When Sweet Pea's eye was punctured by another cat, my regular vet said she would probably totally lose her eye. But he sent me to a vet eye specialist who told me he believed he could save her eye with immediate surgery, but the cost would be between $2,500 and $3,500. I called Trupanion to make sure it would be covered and to get pre-approval. They expedited the pre-approval and the vet did the surgery right then. He was not only able to save her eye, but also her vision in that eye! However, the clinic would not bill Trupanion directly, so I had to pay the charges up front. That pretty much wiped out my bank account and I still had bills to pay before my retirement check at the end of the month. I called Trupanion to see if they could expedite my refund and they processed my claim as quickly as they could. Thanks to the wonderful people at Trupanion, I was reimbursed in 2-3 days instead of the usual 1-2 weeks! Thank you Trupanion!