I have not had pet insurance before but was recommended to Trupanion by both a friend. Trupanion was quick to respond to my pet's claim/injury. In fact pre-approved the claim so I only had to pay my vet directly for the deductible and co-pay. Trupanion even called me on a Sunday afternoon to confirm pre-approval of the claim. Plus they've been quick to process claims for additional services arising from this injury. We've been very happy to date.