I have read many reviews on insurance company's and I'm soo happy to have chosen trupanion. Since the day I did my first claim they have been nothing but nice. They handled my claim quickly and made sure that my dog is ok. My one yr lab mix needs hip replacement surgery and I sent in a pre approval claim and they approved us 2days later. Thanks to them my baby will be able to walk and run normally again. They were fast with reimbursement for his X-ray claims that I had to put in. They returned calls fast and stuck to their word. I highly recommend this insurance. They are the nicest And most caring people. If only we had human insurance like them. Thank you trupanion!!