Molly had a growth in her throat. The issue required an emergency vet visit, a follow up and then surgery. Trupanion was quick to respond and to pay the claims. The representatives were always friendly and informative. I chose a higher deductible for the policy; my out of pocket expense was $505. plus $394 for services not covered. When I add up the premiums paid plus the out of pocket, I am almost even.I am not sure in this case the insurance was ideal. My complaint would be that Trupanion does not cover exams. The explanation that I was given doesn't make sense. "It is Trupanions way of making sure that people are not taking their animal to the vet for exams in order to satisfy the deductible". I am not sure I will keep the policy.