My cat was recently diagnosed with liver disease and has begun treatment which I expect will continue for a while. Once my deductible was met, Trupanion paid for the medication and bloodwork as stipulated in my contract. It's my understanding that all future treatment/tests related to his liver disease will also be paid (at 90%). The claim was processed very quickly and payment received in about a week - very fast. The only reason I rated it a 9 instead of a 10 is because when my cat was first diagnosed, they didn't apply the initial bloodwork cost towards my deductible. Their reason was that the bloodwork done was routine. While it was routine, it uncovered the liver disease, and I thought it should be covered because it diagnosed an illness. Anyway, since that time, the two claims related to liver disease that I filed were paid on a timely basis and in the amounts I expected.