We've had 2 little dogs (Maltese and Yorkie) for 10 years. No insurance and periodically some high vet bills. My neighbor recommended Trupanion so we bought 2 policies. Shortly thereafter, unfortunately,our maltese developed congestive heart failure. This has required multiple trips to the vet hospital and follow up visits to her vet. Trupanion has been a life saver, financially and otherwise, a true comfort and a "no hazzle" insurer. Bills have been promply processsed snd reimbursed. We've been truly surprised how smooth the experience has been...A lot easier and smoother than our health insurers have been in the past!! A definite A plus provider..