We've had this pet insurance for 4 years now and very pleased. We signed up for it when we adopted our rescue German Shepherd. It helped pay when we had her spayed. A few years ago she was diagnosed with incontinence and we can submit for her monthly meds. Now she was recently diagnosed with Megaesophagus. Sierra underwent X-rays and other tests before discovering her condition. The pet insurance was great and covered quite a bit of the vet bill. I even receive calls from ASPCA checking up on our special girl.