I normally do not write reviews, but I felt compelled to with Trupanion. My dog, Brady, had a tumor removed with the bill totaling over $2500. Not only did Trupanion authorize the surgery up front, the immediately processed my claim and reimbursed me over $2100(they took out my deductible and 10% copay). The representative I spoke with was very friendly and sympathetic to Brady's illness as well. Trupanion is the best pet insurance company I have ever had.