I have been using ASPCA pet insurance for three years now. I cannot say one bad thing about them. This review is in general because I have utilized it over and over for my cats - 10 year old and my two 2 1/2 year olds. I adopted my 10 year old when he was 8 and added him to the insurance and there were no issues whatsoever, which is great because I had no idea of his medical condition for his first 8 years. It gives me great peace of mind to know that I have great medical insurance for them. I have recommended ASPCA pet insurance to many people and will continue to do so. Thank you for helping me provide my boys with the best medical care possible!