I'm disappointed with the lack of preventative measures when it comes to pets. I think that being preventative is more important than having to pay for surgery or medicines after the fact. For example my vet suggested even though we maintain our dogs oral health that he I have some plaque removed from his back teeth. This is far better than having to later extract teeth or deal with cavities. As an insurance company I think it would cut your costs if preventative measures were included in the benefits. This can also be said for deworming as dogs will be outside and are likely to come into contact with different types of worms. I don't think you this would be a huge cost you if you were to consider covering 90% of deworming and teeth cleaning when the vet has recommended it after preventative wellness care has been given by the owner. Seems that there are more things that are not covered them are true Trupanion.