I started using this company after I lost a pet to cancer. I wish I had their insurance then. I have 2 Shih Tzu's and thought with what I went thru not having insurance with the one, that I would get it for my other two, so I would never have to experience this again. My Vet recommended Trupanion and I called and decided to go with them. My one dog is 8 yrs old and noticed this lump on his tail. Took him to my vet and it was a tumor so went ahead and had it taken care of. My vet sent in a pre authorization and then decided to have it done. I was amazed at how fast Trupanion worked with my claim. He had the surgery on a Monday and by Thursday my money was in the bank (before my Vet cashed my check). Then with the follow up and bandage changes etc, Trupanion had that money in my acct within 2 days. My hubby and I are disabled and these dogs are so much comfort to us and keep us going. I am so glad that I now know I have comfort in knowing my pets will be taken care of when an accident or health issues arise.