I just submitted my first claim since purchasing the insurance about a year ago. I printed the claim form, filled it out, dropped it to my vet to complete, and mailed it in with a copy of the vet bill. They contacted me via email when they received the claim and let me know that they were beginning the process. I received regular emails updating me and explaining what was going on. They needed more information from my vet, and let me know that they had submitted the request and that I didn't need to do anything further. Then a check showed up in the mail for 90% of the eligible services. I have 3 senior cats - 10,11, and 12...It seemed like every time I had to go to the vet with one of them, it was a $300 or $400 bill. Always necessary things, but it adds up fast with 3. I'm thankful Trupanion was willing to accept senior pets, because now I know that as they age, and more age related issues or diseases arise, I can continue to do everything in my power to keep my babies healthy and comfortable!