I gave one star to get my message across. DON'T, just don't do it. Dr. Knisley is great, but they sold me a $30 bottle of ear wash in which I had a severe reaction to the smell and now I'm out $30. Don't go with a plan, they will shove neuter down your throat and rob you blind every chance they have. Trying to cancel the very expensive health plan now for both dogs. I guess they'll try to rip me off on that as well!