My sweet cat has been seriously sick and required a long hospitalization. Because of the care he received he has made a miraculous recovery. If I did not have Trupanion I would not have been able to entertain a thought about treating him. I've been impressed by how the front staff - the billing people who deal with insurance companies all the time- at each doctor we have visited have sung Trupanions praises. And Trupanion has come through for me and my cat, not flinching at the costs which were quite high.I enthusiastically recommend them.