My two year old Lab Mix Bernese Moutain Dog had an extremely urgent surgery to remove a tumor on his spine. Not only did we have to fly from Alaska to get an MRI, we also had a spinal tap, lots of blood work, and surgery. During this stressful time Trupanion worked with my vet to get the bills settled as they were stacking up to around $10,000. They preapproved claims and called me with status updates. All I did was submit the papers. True to their word my bills have been taken care of per my policy. As a young adult still in college I couldn't have afforded this without Trupanion. After the surgery we discovered my dog has cancer and Trupaion is still there to assist me during this difficult time. Thank goodness I chose Trupanion. You can't beat their customer service and dedication.