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Pets Best vs Trupanion

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

Trupanion offers a different payout design from Pets Best. 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. Scores run 8.6 for Trupanion against 8.1 for Pets Best on dogs, and 8.4 for Pets Best against 7.8 for Trupanion on cats. Pets Best offers a $50 deductible floor and a 3-day accident wait that can be waived with a qualifying exam. Compare current quotes for each pet.

Side by side

Pets BestTrupanion
Editorial score (dogs)8.1/108.6/10
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)

Compare current quotes for the same pet and ZIP code, using the same deductible, reimbursement rate, annual limit, and add-ons. Older catalog price examples do not establish which insurer costs less today.

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. Request current quotes to compare its premium with other plans.

Choose Trupanion if

You want the deductible and annual-limit options Pets Best offers. 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.

The exclusions cheat sheet

A plain-English guide to waiting periods and key exclusions across eight insurers, with links to the full reviews.

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Questions

Is Pets Best or Trupanion cheaper?
We cannot determine which costs less from our older catalog figures. Request current quotes for the same pet, ZIP code, deductible, reimbursement rate, annual limit, and add-ons.
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, a low floor in our lineup.
Which offers better value for cats?
On our scores, Pets Best: 8.4/10 for cats against Trupanion at 7.8, based on our editorial criteria. Choose Trupanion if desk-side claim settlement and unlimited payout matter most; compare current quotes for the premium.

Keep reading

Written by the WhichPetPlan editorial team. Scores are our own editorial ratings, not an industry standard. See our methodology for how scores are set.