I began insurance coverage with Trupanion for my cat Sam in September of 2013. He was healthy at that time. Early in 2014 Sam became ill after a routine dental procedure. I was willing to pay whatever I needed to in order to help Sam, and whether or not I had had insurance would have made no difference to me (although certainly, not having insurance would have made things tight for me, budget-wise). Thankfully, after days of tests and treatments in the emergency hospital, Sam was on the road to recovery. I submitted several claims to Trupanion and they were prompt in their response, paying 90% of Sam's medical bills. I am VERY thankful for this company, and appreciate their efficiency and integrity. If only human insurers would take note and do the same!