I have Joined There Wellness plan for both my puppy and older dog, for about 440$ a year i got all vaccines, Dewromin,fecal test,heart worm test including the spay surgery too for my puppy, paid less for my older dog, never paid for an office visit, you still have to pay for meds out of pocket with discount, i always get an appointment fast they are well staffed, What i love about this place that it is new/clean and modern , they always check exam my dogs fully when i go there for anything,the nurses are great and Dr. are nice.. very recommended‎