It's nice when things work the way they are supposed to. Our 185 lb, six year old mastiff came down with a sudden systemic infection and spent 4 days in doggie ICU. The cost of ICU plus medications for the month following landed us with almost $7,000 in vet bills. Situations like this are exactly why you enroll with pet insurance: It takes cost out of the equation when trying to save your pet's life. Trupanion delivered on their promise by helping us get the best medical care for our pet without the worry of how we were going to pay for it. Within 4 days of filing our claim with Trupanion, we received an email that our claim had been processed. Within 12 days we received our check from Trupanion. They paid the exact amount we had expected... 90% of our claim, following our deductible. They only disallowed about $300 of the claim. This is far superior to other pet insurance companies we've used over the years for other pets. It's nice when things work the way they should. We highly recommend Trupanion over other pet insurance plans.