It was only a couple of months after we signed up with Trupanion that our puppy Izzy (chihuaua/beagle mix, we think!) was diagnosed with an Inguinal Hernia. We took her in for surgery and our vet handled the submission of the claim directly. Trupanion worked very quickly and contacted the prior vets for complete medical history records, and in short order approved and paid the claim. It took less than a week since they received the claim. They kept us well informed of the claim status as it was received and progressed. This incident alone paid for our first year of premiums. We were very impressed with the entire experience.