I have had this plan for my Rottweiler for 6 years, since I registered her with AKC at a few months old. She was diagnosed with wearing ACL in her right knee last year. A few months later she tore the ACL in her left knee. After consulting with an orthopedic surgeon, he told me it would be better to repair both knees at the same time as it would save the dog from having to go through the anestesia another time, the healing process would be done at once, and an added perk was it would cost less. I called the PetPartners insurance and asked them if there was any problem having both knees operated on in the same day. Their response was -- yes, that's fine each knee is counted as a separate incident. After the surgery was done, I submitted my bill and PetPartners denied the bill on one knee saying two knees is counted as a chronic condition. I challenged their decision but they still denied payment on the second knee. This company lies and can't be trusted. Find a reputable company!!