Trupanion has been better than any medical company for people!!!!!I wish my personal insurance worked as well! We would have never been able to afford our puppy's hip surgeries, which were diagnosed before a year old. My puppy's Orthopedic surgeon was shocked at first how Trupanion even paid the claim, and second, how quickly they paid the claim. Every claim we made has been processed within a few days and usually by the next day.