My experiences with Trupanion have been really great, and I have shared with many people the story of when Ryder came very close to dying and the quick response I got from Trupanion when they were contacted. The only reason I would have Not to recommend Trupanion is the cost of the premiums. While it has certainly been worthwhile for us to have pet insurance for Ryder, the cost of the insurance would have far surpassed any vet bills that I have had for any dogs previous to Ryder. Many people simply cannot afford those additional premiums. However, apart from one year when Trupanion was a little more challenging to work with, the staff and the support have been tremendous throughout the other years. I am very happy to see that the customer service that I first experienced with Trupanion is back again! It is so nice to experience that type of customer care.