We had surgery that was very expensive for our dog George. As George is like a family member to us, we were going to pay for this even if it meant a home vacation instead of going to the beach. The Trupanion claims were submitted and processed without any issues. They sent the 90% check prior to the credit card bill being due. We are so lucky that we purchased Trupanion and would recommend them to anyone who owns a pet that they love.