Over the years we've had numerous dogs and cats who lived to be quite old, and we've never hesitated to spend whatever was necessary to provide them with needed medical care. When our female Akita became very ill at the age of 13 and a half, it took a toll not only on our family's emotions, but also on our finances over the course of the last year of her life. In just the last month, we spent over $3,000 for her care, before the vets found an inoperable brain tumor that ultimately was more than she could fight. When we adopted our next dog, a border collie mix, I decided to find coverage. After looking around and comparing, I began with ASPCA, though my mother had a different company. Now, almost five years later, we have three border collies covered with ASPCA Pet Insurance. I've always found the service to be responsive and prompt, and the representatives are all so friendly that I never mind calling with questions. The insurance has paid for itself - in peace of mind and in reimbursements.
I noticed that one reviewer mentioned the pre-existing condition issue, and I'd just like to add that there is a simple (not very expensive) rider that takes care of that.
By all means, get ASPCA Pet Insurance for your best friends!