We've had Trupanion health insurance for our dog for 2-3 years. He had been very healthy, but developed cancer. He subsequently had 2 successful surgeries. Trupanion paid most of the cost of his treatment. They reviewed the case promptly, and paid the insured amount within a couple of weeks. Excellent coverage for the cost of the policy and super service. A nice feature of Trupanion is the ability to adjust the deductible and rate to suit your finances and the needs of your pet(s).