I switched our dog's insurance from VPI to Trupanion a little over a year ago. How I WISH I had done it sooner!!! Trupanion is truly a JOY to work with. They process claims immediately and there is absolutely NO question as to what they cover, check arriving quickly in the mail. And, our premium just went DOWN from its original price. You can't get better than that. If you are going to buy pet health insurance, which I HIGHLY recommend, Trupanion is THE ONLY one that's worth it in the marketplace.