I would recommend Trupanion to anyone who asked me. My German Shepherd, Riley, has had several serious health issues in her life. She is only 18 months old but her vet bills have totaled in excess of $12,000.00. She had her first health issue when she was approximately 8 months old which was prior to us purchasing her pet insurance thru Trupanion. The total bill on this was in excess of $4,000.00 which came out of my pocket. We purchased health insurance for her just prior to her turning one year old. Since then, she has had two rather serious illnesses which totaled in excess of $9,000.00. I don't know how we would have been able to afford her care if it were not for Trupanion. They have truly been a life-saver.