The only negative thing that i can say is that I didn't realize that they don't pay exam fees, even if it's for a sick visit. That being said, I was very happy with the service and plan coverage from Trupanion. I am just thankful that I didn't have a plan with a deductible otherwise I would not have gotten back that much. Trupanion does seem to be a service minded company and any time I have called with questions they have been very helpful. They were great at staying in touch with us via email to let us know that our claim was being processed and even did direct deposit of the claim money to our checking account. Getting 90% back is a relief.