We've never had pet insurance before but having gone through chemotherapy for lymphoma with our previous pet without insurance and then going through a splenectomy with our current pet, with VPI, I can tell you we prefer the latter. Insurance is a waste of money if you have a perfectly healthy dog who does not require any maintenance or emergency assistance and never gets sick. However, if you don't have one of those miracle pets, it is a wonderful thing to know that you can count on reimbursement for a lot of the expense. The cost is not exorbitant but the peace of mind is enormous. VPI has paid a reasonable amount in a very expeditious manner. We are totally happy with their service.