We had our 100lb dog tear his ACLU and needed surgery to reconstruct it. We are a young family and the cost of the surgery would have been impossible it hour Trupanion. We found out on a Friday he needed the surgery and they needed to get it done quickly so he was scheduled for surgery the following Wednesday. With such little time there was no way to pre plan the claim and we had to pay out of pocket first and then wait for the reimbursement. The call centre staff at Trupanion were amazing. I talked with them multiple times and let them know our situation and they went above and beyond to do everything they could to make sure they had all the information they needed so they could process the claim quickly for us and get us the reimbursement as fast as possible. I was so great full for all their help and understanding. We had our cheques in hand 2 weeks later. Amazing!