Great insurance. Claims handled promptly and payment received quickly. I was not sure about getting the insurance, but decided I'd try it for several months. Really glad I did. I stepped on my mini doxie who we had just adopted 2 weeks earlier and she ended up with a small fracture of the shoulder. Conservative treatment (crate rest) was recommended, but Trupanion would also have covered 90% of the surgery cost (surgery would have been $2,200), if it had been needed. As it was, they covered most of the emergency vet visit and her medication. Sally is doing very well and has healed completely! I'm keeping the insurance!