I started with Trupanion many years ago after a very costly emergency procedure for Rufus. I have to admit that I considered cancelling at one point simply because I hadn't really needed to use the policy much. As Rufus has aged, Trupanion literally has saved Rufus time and time again. He has received the best medical treatments available and the best drug therapies. He has survived pancreatitis, ACL repair, a stomach bleed and cancer just to name a few. He is also living comfortably with arthritis in his old age. I have recommended Trupanion to absolutely everyone I know who cares about doing all they can for their pets.