Our sweet 11+-year old cat has developed cancer which can be treated as a chronic condition. She has been insured with Trupanion for many years. The diagnostics and interim care were very expensive (nearly $4,000 in costs in 7 months). The ongoing treatment and monitoring will be perhaps $1,000 per year for the rest of her life.Our kitty is responding very well to the treatments and is once again her happy self. Trupanion has paid all claims promptly, with a caring attitude and great follow-up. Thank you to Trupanion for its excellent insurance plan and helpful staff. There is another benefit to having pet insurance: we always travel with peace of mind. Our pet sitter and our vet both know that if anything happens to our kitty while we are away, cost is not an issue: the treatment should be based on what's best for our pet in the long run.