I have found Trupanion to be a great help during the last year. My dog lost the use of her hind legs in January and Trupanion helped me out every step of the way. They pre-approved her surgery, sent the payment to vet for me and then covered her wheel-chair. They have helped me with covering her Urinary Tract Infections. I have been very grateful with everything they have helped with and would recommend them to everyone I know who has a pet.