our dog got sick throwing up and also bowels with blood. There was so much blood and so fast. We ran to the ER they kept her overnight. Fluids, and meds. Something had came on so quickly we were told this can happen. Cost $1700. We had PetPlan ins with their silver plan $200 ded and 90% back. Had no problem with the ins co but the ER didnt flll out their papers correct. They forgot to say the bill was paid. Once PetPlan had the correct papers payment was quick. Always check to see that PetPlan has the correct papers.