I was not certain if I would like pet insurance and if it would pay without a lengthy wait, as does Medicare!!! The staff was courteous and the process of claim was began what seemed like the first day it was received by Trupanion. Today a received a check for a claim that was less than one month old. Part of the Vet bill I did not pay once my deductible was met. At this writing I am happy with my choice and I did not have to decline any testing that was appropriate for the illness.