Trupanion is the BEST pet insurance I have ever worked with. My dog Rio got a hold of a bottle with Buclafen in it and ate all the pills in there. The overdose was enough for kill a large dog and my 7 pound Chihuahua was rushed to the hospital in cared for for 20 days. The medical bills included many nights in ICU, dialyses, and all the treatment you can possibly think of for overdose and renal failure. But TRUPANION help our hand the whole way through and together we saved Rio's life! My dog would have been dead by now if I had not chosen Trupanion as my pet insurance!