I have a 3 year old Russian Blue cat. Recently he became very ill where he had thrown up over *20* times in a 12 hour period. I rushed him to the after hours emergency vet once I got home and saw the small piles of vomit all over my home. He received great care and the day after I faxed in my claim to trupanion. Within 2 days I received my first email. The communication was great. I received numerous emails with updates so I never felt I had to call for more information. The processing was just under a week. I was satisfied with the 90% payout which helped greatly, however was disappointed that the $165 emergency vet fee was not covered. My cat was in dire need of vet care and to find out that this fee was not covered did not sit well with me. What else was I supposed to do with my cat?