My 4 year old Nina required surgery after being mauled by a 60 lb dog. When I called for preapproval I was greeted with a very compassionate support person and within an hour received a call back with great news that Nina's surgery was approved and everything would be covered at 90% less the exam fee and deductible of $250. Unfortunately my Nina did not survive the surgery. Nina was our second family pet. We did not have Trupanion when we owned our first pet. After having experienced such a tragedy with our beloved Nina, we will never own another pet without having Trupanion on our side. The peace of mind that we had by having Trupanion is absolutely priceless. The rates are very reasonable and the staff is amazing. I have no complaints about how our claim was handled.