After a seizure I took my dog to The Animal Hospital in New York. After several tests they discovered that she had pancreatic cancer and the tumor could be removed. Trupanion was fantastic. It took a little longer(10 days) for them to pay me back because it was the first time I made any claim and they needed information from her vet. But I have never seen such efficiency and speed to send me a check. I was amazed and so impressed.I highly re command them.