My fiance and I purchased Trupanion insurance for our puppy 3 days after bringing her home to ensure we would be secure for the rest of her life. Not long after bringing her home, our puppy was diagnosed with a liver condition. Trupanion refused to pay for anything related to this condition, claiming it was a "pre-existing condition". Our puppy came with a vet record stating she was healthy, so this was not a pre-existing condition. Trupanion will find any excuse not to pay! Because Trupanion refuses to help us with the medicial bills, we cannot get the ultrasound that our puppy desperately needs. I have heard of Trupanion doing this before, and now I see that it is true. We have cancelled our insurance with them.