Excellent coverage for my dog's illness. When I bought the insurance I wasn't really sure if they would cover should a big problem occur. Well, a big problem did come along and Trupanion kept it's end of the bargain. They've paid for everything they promised to pay for without hardly a question. I submit the bills and they pay. It's much better than my own human health insurance. Thank you Trupanion for allowing me to keep my dog alive. I would absolutely pick Trupanion again.