My dog was diagnosed with a disease. Eight months later when it was time to renew the policy....Pets Best more than doubled the yearly amount. When I called about the increase, I was told it was because they changed underwriters. When I received the renewal notice this year....IT INCREASED BY ANOTHER $600. This time I was told it was because of her age and breed. I realize that policies need to increase.....but not by $1200 in two years. This company takes advantage of pet owners with sick pets. I am sure they will triple next year. I wish I would have known about Trupanion when I bought insurance for my pet.