During my cat Sassafras' recent annual checkup, the vet noticed a tooth that needed to be extracted. I obtained an estimate and emailed it to Petplan for pre-approval. Petplan pre-approved the claim within a day or two of sending in the paperwork. Sassafras had the tooth extraction (she ended up needing to get 6 teeth pulled!) and after submitting the invoice, I received a check for more than $500. This is the first time I had a procedure pre-approved. A few years ago, I submitted a claim for Sassafras for a digestive blockage, for which Petplan covered more than $1000. Every time I call Petplan, I am quickly connected to a person who is helpful and friendly. The pre-approval process and claims process are very simple. Thank you Petplan!