Trupanion has been a literal lifesaver for us. We adopted our dog a year ago. At the time, he was 6 years old with an unknown history. After reviewing all of the pet insurance policy offers we received from the rescue we chose Trupanion because it seemed to be the most comprehensive. Also, they have a sliding scale that changes your copay based on the out of pocket per incidence amount that you choose and the additional items that you can ad and pay extra for like physical therapy, acupunture, etc. They have always paid quickly and are very prompt in all responses. My only regret is that we didn't choose a smaller out of pocket option! I highly recommend this company. They are better to work with than my personal health insurance company.
Old English Sheepdog