My poor puppy was diagnosed with heart worms at her 1 year check up. I was so heartbroken. The treatment is brutal and it's several months of it. So with the treatments, medicine, and hospitalization the cost is expensive. I submitted my claims and it was my first time doing it. It took about a week or so for them to process the claim, which in my opinion isn't bad. I already got my check back! My puppy still has a ways to go with her treatment, but I know now that I can count on healthy paws to be there when I need them. Would def recommend to others.