I adopted a very crazy, active, untrained rescue (Dog) when she was one year old. I immediately got Trupanion Insurance for her, knowing from my old dog how expensive treatment (especially water therapy!) can be. After a year, my new dog was diagnosed with Colitis and Heartworms (she had been on preventative). Trupanion has quickly reimbursed me 90% for covered expenses, a huge help! They continue to reimburse me for the prescription medication that will likely be needed for the rest of my dog's life. Trupanion even reimbursed the cost of Veterinary prescription diet. (Which unfortunately did not work.) The only reason I didn't give a rating of 10 is because Vet visits are not a covered expense, and my dog had MANY of those prior to the correct diagnosis and treatment. My dog is now healthy, and I have peace of mind that I can keep her that way with Trupanion's support.