I recently enrolled my 4 year old bluenose pitbull with PetsPlusUs. The service has been amazing and the staff have been very accommodating. My dog somehow managed to tear her ACL ligament on her right knee. The expenses for the surgery and post-care medications were over $3000.00 . PetsPlusUS covered and paid the veterinary hospital directly and I had to pay the remainder. Apporximately 2 months later, my dog tore her ACL ligament in her other knee, that surgery and post-care cost once again over $3000.00 . Once again, PetsPlusUS paid the veterinary hospital directly and I paid the remainder. The staff have always been helpful and assist in any way possible. I recommend this insurance company to everyone and all my family/friends with pets.