My dog has been with Trupanion for 7 years. She has multiple health problems, is on 2 medications and has had an MRI -Trupanion has helped with all that, and it is an easy process to submit a claim. My only beef is that they are so expensive. After another increase, I am up to $100 a month. Even with all her health problems, I would have been better off had I not had insurance and had instead, just tucked the money aside for “in case.” That’s what I will do next time.