Take the time to read the clearly stated policies and procedures as you would with any insurance company before signing up, and you will not be disappointed. This insurance company clearly states what they do and do not cover. I have had two claims since I signed up in May, 2013 and both were handled efficiently. I had to call customer service on the first one, as they emailed me to let me know my vet had sent the insurance claim without their notes. They emailed me the claim so I could sign it (just a silly error by the reception office), and I obtained all notes, sent them off and they processed quickly. Insurance is insurance and there will always be frustration when you go to use it and find every exclusion in the book somehow applies to you, but so far, I've found Healthy Paws to be EXACTLY as they state. Nothing is "hidden".. I'm SO glad I chose them, and have complete peace of mind with their practices.