what is insurance deductible

What is an Insurance Deductible?

Understanding the concept of deductibles is crucial for making informed choices about your insurance plan and effectively managing your overall costs.

 

2024-06-18

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8 minutes read

Deductible is the amount you pay before your insurance policy starts to pay. For example, with Rs.30,000 deductible, you pay the first Rs 30,000 of covered services. Insurer will only cover the claim amount if it is more than the deductible amount. Insured will reject any claim below the insurance deductible.

In other words, deductible refers to the amount of insured loss that you have to retain. Generally, more the deductibles involved in a policy, the lesser will be the premiums that you need to pay.

Key Takeaways

  • A deductible is the amount you have to pay from your pocket before receiving the insurance coverage. 

  • Deductibles are common in health insurance, car insurance, property insurance, and marine insurance but are not typically found in life insurance policies. 

  • Your insurer only pays the amount that exceeds your deductible.

  • Deductibles help reduce moral hazard, ensuring you take the necessary precautions and don’t act recklessly, knowing that your insurer covers you financially. 

  • It is essential to know the difference between compulsory and voluntary deductibles to make the right decision. 

How Do Insurance Deductibles Work?

A deductible is the amount you pay out-of-pocket for healthcare services before your insurance starts covering any of your medical costs. It’s important to note that the deductible insurance is different from your premium, which is the amount you pay regularly to keep your insurance active.

Let’s gain some clarity on this with the help of an example. 

You have a health insurance policy with a coverage of ₹15,00,000 and a deductible of ₹50,000. If you file a claim for ₹5,00,000, you will first need to pay the ₹50,000 deductible. After that, your insurance will cover the remaining ₹4,50,000, i.e., ₹5,00,000 – ₹50,000.

So, if you are wondering, "What is deductible in insurance? It’s just like your share of the bill before the insurer picks up the tab!

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Insurance Policies that may Include Deductible

Deductibles apply to the defined contribution insurance plans and not defined benefit insurance plans like life insurance policies. The following policies may include deductibles:

  1. Health Insurance
  2. Car insurance
  3. Property Insurance
  4. Marine Insurance
     

Why Do these Policies have Deductibles?

Insurance is built based on 7 principles. One of the principles is loss avoidance and minimization. This principle governs that the insured must take all the necessary precautions and try to avoid or minimize the loss.

But the risk involved here is that some people might behave carelessly knowing that they have insurance. To remove this moral hazard deductibles are used. Since, the policyholder will also be responsible to bear part of the costs, he may not be as reckless and will try to avoid the loss.

Also, if the insurance is specifically designed to meet huge expenses, losses. Without deductibles, they will be put in a position to cover everything. Deductibles provide a safety cushion for companies since they only have to pay when the amount exceeds the deductibles.

What is Deductible in Health Insurance?

Deductible in health insurance is the limit of incurred expense after which the insurer will start accepting the claims. Deductible ensures that the insurer can avoid minor and frequent claims. This is also to cover against the moral hazard of using insurance indiscriminately.

For example, if you have a health cover of Rs 5 lakh with a deductible of Rs 5000, the insurer will accept the claims if they are above this amount.

Thus, if you spent Rs 10,000 on a covered medical treatment, you will pay Rs 5000 and the insurer will pay Rs 5000. But if you spent only Rs 4999, or even Rs 5000, you will bear the entire amount.

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Did You Know?

A higher deductible can save you money on premiums, but it's important to balance it with your ability to pay out-of-pocket. 

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Types of Insurance Deductibles

There are different types of deductible insurance, and it's important to have a clear understanding of each one:

  1. Compulsory Deductibles: As the name implies, a compulsory deductible is a fixed amount set by your insurer that you must pay when settling a claim. This deductible is non-negotiable, meaning it cannot be changed or removed. Once you pay the compulsory deductible, your insurer will cover the remaining claim amount, so you don’t have to worry about additional costs beyond that.

  2. Voluntary Deductibles: A voluntary deductible is an amount you choose to pay out-of-pocket. By choosing a higher deductible, you can lower your insurance premiums. Since you're agreeing to pay more upfront in the event of a claim, some insurers may offer you a discount on your premium as a reward.

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How to Choose the Right Deductible for Your Insurance?

Choosing the right deductible insurance is an important decision, as it can impact your finances.

Here’s how you can do it: 

  1. Age:- Consider your age. For instance, if you are in your 20s or early 30s, you are likely in your healthiest years. Opting for higher deductibles can be advantageous for you. This is because, during your healthy years, you are less prone to diseases, which lowers your chances of filing claims. Remember, higher deductibles often result in lower premiums.

  2. Medical History:- If you have a medical history of chronic diseases, then a plan with higher deductibles can increase your financial stress. In such a case, you must opt for a lower deductible; this will help you avoid high upfront costs. 

  3. Genetics:- If your family has a history of chronic or long-term health conditions, you might be more likely to encounter similar health challenges. In this case, selecting a lower deductible can be a prudent decision. It reduces the financial strain, allowing you to access your insurance benefits more quickly without having to pay a large amount out-of-pocket first. 

Conclusion

Selecting a reliable insurance company is just the first step; you also need to choose the right health insurance plan with an appropriate deductible amount to prevent any additional financial burden. To make an informed choice, carefully evaluate your health, financial circumstances, and potential future medical needs. Aim to strike a balance between affordability and adequate coverage. 

Disclaimer - This article is issued in the general public interest and meant for general information purposes only. The views expressed in this blog are solely those of the writer and do not necessarily reflect the official policy or position of Canara HSBC Life Insurance Company Limited or any affiliated entity. We make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability, or availability with respect to the blog or the information, products, services, or related graphics contained in the blog for any purpose. Any reliance you place on such information is therefore strictly at your own risk. You should consult with a qualified professional regarding your specific circumstances before taking any action based on the content provided herein.

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