I have had this insurance for my Brady since he was 6 months old. Sadly after his 2nd birthday he became sick with Pancreatitis. Ever since then he has had bouts of gastritis and recently had a surgery due to a hernia/liver lobe in his chest cavity. Every step of the way the support I have from Trupanion and the knowledge that I can provide whatever to ensure my baby is well cared for knowing that I have the insurance to help financially. Every time I have sent in a claim with in a week the check is in my mailbox. Never an issue with a claim being paid. When my boy had surgery in Feb within 11 hours I had the pre-approval for his surgery sent back to me. I have dealt with the customer service people on several occasions and they have always been friendly, knowledgeable and helpful. They always ask about my fur baby and when I adopted another baby in May I quickly signed her up as well. I can't thank this insurance company enough because it has allowed me to provide care that I may not otherwise been able to afford.