Dog got bronchitis -- took her to the vet at 4 pm. Vet's office filed Claim for me with Trupanion. That evening I had a call from Trupanion confirming a couple of things. email immediately followed outlining the coverage, which was exactly as described when I purchased the insurance. Check arrived a few days later. Needed a second round of antibiotics. Office filed claim again. Quickly received email and a few days later--payment for the pills. I wish my own medical care was this efficient and prompt!!