My dog had 3 mast cell tumors which needed to be removed. I all happened very quickly and was obviously a very stressful time. Trupanion was quick to respond to the claim and even dealt with the Vet directly. They covered their portion without delay. Customer service is outstanding throughout this company and was genuinely heartfelt. I strongly recommend this company as they do not give you the run-around. They strictly mean business. I will stay with Trupanion, without a doubt.