We've had pet insurance for both of our dogs since they were puppies. We've tried several different companies, and we've honestly been happy with most of them. We're currently with ASPCA because their plans best met our budget at this time. We've used them for wellness coverage for the last few years (the level 3 plan), as neither dog has needed much more. I do have to say that our vet is one of the less expensive options in our area, yet the insurance company hardly ever covers their expenses completely, citing them as being "beyond reasonable costs for the area." This is rather frustrating at times, as we then have to pay beyond our deductible and the 20% coinsurance. I can't compare the coverage of other insurance plans in our area, as we've only had ASPCA since moving here three years ago. Recently, one of our dogs got extremely sick and needed lots of expensive bloodwork and tests. ASPCA pet insurance covered much of it (minus the deductible, the coinsurance, and the vet charges they deemed unreasonable), which was extremely helpful to us. The claim submission process is relatively quick and easy, and we had our reimbursement within 2-3 weeks. We were pleased with the process, and we feel it is worth it to have pet insurance for peace of mind in these kinds of situations.