My Kobie became very I'll with diarrhea and commuting and I took him to the animal ER. The total bill was $402 and after my deductible of $50, Trupanion sent a check in the amount of $250 to cover a good percentage of the bill. Everything that isn't a pre-existing condition is generally covered! The only thing that isn't covered is the office visit fees and the 10% that is required (the policy is 90/10 coverage). I'm happy with the outcome and feel that this is the best insurance provider I could find :-) I have filed 3 claims and all have been taken care of efficiently!