Was able to fax the forms to the claims center. They were acknowledged within 2 days and within the week and I was notified as to what amounts to expect as reimbursement. They do not pay for "consultations"--(the Vets examination necessary before the Vet institutes treatment). Unlike human health insurance, they were true to their word and reimbursed 90% of the bills after I paid my deductible. Took about 2 weeks to received the checks in the mail. The Vets wanted a deposit up front--as soon as we said we had Trupanion insurance, they went right to work. I am so glad we had the insurance! Our Marcus is healthy and happy again due to the excellent and immediate care received. Great investment and peace of mind.