We signed up with vetinsurance (now trupanion) 4 years ago at $30/month. They've increased our premium to $55/month over the last four years "due to the vet costs in my region". This month they told me my new premium would be $110 to keep my coverage the same. What's next? $500/month? True, the service is great, claims have always been payed promptly (only about $1500 over 4 years), but the only choice now is to cancel the policy before my dog is old enough to really use it! It's not like vet costs have tripled in my area, watch out- what you sign up for is not what they will ask for in a couple years time!