, standard exclusion for signs shown before enrollment or during the waiting period.

Trupanion: Not covered, standard exclusion for signs shown before enrollment or during the waiting period.

Choose Pets Best if

You want friction removed at the worst moment: unlimited payout with no cap, Vet Direct Pay so you never front the bill at participating clinics, a once-per-lifetime per-condition deductible ($0-$1,000 configurable), and fixed 90% reimbursement. Accept consistently higher month-to-month cost than anyone else in this lineup.

Choose Trupanion if

Budget leads, especially for cats. Illustrative cat premiums start around $14/mo and dogs around $33/mo. Deductibles run $50 to $1,000 annually, limits come in $5,000, $10,000 or unlimited, and the 3-day accident wait can be waived with a qualifying vet exam within 30 days of enrollment. Note the 6-month cruciate wait (reducible via vet certification) and that exam-fee coverage costs extra on the base Essential plan.

Questions

Is Pets Best or Trupanion cheaper?
Pets Best by a wide margin on our illustrative estimates: about $33/mo for a healthy one-year-old dog versus about $62/mo for Trupanion, and about $14 vs $35 for cats. These are starting points, not quotes.
Which pays the vet directly?
Trupanion, through Vet Direct Pay at participating clinics, with about 75% of claims handled within 24 hours. Pets Best reimburses you after you pay the invoice; direct clinic payment is not documented in our review data for Pets Best.
How do the deductibles differ?
Trupanion uses a per-condition deductible paid once per diagnosed condition for the life of the pet ($0-$1,000 in $50 steps plus higher options). Pets Best uses an annual deductible reset each policy year, from $50 to $1,000, the lowest floor we track.
Which offers better value for cats?
On our scores, Pets Best: 8.4/10 for cats against Trupanion at 7.8, driven by the cheapest illustrative cat entry in our catalog. Choose Trupanion if desk-side claim settlement and unlimited payout outweigh the premium.

Keep reading

Written by the WhichPetPlan editorial team. Rankings are editorial, not paid placement. Some links (currently Lemonade) may earn a fee; it never changes the premium and never changes a ranking. Other insurers listed here do not pay us. Scores are our own editorial ratings, not an industry standard. See our methodology for how scores are set.