My Great Dane was diagnosed with a heart condition, that will unfortunately take his life...... He's on meds that are very expensive every month. The vet and emergency room bills are crazy expensive. Trupanion has paid literally 90% of everything. I could not have afforded to keep my dog alive throughout this without Trupanion. Don't look anywhere else. The reimbursement and pre approval of needed are very fast! You will not be disappointed with this company.