Just for reference I buy all my aquatic life from 2 different lfs's by my home. So reading through all the threads on fish diseases and coral pests it got me thinking, is a quarantine tank really all that necessary, seems even people that quarantine have issues. My current tank I started back in December of 2015. I haven't added any fish in about 2 months since I'm pretty well stocked. I have 15 fish total, a fire shrimp and cleaner shrimp, a bunch of hermits and snails, a couple clams and lots of sps, lps, etc. The only thing I do when adding a fish or coral is float the bag in my sump for an hour or so then simply take it out of the bag and put it in the tank. My conclusion i guess is I'm really lucky and my lfs are selling good disease and pest free sea life. From reading many articles and posts about the importance of a good quarantine system I have definitely been playing with fire. Reason I really got to thinking about this is I have a lot invested in corals and fish and wondering should I keep playing with fire or start a good quarantine setup for any future additions?
I'm in a similar situation to you, although my tank is just coming up to a year old. I'm no expert, so rely on the advice from trusted sources and what I can learn.
Wherever possible I stick to learning modern methods, and before I get shot down, I'm not saying anything against tried and proven methods, but there seems to be 2 schools of thought on wether to QT or not and those that do, will argue you must.
I don't currently run a QT tank but for the reasons I'll try and outline. I don't care about the cost at all, so that's not the issue. If I needed to do it I would do it, no hesitation.
Firstly I'm based in the UK, so I don't know if we have different methods or standards etc over here but I asked my LFS about this, and I was quiet willing to buy a full QT setup from them. I've spent 1000's with them so they know they need to look after me, but they didn't want to sell me one. To me that shows they are confident of their procedures and methods of their live stock.
The answer I got to the question was that firstly, they will not sell any fish or coral to anyone until they are confident its eating and in good health. In the past I've said I want such and such coral and they've said, know you don't.....
Secondly, they basically said fish will do far better if they are allowed to build up their immune systems so that they can cope with problems they may face during their life, and will also be happier in their final home rather than being in a smaller tank being treated with whatever treatments etc etc....
Clearly I'm not saying add unhealthy fish or corals to a tank, but I think it depends a lot on were your getting it from. Also there are modern reef safe medications available for many conditions these days.
There is a very old tank around which many of you will know about - I'm not going to quote from him as I wouldn't wish to misrepresent his opinions in any way, but there is a life time of experience there on this subject.
It is something I think about, to QT or not, and I ask the LFS the same question every so often, and I always get the same answer which is why I currently don't.