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Compare Healthy Paws vs. Trupanion Pet Insurance

What’s the difference between Healthy Paws Pet Insurance and Trupanion Pet Insurance? See how our editors compare the two companies below.
Last Updated: July 21, 2025
Healthy Paws Pet Insurance
4.8 / 5 - Excellent
#1 in Pet Insurance
Trupanion Pet Insurance
4.8 / 5 - Excellent
no_rank
vs

Key Facts

Rated "Best Choice Overall" by Mashable

  • No Maximum Annual or Lifetime Payouts
  • No Enrollment or Administrative Fees
  • Most Claims are Processed in 2 Days
  • Trusted by More than 625,000 Parents

Only Provider to Pay Vet Bills in Real-time at Checkout

  • Instant checkout payment with VetDirect Pay – no out-of-pocket costs or reimbursement wait.

  • Stable coverage – won’t cancel or reduce benefits, no matter the number or cost of claims.

  • 24/7/365 support – award-winning team focused on pet care.


OVERALL RATINGS

 Healthy PawsTrupanion
Coverage4.5/55.0/5
Cost5.0/54.5/5
Extras5.0/54.5/5

When it comes to insuring your furry loved-one, it’s important to pick a company that has a stellar reputation, plenty of coverage, and no fine-print when it comes to benefits.

Healthy Paws and Trupanion hit all of these points, as both companies have A+ ratings with the Better Business Bureau (BBB), often have positive customer feedback, and offer comprehensive coverage on all the major points pet owners should be looking for.

But while both companies run head-to-head in some areas – such as unrestricted vet selection and coverage – flexibility (as well as price) could be a sticking point for consumers when choosing between these two companies. 


What do their policies cover?

Both Healthy Paws and Trupanion cover all the major areas customers should expect out of a pet insurance policy:

  • accidents
  • illnesses
  • hereditary issues
  • congenital issues
  • cancer
  • chronic illnesses
  • dental accidents (like a broken tooth).

Neither company covers preventative care or wellness (as most companies do not), but Trupanion does cover behavioral therapy, prosthetics, and mobility aids, unlike Healthy Paws.

However, services like acupuncture, behavioral therapy, chiropractic therapy, homeopathy, hydrotherapy, physical, and rehabilitative therapy are offered at an extra cost or “rider” through Trupanion.

Trupanion also has additional "owner assistance" coverage at an extra cost. This can cover boarding fees for a hospitalized pet, cremation or burials for accidental deaths, or holiday vacation cancellation costs.

Healthy Paws offers all of these services at no extra cost.

 Healthy PawsTrupanion
Pets Covered
Dogs
Cats
Dogs
Cats
Coverage Types
Medical
Medical
Vet Selection
Unrestricted
Unrestricted
Out-of-State Coverage
Yes
Yes
Commercial Pets Covered

Medical Conditions Covered

Healthy Paws
vs
Trupanion
  • Accidental
  • Illness
  • Hereditary
  • Congenital
  • Cancer
  • Chronic
  • Accidental Dental
  • Accidental
  • Illness
  • Hereditary
  • Congenital
  • Cancer
  • Chronic
  • Accidental Dental
  • Dental Illness

Medical Treatments Covered

Healthy Paws
vs
Trupanion
  • Diagnostic Testing
  • Surgery
  • Hospitalization
  • Prescription Medications
  • Emergency Care
  • Specialty Care
  • Alternative Care
  • Diagnostic Testing
  • Surgery
  • Hospitalization
  • Prescription Medications
  • Emergency Care
  • Specialty Care
  • Alternative Care
  • Behavioral Therapy
  • Prosthetics & Mobility Aids

How do their benefit limits compare?

 Healthy PawsTrupanion
Benefit Limit Types
Unlimited
Unlimited

Reimbursement & Deductible Differences

 Healthy PawsTrupanion
Reimbursement Model
Actual Cost
Actual Cost
Minimum Percent Reimbursement
70%
90%
Maximum Percent Reimbursement
90%
90%
 Healthy PawsTrupanion
Deductible Type
Annual
Pet Condition Lifetime
Minimum Deductible Offered
$100
$0
Maximum Deductible Offered
$500
$0

Cost Comparison

Overall, Healthy Paws outranks Trupanion in terms of pricing.

Trupanion's starting monthly premiums tend to be more expensive than Healthy Paws.

However, the real sticking point for consumers may be that they cannot adjust their reimbursement percentage with Trupanion and that the company also charges extra for owner assistance or alternative therapies.

However, both are flexible in terms of being able to choose deductible amounts. 

Starting Monthly Premiums

 Healthy PawsTrupanion
Dog: Sample Monthly Premium, 1 year old male Golden Retriever in zip code 92683
$32.83
$59.21
Cat: Sample Monthly Premium, 1 year old male American Shorthair in zip code 92683
$17.19
$32.41
Rate Details: Annual Deductible: $500, Benefit Cap: Annual & Unlimited, Reimbursement Model: 70% of Annual Cost
Rate Details: Annual Deductible: $700, Benefit Cap: Annual & Unlimited, Reimbursement Model: 90% of Actual Cost
Available Discounts:

Compare Enrollment & Waiting Periods

 Healthy PawsTrupanion
Min Enrollment Age
8 weeks
0 weeks
Max Enrollment Age
14 years
14 years
Accident Waiting Period
15 days
5 days
Illnesses Waiting Period
15 days
30 days
Free Look Period
30 days
30 days

Claims & Service

Both companies offer claims online or by mail.

