I've had Trupanion for my 2 dogs since 2011. One of my dogs, Jax has had 2 surgeries to remove a mast cell tumor & I was so thankful to have this insurance. This last year had been extremely tough as we found out in March our other dog, Zoe had a tumor in her intestines & carcinoma on her liver. The specialty vet wanted to due emergency surgery to try & remove the tumor. I had to pay $8k up front. I did not hesitate knowing I had insurance. Unfortunately they were not able to remove the tumor & we recently lost our beloved Zoe on Aug. 11th. Trupanion has been very compassionate through this process. I couldn't have asked for a better experience. They are always quick to respond & process my claims. I always refer them to everyone I talk when we discuss our pets. They are the best!!!