I completed a spreadsheet to calculate the amount I would spend on insurance premiums over 18 years and the amount actually spent on cats who have been pets in my family over the past 30 years. Even the cats who only went to the veterinarian during their last year of life, I discovered that bills for gum infection and other treatable conditions that are increasingly common in cats over age 10, cost more than insurance premiums alone over the lives of those cats. In other words, 10 years of premiums costs less than veterinary bills for treatable conditions in the 11th year. My cat, Freddy, was my family's first pet with health insurance. He received cancer treatment during his 16th year of life. He completed treatment. He lived for 13 months with zero vet visits and no obvious symptoms. He died at almost 18 years old. I have two cats now who also get all the care they need.