Our 2nd claim. Our dog was diagnosed with bladder stones and needed surgery. I submitted a pre authorization request for a Monday surgery at 5pm central time on a Friday night and had a phone call and approval by 8pm. Fabulous. They worked with our vet to get all the required records and receipts and our checks arrived within a week. I received phonecalls, well wishes and even a follow up call to ask how she was doing after surgery. My dog is my baby, and having her sick and in surgery was traumatic enough for me. The one bright light was knowing Trupanion was there for us and the caring and responsive attention they gave to us. The entire process was seamless from start to finish. I enthusiastically recommend them to anyone and give them my thanks for taking such good care of Bea.