My dog went to the emergency vet for "gastroenteritis". She stayed for the day on IV fluids and had xrays and blood work done. Turns out she was fine and may have had a stomach bug. But it still cost $913.00. The vet office submitted my claim and I received an email from Trupanion within 1 day and was payed 90% of the cost minus my deductible. I received a cheque in the mail within the week. Very fast and efficient. Any other future vet visits regarding this stomach bug would be covered as well. It is worth the monthly fee as we have had to use on other occasions and its nice to not have to worry about the cost of care.