I have a five month old DSH female intact kitten with a history of coughing. I've had multiple doctors look/listen to her, have had fecal tests run for long worms and intestonal parasites, an echocardiogram, and thorax radiographs. After spending over $500 for diagnostics, Trupanion was able to reimburse me for everything except the exams. The only downfall is that they don't cover the cost of exams, but that hasn't been a big deal.especially after the amountof money that I've spent. They also covered the cost of her antibiotics. Overall, I couldn't have asked for better coverage.