Our little Pom Mikka has chronic leg ligament and knee issues. We have been able to provide her with excellent on-going care given wonderful support we have gotten from Trupanion. They have stood by us all the way in good times and bad (we also have Mikka's full sister and she is healthy as an ox). Their support and consistency has mitigated a significant concern -- being that good veterinarian care is expensive. Without them, I we would have been really strapped in providing Mikka with the good care she needs. Trupanion is simply the best.