My dog had a heart murmur and had a cardiogram and suggested supplements to help with her condition. After my deductible was met, Trupanion paid 90%, as promised , quickly and fairly. She also had high liver enzymes and a diagnosis of Cushings disease. She had an ultrasound, biopsy of her liver, medication and supplements for her liver and Cushings. Once again, after my deductible, Trupanion again is paying the 90%. Absolutely wonderful!