Deductible
The amount you must pay out-of-pocket before insurance coverage kicks in.
What You Need to Know
A deductible is your share of costs before insurance helps. Choosing the right deductible is a balancing act between monthly premiums and potential out-of-pocket expenses.
How Deductibles Work:
Example: $2,000 Health Insurance Deductible
- Doctor visit ($150): You pay $150 (building toward deductible)
- ER visit ($3,000): You pay first $2,000, insurance pays remaining $1,000
- After you've paid $2,000 total this year, insurance covers future costs (minus copays/coinsurance)
Common Deductible Types:
1. Health Insurance:
- Individual: $1,500-$7,000
- Family: $3,000-$14,000
- High-deductible health plans (HDHP) qualify for HSAs
2. Auto Insurance:
- Collision: $500-$2,000 (damage to your car)
- Comprehensive: $250-$1,000 (theft, weather, vandalism)
3. Homeowners Insurance:
- Standard: $500-$2,500
- Hurricane/wind: Often 2-5% of home value
The Premium Trade-Off:
High Deductible ($2,000):
- ✅ Lower monthly premium (save $100-200/month)
- ❌ Higher risk if you get sick/injured
- Best for: Healthy people with emergency savings
Low Deductible ($500):
- ✅ Less out-of-pocket when you need care
- ❌ Higher monthly premium ($200+ more/month)
- Best for: Chronic conditions, frequent healthcare use
The Math:
High deductible saves $1,500/year in premiums but risks $1,500 more in costs. Break-even: If you expect 1+ major medical event, low deductible wins. If healthy, high deductible + HSA is smarter.
Pro Strategy: High deductible + save the premium difference in an emergency fund = best of both worlds.
Sources & References
This information is sourced from authoritative government and academic institutions:
- healthcare.gov
https://www.healthcare.gov/glossary/deductible/
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