Trupainion customer service and compassion were outstanding. My 14 week old puppy had an ear infection and an oral cancer scare. Trupanion answered all of my questions, got pre approval for the surgery, and sent our reimbursement check out within days of the surgery. I am very thankful for Trupanion, they paid for the ear infection and tumor to be removed from my puppy's mouth at 90%. They helped make an anxious time for us concerning our puppy's health bearable and we ended up getting cancer free results!