I have three cats who are covered under this insurance, and I am thinking of adding my dog as well. The level of customer service that ASPCA Pethealth provides is great. The time to reimbursement has slowed down within the last year, but it is still relatively prompt. I do wish that they had coverage for pre-existing conditions, as I have a chronically ill cat who requires quarterly blood work, etc. in order to manage his disease. I will return again and review once I have read over their new policy coverages and limits.