We got Trupanion when we got a puppy almost 4 years ago. They have been really great with reimbursement. The premium is now about 50 dollars a month but that includes a special rider for hip dysplasia. Our dog is very playful and curious so she tends to find trouble and on top of that she is sensitive to many products. To make a long story short she was been to the vet many vet times. Each time we have submitted a claim and got 90percent reimbursement. They are fast and friendly. I highly recommend them to folks who have dogs like ours.