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There are a lot of variables with the insurance companies. Many of them consider a dog over 5 years old a senior and will jack up the premiums for an "older" dog. Some insurers don't cover routine care, just emergencies. Some don't cover emergencies, just routine care. And not all vets accept insurance.

Starting an HSA is as simple as starting a savings account at your local bank and earmarking it for pet care. Every pay period you can put in some money. Not only does it earn interest, but if you don't ever use it, you don't lose it. Not to mention the fact it won't hurt if you have to skip a month for some reason.

You can also look into getting a Care Credit card for emergencies. Just remember that not all vets accept it:

http://carecredit.com/

No pet insurance are the same and you need to find one that tailors to your cat's need. You have to be careful when choosing because some insurance company place a low cap on their reimbursement even though you are paying for higher premiums. Some will have low deductibles but will not cover much illness or low coverage for accidents and diagnosis. Many insurance companies will not cover pre existing conditions.

I cannot recommend one that stood out from the rest because what my cat needs might be different from what you need.

However, there is a site with a lot of good and useful reviews on the insurance available that you can look into.

http://www.petinsurancereview.com/
http://www.pet-insurance-info.com

Some guidelines:-

How old is your pet? The best time to purchase a pet health insurance policy is when your pet is young. Most pet health problems happen in the last two years of your pet's life. So, the younger your pet is, the better

Is your breed prone to medical problems? While policy premiums are generally not based on breed, certain hereditary conditions are excluded.

For instance, Persian cats are prone to polycystic kidney disease (PKD). You can still buy pet insurance for your Persian; just don't be surprised if it fails to cover related issues (some pet insurance policies may cover this, so check with your provider to make sure before you buy).

Is your pet already sick? Most pet insurance providers won't cover pre-existing conditions. However, if you can prove your pet had a condition that has been cured, that may be covered.

Can you choose your own veterinarian? For many pet owners, vet choice is key, and for good reason. Some pet insurance companies require you to use veterinarians on their own network. Others don't. As always, check with your provider regarding your choice of veterinarian.

What is your pet's lifestyle? If your dog or cat spends most of his time outdoors, that will increase his/her risk of illness or injury.

What is covered? Many pet owners purchase pet health insurance policies to protect themselves from the high cost of future medical problems. Others want regular pet care such as annual physical exams and routine checkups and cleanings.

Just be advised that most standard pet insurance policies cover catastrophic accidents and illnesses. Routine vet visits tend to come as add-ons and/or riders.

What State do you Live In? If you are searching on the internet for pet health insurance, you need to check this. Just because a provider does business online doesn't mean it services your state.

Check The Insurance Company's Track Record

Every state in the U.S. has an insurance commissioner. If the insurance company you are considering has had legal/ethical issues that should cause you concern, the insurance commissioner's office in your state or province should know about it. Check with them before you buy.

As for any insurance…
It is always worth it if/when you need it.