I signed my two cats up for Trupanion a few years ago. I recently took one of them into the vet for hepatic lipidosis and was told that the underlying cause was cancer. Treating the hepatic lipidosis itself was expensive, but making a decision about chemotherapy would've been impossible without Trupanion. I only had to pay the deductible once, since Trupanion recognized that these two conditions were associated. The claims process is easy and quick. All interactions I've had with Trupanion on the phone or via email have been professional and caring. They even were able to predict my needs and set me up for direct deposit and sent me pre-approval forms so that I could get my pet the best possible care. It took a lot of stress out of the decision-making process and has allowed us to improve her quality of life. Pets are our family and Trupanion's family, too.