I came across a video blog that summarizes many of the points you should consider when deciding whether to get pet insurance for your pet and also how to decide on a company and and policy for your pet.
I don't think the intent of this video was necessarily to recommend Trupanion because they didn't look at all the companies that offer pet insurance in the U.S. I think the main take away from this video is to show the importance of getting unrestricted coverage for hereditary conditions. Getting this coverage didn't cost any more in monthly premiums, and paid off big time when a claim was filed. As many of you know, getting coverage for hereditary conditions is one of the 4 factors I consider most important when selecting a policy for your pet. Some companies don't offer coverage at all for hereditary conditions. Some offer restricted coverage like VPI and Pets Best in this video. Then, there are several that offer unrestricted coverage up to the maximums of the policy.
Some of the total costs given in the video (based on per-incident or annual maximums, deductible and copay) are inaccurate because Trupanion also doesn't cover veterinary examination fees which would add to the out-of-pocket costs somewhat. Also, Healthy Paws has no annual or lifetime limits. But, the overall message of the video is very well presented.
Another lesson from the video that I'd like to point out to pet owners is that good coverage can be found for an affordable and competitive price, but it will require you to thoroughly research all the companies, not just these four companies, to pick which one is best for you and your pet. If you would like help with the research, consider downloading the Pet Insurance Toolkit.