What is a Deductible?

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In insurance policy terms, a deductible is the amount of money which the insured party must pay before the insurance company's own coverage plan begins. In practical terms, insurance companies include a deductible in their policies to avoid paying out benefits on relatively small claims. A typical auto insurance policy, for example, may carry a $500 deductible. If the owner of that car accidentally hits another car while parking and both drivers agree the damage is minimal, he or she would pay the $500 repair bill out of his or her own pocket. Insurance companies would not encourage a claim for such minor damages.

However, this payment of $500 means that the next accident claim would be covered by the insurance company. The car owner is said to have 'met the deductible' and is now eligible for complete protection. The same holds true for medical insurance. Patients who visit the emergency room for a minor injury or procedure would have to pay out of pocket until they have reached the level of the deductible. If their medical expenses on a visit to the hospital would exceed the deductible, then the insurance company would pay the total charges minus the deductible. In either scenario, the policy holder is almost always held responsible for a small portion of their claims.

The amount of a deductible is almost always proportional to the amount of the premiums (regular payments) charged by the insurers. In order to have a lower deductible, even as low as $0, the policy holder would have to agree to higher premiums. For those who want lower premium payments, they must agree to a higher deductible. There are pluses and minuses to either option- one expensive accident or medical procedure could bring on a very high deductible payment, or a lifetime of good health and few automotive claims could make higher premiums a relative waste of money. Then again, having total coverage with little to no deductible can be a very comforting thought during a crisis, or not paying too much for unneeded coverage can help keep household finances manageable.

A deductible of some kind should be expected with any medical or automotive insurance policy. When shopping for affordable coverage, be sure to ask specific questions about the deductible and other obligations left to the policy holder. An exceptionally low premium rate may signal an equally exceptional high deductible amount. Try to find a balance between affordable premiums and a fair deductible when buying insurance.

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New: Discuss this Article

Posted by: anon8760
Once we chose the medical plan with a deductible, do we need to pay this amount every year or would it be accounted till we opt out of the plan, please give a detailed reply. Thanks.
Posted by: anon8293
Deductibles in medical insurance usually cover one year. So, if you visit a doctor a lot during the year, you might pay, say, $100 per visit until your deductible for that year is met. Then, your office visits will be lower, depending on the specific insurance plan you have. Deductibles in auto insurance plans are usually by the accident. For example, if you are involved in a single vehicle crash and the damage is, say, $2500 and your deductible is $500, you pay the first $500 and the insurance picks up the $2000. On the way home from the body shop, you get into another crash, you would have to pay the deductible again. Each policy is different and it is up to you to understand the details, so ask plenty of questions until you completely understand how it works.
Posted by: anon2685
Is the deductible a one time fee, or does it apply to every visit to a doctors office. For instance, if you had to have make several visit to the doctor and each visit costs exceeded your deductible.....
Posted by: Dayton
In my experience with car and health insurance, if you want your deductible to be lower, your premium will be higher. One example of this is a high deductible health plan (see http://www.wisegeek.com/what-is-a-high-deductible-health-plan.htm ), where you pay very low premiums in exchange for high costs, should you actually use the insurance.
Posted by: anon1361
what happens to an insurance premium when a deductible is lowered?

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