Our very small dog 21/2 pounds fell and hit her head resulting in a rushed trip to the hospital where we were informed they weren't sure if she would make it. We asked them to do whatever they could to treat our poor puppy. Our first bill sent to trupanion was quickly covered followed closely behind by a request to see how she was doing. This continued through her full recovery with Trupanion actually thanking us for taking such good care of our loved one. The thanks goes to them! I suggest strongly to everyone with a pet to get this insurance.