We are former Trupanion customers. We started off with premiums at $45 per month, then less than a year later it went up to $60 a month, then less than a year after that it went up to $80 a month. Our vet told us that veterinary medicine only went up about 1 - 2%. We cancelled our policy. We now put $80 into a bank account, for our pet, each month and we recommend that other pet owners do the same. Insurance companies are businesses and they are in business to make money, not to save you money.