I was very concerned that Sasha may not be covered since she had a pre-existing condition called Reactive Colitis.Sasha was vomiting so much she needed to be taken to the Care Hospital and then needed 3 days of IV fluids to help her recover. She tested postive for Giardia and all other tests came back negative. Within several days of putting forward a claim for almost $1600 I received an approval that Trupanion will cover $1445 of these recent medical costs. trupanion responded very fast to this claim and when I called to inquire about the "chance of this being covered" I was reassured in a very professional and friendly manner. I would recommend Trupanion to anyone!!