What is Health Insurance Deductible?


What is Health Insurance Deductible?

5 Important Things You Should Know About Health Insurance Deductible

The purpose behind opting for health insurance is to mitigate the financial risk and secure future from any kind of medical emergency. Health insurance is a vast ocean of terminologies, inclusions, exclusions, terms, and conditions. It is obvious that you are not aware of all of them. But, it is equally important to know about the basics components of insurance so that you are in a win-win situation. A deductible is one of the insurance jargons that often confuse people. Although in simple words it is a limit that has been set by the health insurance provider. It is the part of the claim amount that you as a policyholder have to bear for your treatment before you get the claim settlement from the insurer. You have to pay for it every time you ask for the claim. The main purpose of deductibles in health insurance is to lessen the chances of unnecessary claims. In this article, we walk you through some important things about the deductible.

What is the need for Deductible?

A deductible is a pre-defined amount that you have to pay to the hospital before the insurer pays you the claim amount. It is needed because of the following reasons:

  • It safeguards the interests of the insurance provider against unreasonable and unnecessary claims.
  • It discourages policyholders to spend on healthcare luxuries.
  • It gives a sense of responsibility amongst policyholders to use their policy on for genuine emergency.
  • It reduces the chances of fraudulent claims.

What are the Types of Deductibles?

In the health insurance sector, the deductible is an important factor see what types of deductible you can opt:

Compulsory Deductible:

These deductibles are compulsory and governed by the health insurance providers and vary from one to another. It is a fixed amount that insured as to pay on every claim before the health insurance company settles your claim.

Comprehensive Deductible:

It is a single deductible that is applicable for all the covers you add in your insurance policy. It keeps on adding until you have paid the total amount of your policy.

Non-Comprehensive Deductible:

It is applicable only to some specific cover under your health insurance policy. You need to pay only it before you get the claim in order to meet certain medical treatment expenses and not for all the expenses.

Voluntary Deductible:

It is optional and voluntary for the insured in order to reduce the insurance premium.

>>Check: How Health Insurance is Used as an investment?

5 Important Things You Should Know About Health Insurance Deductible

Consider deductible as an important factor, there are things you should know about health insurance deductible while choosing a health insurance plan for yourself or for your family members. Look!

  1. Do not go for a higher deductible, the lesser the deductible limit the better it is for the policyholder.
  1. A deductible is a fixed amount that has to be mentioned in an insurance policy.
  1. The amount of deductible may vary from one insurance provider to another.
  1. It is calculated based on your insurance coverage, your income, Sum Insured, etc.
  1. If you have paid deductible for the year in one go, then you have to pay it next year.


Therefore, when it comes to shopping for health insurance, you have to look beyond just its coverage. The conventional sense is that higher deductibles work well if you are blessed with good health or an individual. However, if you are not in good health or have a family then you should prefer lower deductibles to avoid rude shocks. So, it’s hard to opt for a health insurance plan without a deductible. Yet you can check health care policies offered by Care with a moderate deductible that give you maximum coverage and affordable costs.


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