I have a 7 year dog mix breed about 100 pounds. Great family dog. Long story short he has mast cell cancer that is attacking his internal organs. We removed his spleen and now he is starting chemo for the next 8 weeks. You could only guess the amount of money this is costing. Before I even got my credit card bill I already have checks from Trupanion and another is on the way. They respond fast and there are no surprises with this company. I would recommend them to anyone who has a pet. Thank You Trupanion.