This is the first time that I had insured my dog (a toy pom). As a pet owner, you always hope that you would never have to use it. This is my first time that I had to make a claim because my dog (a little over 2 years old) needed knee surgery. This was very traumatic and stressful for me since it would be the first time that my dog would be away from home and needed to be boarded. However, I must say, Trupanion really made things easy, stress and hassle free. My vet processed the paperwork for me and within 24 hrs, I already had an e-mail stating that it was being processed. Within 2 days, the expenses were processed and within a week, I already had my check. Trupanion followed up with an email asking how my dog was doing, which honestly, meant a lot to me. I do not know other insurances, but I would recommend Trupanion. Not only does my monthly cost went down since I enrolled, they are very much hassle free and most importantly, caring! THANK YOU SO MUCH Trupanion!