The inclusions and updates of the policy are excellent. We receive notifcation of payment within 48 hrs of the vet submission and payment before our credit card statement is received - with no hassles what so ever! It has been a god send given that your dog has had bone cancer and the treatments have been very costly. It means no hesitation in providing her witht eh care she needed and she is now a 2 yr plus survivor - beating the odds (typically only 20% of all dogs survive 2yrs). Thanks to Trupanion.