Full disclosure: I don't have any experience with any other pet insurance company, so I don't really have anything to compare it to. With that out of the way, first, the good: once my claims are approved, they are paid within a few days, and in the amount approved. Now, the bad: the first time I submitted the claim, Trupanion denied it based upon a very shaky line of reasoning. I realize that the company is in the business of trying not to pay (otherwise, they wouldn't make money), but they made what I felt was a pretty big leap (my vet thought so, too, and couldn't understand it) to connect two unrelated conditions, and I ended up having to get my vet to write a letter in order to straighten it out. The next time I shop for insurance, I will consider Trupanion, but I will probably shop around quite a bit, too, just to see what else is out there.