I had this coverage on my Lab/Chow mix, Angel, for ten years. The renewal premiums always seemed reasonable to me for the coverage provided. I was purchasing peace of mind. If there was an accident, or when she was hospitalized for two weeks with pancreatitis at the end, I knew that at least some portion of my expenses would be recovered. I submitted several claims over the years, including two ACL surgeries, and felt that the reimbursement rates were fair. If I could suggest a change to the coverage, it would be in the pre-existing clause. If your pet is diagnosed with some illness and/or injury, when your policy renews, it is then considered a pre-existing condition and there is no further coverage for that issue. Overall, I had a positive experience with the coverage, and would purchase it again.