How does Insurance Deductible Work?

Insurance deductible is the amount of coverage that you have to pay out-of-pocket before the insurance company starts picking up the tab. We find insurance deductible mainly in health and car insurance policies.

A deductible is a set amount that varies depending on the health insurance plan you choose. The higher the monthly premium you pay, the lower the deductible will be. Your monthly premium is the price you pay for coverage through an insurance company.

In addition to this, insurance deductibles are based on your age, and most companies will charge a different amount for individuals over Age 18 as opposed to those under 18 years old. The rationale behind this is that younger individuals typically have fewer medical expenses which would require insurance coverage to begin with.

This means that if you’re under 18 and have an auto accident, in most cases they won’t charge you anything until your deductible has reached for that year’s plan period.

How does insurance deductible work?

Health insurance for one year requires a set monthly premium. The insurer may adjust the premium amount at the end of the year if you wish to continue coverage.

Unlike the monthly premium, the annual deductible must be used before any services are covered by the insurance company. Patients with plans that have a $1,000 annual deductible and who need a procedure that costs $3,000 must pay the $1,000 deductible and the insurance company would pay the remaining $2,000 if the plan covers the procedure.

When the deductible is met, your medical costs are covered(less the premiums you pay and any copayments). However, when a new year starts, they reset the deductible clock.

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One more example of how insurance deductible works, you can take a look at the following insurance coverage breakdown:

A self-employed individual, age 45, driving to work has a premium of $883.00 with $2,500.00 deductible (45% of the stated liability limit of $10,000).

The same person self-employed driving to work has a premium of $1,934.00 with $500.00 deductible (35% of the stated liability limit of $10,000).

The same person self-employed driving to work has a premium of $2,563.00 with no deductible (100% coverage).

When it comes to how insurance companies are calculating your deductible amount for different policies and those related costs you must remember that:

  • Insurance companies calculate the insured value based on the policy-owners information (name, address, car model/year, etc.) and the vehicle value.
  • We calculate deductible as a fraction of policy limit.  
  • Deductible is typically higher for individuals under 18 years old.  
  • Insurance companies do not charge you directly for your deductible – they charge it via raising your premium amount each year or by charging a separate deductible fee depending on the type of coverage you have purchased from them (i.e. if you decided to not put a deductible fee into your policy, but instead pay higher premiums – you will still be responsible for paying it later on out-of-pocket).
  • If you’re 25 years old and your plan has an individual deductible of $10,000, this means that you’ll only be charged $3,833 until you meet your plan’s deductible limit for that year.

Insurance deductible and your monthly premiums ratio

Insurance deducible work

Insurance deductible works in the ration that the higher your insurance deductible, typically the lower your monthly premiums will be. So how do you know what’s best for you? That’s something that you need to figure out on a case-by-case basis.

Obviously, the higher the deductible you have, the less your insurance company is paying out-of-pocket so that means they’re making more money. However, a $1000+ dollar deductible can make it difficult to pay for things as they come up. So if you have a $1000+ deductible with your homeowners insurance, how much can you really afford to pay every few months? What about your car insurance? Does it make sense to have a high deductible for that as well?

There are many factors that influence what kind of insurance to buy. It’s important to figure out what works best for you. But also don’t forget that you need to choose an insurance company with a history of paying out-of-pocket when they needed.

Make sure they have a good track record of doing what they say they’re going to do before you buy insurance with them.

For additional information about insurance deductible and how it works, you can watch this video.

The big question is: will the insurance company send your money right back if you stay under your deductible? That’s the real question? Is it better to have higher monthly payments, but have the possibility of making more money when you file your claim?

Or do you want lower monthly payments, but have less cash on hand in case something major happens (that also means less money coming in every month). You also need to well understand about how exactly insurance deductible does work and what future impacts of such deductible will be upon you before buying insurance with a company.

What’s the difference between an expense and an expense tax deduction?

Unlike insurance deductible, an expense tax deduction works somehow differently as it is a type of tax deduction that you can take on your federal income taxes. You can take this on as an itemized deduction, meaning that you can deduct it from your gross income instead of taking a standard deduction.

This is helpful because it’s not necessarily saving money, but it’s giving you money back instead. For example, say your home insurance deductible was $500 and your home was destroyed in a fire.


Final lines,

As you can see, there are many factors that should go into figuring out what insurance is best for you, insurance deductible and your monthly premium ratio and even how insurance deductible works. But just remember if you’re looking to save money via lower monthly payments, your deductible needs to be $1000+ or higher.

Don't forget to look over your credit score and work on improving it yourself. There's no way to improve it for free so you have to do it on your own time and effort. Just remember: taking care of yourself from the inside out is what's going to help you get a good score in the long run, whether it's a FICO score or something else entirely.