I went with Trupanion after reading up on all my options-they are the BEST pet insurance there is. All my claims are promptly reviewed and I am reimbursed very quickly. I have filed several claims as my pet has many health issues and never once have I ever encountered a problem with Trupanion or had to fight to have a claim paid for. The customer service reps I speak with whenever I call are so caring and compassionate and are very knowledgeable. My insurance rates are more than reasonable, and with all of my pet's health issues, I sleep better at night knowing with Trupanion that I will never have to lose my pet because of inability to pay a large vet bill. I can not say enough wonderful things about Trupanion and how truly pleased I am with every aspect and dealing with their company. I would never recommend any other pet insurance to friends and family except Trupanion.