After searching long and hard for vet insurance, and reading more reviews than a can remember, I decided to go with healthy paws. I am extremely disappointed. I enrolled both of my dogs (F pitbull, Dutch and M pittbull mix, Duke) for coverage. I have never filed a claim with them until recently. My dog dutch ruptered her cruciate ligament. After paying 2,100.00 for surgery I decided pet insurance was a good idea. So when choosing healthy paws I read to make sure that it would be covered if she were to need any other surgeries or if her other knee needed surgery. According to their website it would not be considered a "pre-existing" condition because it was not genetic, but just an injury that occurs. Well when trying to get pre-approved, luckily I had not completed the surgery yet, they denied me. Now I have wasted money on this insurance which I could have been putting into a savings account. In my opinion, pet health insurance is a waste.