We have put in several different claims with Trupanion on our Yorkshire Terrier puppy. One claim was for a Histiocytoma cytology & removal, which was a growth that was growing around her collar area, and getting bigger. Trupanion reimbursed us 90% of the amount. They processed the claim soon after it was received by them from our Vet via fax and emailed me with updates as to how the claim was progressing, which I think is great service. We got our check within 2 weeks. Another claim was for an extracted retained deciduous tooth. We were reimbursed 90% of the bill within one week!! They are GREAT!