I am very satisfied with the customer service and prompt reimbursements I have received from Trupanion Insurance. I have a 7 month old English Mastiff puppy. I have only had the insurance a few months but it has paid out over $4,000 in needed OCD surgery, diagnostics, medications, etc from specialty care. I would strongly urge all pet owners to prepare for the worst case scenario. Decisions for medical care should be made based on what your friend needs, not what you can afford. Purebred dogs like Sasha may be born with congenital problems and Trupanion is one of the few that will pay out on such claims. Sasha is well on her way to a good quality of life thanks to preplanning and a great insurance plan like Trupanion.