We have carried PetsHealth (Level 2)for about 5 years & have 3 dogs, 2 of which are large breeds. Claims processing has always been quick and customer service is great. While this insurance will cover routine visits, I can't afford that level of insurance. We were debating dropping the insurance, as we were paying out more in premiums than reimbursements received. We had an ACL repair early 2012 & and an amputation late 2012. However, Petshealth just increased their cap per incident from $1500 to $3000 and deleted their overall annual cap, so there is no cap on the number of incidents in a year. We're hopeful this will improve coverage. I would give them an overall rating of 8.