I chose Trupanion, and while it can be pricier, I feel it’s worth it for the coverage. I work at an ER/specialty vet clinic, and I’ve seen them cover big neurosurgery bills around $13,000, where the owner only paid a couple hundred. For my own dog, my monthly premium is around $100 with a $500 per condition deductible, and they made a decision on my first claim within two days and deposited the money quickly.