At eight months old our beautiful great Pyrenees, Bailey, was diagnosed with hip dysplasia. The recommendation was not one but two full hip replacements. It has now been two weeks since her second hip replacement and she is doing very well. Trupanion has been very quick to approve pre approvals as well as send payment for coverage. I love the fact that during the pre approval process for her first surgery, I left the vet and an hour later had a phone call from a Trupanion representative explaining the coverage. The fact that I receive emails with progress reports about our claims puts me at ease about the situation. We have not had to fight to receive funding for anything and that means that when my baby is sick, I am able to concentrate my efforts al on her. Over all, the insurance company has paid about $13000 to help my puppy become healthy.