How Do Insurance Deductibles Work?
Insurance deductibles are the amounts you must pay before your insurance kicks in. Higher deductibles reduce the total cost of the policy.
You never want to have to file an insurance claim, but if you do, you'll be reimbursed for every dollar you spent, right?
No, not quite.
Before your insurance company pays you, it will deduct your insurance deductible, which means that some money will likely come out of your pocket.
However, there are ways to save money if you understand how insurance deductibles work. Here's what you should know.
What is an insurance deductible?
When you file a claim, your insurance deductible is the amount you must pay before your insurance company will pay.
Insurance deductible amounts are typically specified in one of two ways in your policy:
- As a specific monetary value.
- As a percentage of the total insurance amount of the policy.
These deductibles are applied differently by different types of insurance. For example, with homeowners and auto insurance policies, you will pay a separate deductible for each individual claim. In the case of health insurance, however, a single deductible covers all claims within a calendar year.
Regardless of how the deductible is applied, once you reach your deductible, your insurance will begin to contribute.
Choosing your insurance deductible
Most policies allow you to adjust your deductible, making it a valuable money-saving tool. For example, if you carry a higher deductible, your overall premium will be lower because you are taking on more risk.
If you do not file a claim, you may end up saving money each month. If you do need to file a claim, you may incur significant out-of-pocket expenses. As a result, it's critical to select a deductible that you know you can afford.
Deductibles are an unavoidable component of almost all types of insurance. There are no-deductible policies available, but they typically have very high premiums.
Although there are some exceptions, such as auto liability coverage, most situations will require you to pay a deductible before your insurance company will cover the rest.
Health insurance deductible
The deductible on your health insurance is the amount you pay for covered services before your plan begins to pay.
It is critical to remember that meeting your annual deductible does not always mean the end of your out-of-pocket expenses. You are still responsible for any required copayments or coinsurance on covered services under your health insurance. Most plans, however, have an out-of-pocket limit that limits how much you have to pay for medical expenses before they are fully covered.
Individual family members often have separate, smaller deductibles, while the entire family has a larger, combined deductible. Insurance begins to pay for covered claims under these plans in the following scenarios:
- A person meets his or her own deductible. In this case, only that individual's expenses are covered.
- The entire family's expenses exceed the family deductible. At this point, everyone in the family is fully covered, regardless of whether their individual deductibles have been met.
Car insurance deductible
Only certain aspects of your auto insurance have a deductible. Liability car insurance, for example, does not require a deductible; however, liability coverage only pays for damage you cause to others, not damage to you or your car. Other coverages, depending on your state, may also be available without a deductible.
When you file a claim, your insurer will calculate the covered amount, deduct your deductible, and pay the difference. The same procedure is followed for each new claim, so you must pay the deductible each time.
Each type of coverage, such as comprehensive or collision insurance, has its own deductible. Your monthly premium will be lower if you choose a higher deductible.
Some insurers provide a "disappearing" or "vanishing" car insurance deductible program, which reduces your deductible by a predetermined amount each year you do not file a claim.
Homeowners insurance deductible
When it comes to homeowners insurance, the stakes can be very high depending on the deductible you choose.
Deductibles for homeowners insurance can be expressed as a dollar amount or as a percentage. Your deductible is applied to each individual claim and deducted from the amount paid by the insurance company. Homeowners insurance deductibles typically range from $500 to $2,000. A higher deductible will lower your monthly premium, but you will pay more out of pocket if you need to file a claim.
Percentage deductibles operate in a slightly different manner. Rather than paying a flat fee, you agree to pay a percentage of your home's insured value for each claim, typically around 2%. There are a few things you should know about percentage deductibles:
- Even if the rest of your policy has a monetary deductible, they are frequently required for natural disasters such as hurricanes, wind, hail, and earthquakes.
- Even a small percentage can add up to a significant cost. Assume your home is insured for $300,000 with a 5% deductible for hurricanes. If it is damaged in a hurricane, you could be liable for up to $15,000 before your insurance company begins to pay.
- Your deductible rises in tandem with the insured value of your home. Using the same example as before, if an addition or renovation raises the insured value of the home to $325,000 while maintaining the same 5% deductible, you'd now have to pay $16,250 before insurance kicks in.
Before deciding on a fixed dollar amount or a percentage deductible, make sure you can afford to pay the deductible if you have a claim.
Depending on where you live, you may be required to buy flood insurance in addition to your homeowners insurance. Paying a higher premium can help you save money on your flood insurance deductible, but it's not without risk.
Flood insurance policies cover the physical structure and its contents separately, so if both the physical structure and its contents were damaged by the same flood, you'd have to pay deductibles for both claims.
Renters insurance deductible
Renters insurance deductibles are always flat dollar amounts because your policy only covers you and your belongings, not the physical structure of the building. There is no deductible in certain situations, such as specific valuable items you've added to your policy or liability claims against you.
Renters insurance quotes are typically lower than homeowners insurance quotes, resulting in lower monthly premiums; therefore, increasing your deductible may not have the same impact on your overall savings as it does with other coverages.
Life insurance deductible
This one is straightforward: There are no deductibles in life insurance policies. When someone's policy has a "claim" (that is, the insured person dies), the life insurance beneficiary receives the full benefits with no deductible.
Other types of insurance deductibles
Cell phone insurance deductible
T-Mobile, AT&T, and Verizon all offer cell phone insurance plans that include a deductible for each eligible claim. The insurance is provided by a third party, and you can purchase it directly from the provider rather than through your carrier if you prefer.
The deductible can be $249 or more depending on the provider you choose and the type of phone you have.
Long-term care insurance deductible
Although long-term care insurance does not have a deductible, it does have a "elimination period" that functions similarly to a deductible. The elimination period requires the policyholder to pay for care for a set period of time, such as 90 days, before the policy starts paying out.
Pet insurance deductible
Annual deductibles on pet insurance policies typically range from $0 to $1,000 or more. Carrying a very low (or no) deductible, as with other types of insurance, will result in higher premiums.
Some insurers have deductibles that are based on a pet's ongoing condition rather than the coverage year, so once you reach the deductible for the condition, it does not reset regardless of the year you make a claim.
Travel insurance deductible
Travel insurance is frequently sold as a package that covers a variety of scenarios, such as trip cancellation, baggage loss, and emergency medical treatment. Deductibles can vary significantly.
Increasing your travel insurance deductible, as with other types of insurance, will lower the overall cost of the policy.