I just got the insurance in September and also added hip dysplasia to the coverage just in case. My dog started limping in November and I was able to get the necessary tests to diagnose his problem because I had pet insurance. It ends up the vet suspects he has hip dysplasia due to the tests and now I can treat it properly. Trupanion was so easy to work with and I got a check in 4 -5 weeks. The paperwork was easy also. I am very happy I chose Trupanion to be my pet insurance company. I did alot of research before choosing them and they seemed to be the best, but you are never quite sure until you have to submit a claim, now I am sure I picked the best company!