One factor that makes Healthy Paws stand out among other pet insurance providers is the ease of submitting claims through the company's mobile app. 

 Healthy PawsTrupanion
Advertised Response Time
3 days
1-7 days
Claim Form
Email
Fax
Online Portal
Mobile App
Online Portal

Company Disclaimers

State Farm and the State Farm logo are registered trademarks of State Farm Mutual Automobile Insurance Company. State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates, neither offer nor are financially responsible for pet insurance products. State Farm is a separate entity and is not affiliated with Trupanion or American Pet Insurance. Trupanion is a registered trademark owned by Trupanion, Inc. Underwritten in the United States by American Pet Insurance Company or ZPIC Insurance Company, 6100 4th Ave S, Seattle, WA 98108. Sold and administered by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN 9588590). Coverage is subject to policy terms and conditions, waiting periods, does not include coverage for pre-existing conditions.

Contact & Additional Information

 Healthy PawsTrupanion
Homepage URL
Headquarters Address
11120 NE 33rd Place, Bellevue, WA, 98004
6100 4th Avenue, Seattle, WA, 98108
Mailing Address
P.O. Box 50034, Bellevue, WA, 98105
6100 4th Avenue, Seattle, WA, 98108
Year Founded
2009
2000

Final Verdict

Healthy Paws Pet Insurance and Trupanion Pet Insurance are very close in quality and have the same overall rating. That said, Healthy Paws scores better than Trupanion across: Cost, Extras, Reviews, and Enrollment. Whereas, Trupanion scores better on Coverage, and Benefit Limits. Both companies score similarly on Deductibles, and Reimbursement.


Customer Comments & Reviews

lkfoster86

7/16/2025
Healthy Paws Pet Insurance review
Healthy Paws is the reason I can make medical decisions based on my love for my dog—not my bank account. Kali has had multiple health issues, including cancer, and Healthy Paws has come through every single time. Submitting a claim is ridiculously easy—just snap a pic of the vet invoice and SOAP notes in the app, and you're done. I’ve always received reimbursement quickly (sometimes even the next day!), and they even reached out after Kali’s surgery to check on her. Who does that? Yes, the premiums go up each year, but after researching nearly every pet insurance company out there, I’ve found their rates to be very competitive. What makes them stand out even more is how user-friendly their app and website are. I can change my reimbursement rate (I chose 80%), adjust my deductible, or switch between mailed checks and direct deposit—all with just a few clicks. Healthy Paws doesn’t cover basic visits or routine dental cleanings, but they cover what actually matters: medications, diagnostic tests, emergencies, surgeries—even dental emergencies. This month alone, I was reimbursed for 80% of a $5,000 procedure. I can’t express how thankful I am. If you're on the fence about pet insurance, let me save you the trouble: choose Healthy Paws. You won’t regret it.


dn.mcdonald

7/11/2025
Healthy Paws Pet Insurance review
"I've been using Healthy Paws Pet Insurance for 9 years, and their service has been nothing short of excellent. The claims process is straightforward and quick, and their customer support team is always helpful and kind. Knowing that my pet is covered gives me peace of mind. Highly recommend!"


F
Frank Z

3/25/2025
Trupanion Pet Insurance review
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Brenda J

7/3/2024
Trupanion Pet Insurance review
Your company is a scammer. I chose 1 star for my review and I am trying to choose 1 star here too but it won’t let me.


C
CJ M

2/7/2015
Healthy Paws Pet Insurance review
Regarding the online quoting system + let me include multiple pets on same quote - can't figure out how to pay an annual amount rather than monthly - they add $25 to the first payment for account set up =deal breaker


J
Jerry R

1/21/2015
Trupanion Pet Insurance review
Liston in their customer service department was awesome. He explained everything clearly and went way above the call of duty to help. I am so glad that I cam back to Trupanion, No gimmicks or hidden fees. Straight forward so you really do know what you are paying for and what is and is not covered. How good is that? Thank you Liston! Jerry


L
Lori S

1/17/2015
Healthy Paws Pet Insurance review
I've not actually had my pets covered under this insurer, but they are among the ones I obtained quotes from while shopping around. I have 2 cats; a 4 yr old male & a 12 yr old female. The female is actually in better health than the male, with his frequent UTIs, however because she is over 8 yrs old the best plan they will give me is a $500 deductible & 70% reimbursement, with various limitations. And at the same rate as the comprehensive plan for my male, which has a $100 deductible & reimburses at 90%.


E
Edward M

1/13/2015
Trupanion Pet Insurance review
My boy, "Mr. Pipes," has been through hell these last few years. He's had his gall bladder removed, several bouts of pancreatitis, a stroke, an inflamed liver, tumor biopsies and more. Our total vet bills have easily topped $20k. Trupanion has covered 90% (excepting exam fees) with absolutely NO hassle. They even directly deposit the funds into my checking account within 2 weeks of submitting the claims. I'm impressed beyond belief. It honestly seems too good to be true, but it is.