We rescued our Stella and signed her up with Trupanion the day she arrived here. She arrived with a clean bill of health and was taken to our regular vet to make sure all was ok. And it was. At 6 months old she went to be spayed and a pre-surgical work up detected a heart issue had developed. So as it goes she visits a cardio specialist every 6 months and is on a daily medication. Trupanion covers 90% of all her bi-annual testing and medications. I submit my claim and within 3 days the reimbursement is deposited directly to my bank account. They are the best and I recommend Trupanion pet insurance to all of my friends and family. Will never be without them. And Stella is happy and healthy and with their help we can keep her that way!!!