I LOVE LOVE LOVE Healthy Paws. I got it when our pug was a puppy - so I didn't have to worry about pre-existing conditions. I got the best plan -90% covered after $100 yearly deductible.
I got the insurance last November. Since then, our puppy has had 2 knee surgeries (to the tune of about $1500 each), and a couple of small medicine claims I made. After I e-mail them the scanned receipts, w/in 5 hours I have notification that our check is in the mail. NO problems whatsoever sending them a bill for that much, they just said okay, and here is payment. Very easy, can go to any doctor we want. I don't have to 'guess' what they are going to pay for, I just know it will all be covered (except for the regular exam fee - but they say that up front). I can't believe how fast they are. Right now we only pay around $34/month for the coverage. I am interested to see if it will go up when our year comes around because we had several claims. We'll see.
The insurance is the greatest thing ever and the best peace of mind for only $34/month. I love it and will probably try to keep it on her for a long time, as long as it remains affordable!