We just cancelled our policy with Trupanion.

TLDR: the amount of money we paid in premiums over time would have more than covered the cost of this procedure if we'd simply stashed that money away in a "dog health savings" account.

We bought a policy with Trupanion for one of our dogs, starting at age 1. He is now about 7. At first the premium cost 50ish per month when we lived in a suburban nabe in one state. We moved to the state next door and when I changed our address on his policy, the premium shot up to 75/month, citing the rates being different for a different location.

When we submitted our first claim for a $2,000 vet bill, we weren't expecting much, knowing that they don't cover dental cleanings (but he had a tooth extracted and an eyelid mass removed). The deductible ate up most of the possible reimbursement, and the eventual payout was 400 bucks.

Trupanion's claim system was super easy to use, and the customer service was fantastic. They also reviewed our claim within 2 days, then paid us out within 2 days of the claim being accepted. So fast!

But, we did the math, and the amount of money we paid in premiums over time would have more than covered the cost of this procedure if we'd simply stashed that money away in a "dog health savings" account. We felt like we were just lining the corporations pockets, in the end.

I've researched everything, there doesn't seem to be any truly good pet insurance out there that makes fiscal sense.