We have Trupanion on Darcy. They have paid what the policy states with no questions. BUT, I didn't read the policy closely enough. They do not pay for vet exams, even emergency exams. And, the deductible is not yearly, but rather for every new illness/accident. That can be a large amount of money if you have several small things occur because the deductible is charged against each new problem! We just got PurinaCare on our 6-year-old Great Pyr as it covers most genetic-related conditions such as hips, whereas most other insurance companies do not. And, PurinaCare's deductible is once per year, on the anniversary of the policy inception date.