The ASPCA health insurer has managed to pay only 11% of my dog's health costs over the five years of my policy. 11%! For example, they denied a claim for a set of xrays and an office visit when he injured his leg (partially torn ACL) because it was more than 180 days, and then denied the cost of his pain medication because the prescription was from a "prior policy period". Seriously, this insurer finds every possible way to reduce or deny claims. Why would you pay a premium to be reimbursed for only $146 out of $1291 in claims?