Tyke is improving since having front limb surgery in early August. He may require more surgery for the same issue---that is not known yet. If so I hope that Trupanion is as easy to work with as they were on the first surgery. I faxed bills and the doctors' reports on one day, had a swift email reply from Trupanion on the following day that they had received them. One day later I had emails stating that the claims had been processed and approved. One week later our checks arrived.