My Dog, Navada started to display what appeared to be some respiratory issue that started to be short occurances but soon it became more frequent. I took her for an exam and this required xrays and they were sent to a specialist. No issues or concerns were discovered so that was a relief. Her symptoms cleared up a few days later after the vet advised to keep her near a humidifier or take her in the shower room to be exposed to the steam. Seems to of addressed the issue but Trupanion was excellent in supporting us and the process and commmunication is excellent. Great Customer Service, very happy with Trupanion's service and coverage for my two GSD's.