At this point I would not recommend this insurance. Truly not worth the effort of contacting my vet and having them contact Trupanion a number of times for homeopathic treatment of hip Dysplasia that the dog was diagnosed with at 2 and had been insured for since 1 1/2. I pay extra for a rider that includes homeopathic treatment yet the company does not understand how this care works. Battling for a $13.00 remedy and a $50. 00 supplement that have been covered in the past for treatment.