What is a deductible?
A deductible is the fixed dollar amount you pay out of pocket on a covered claim before your insurance company begins paying. Higher deductibles lower your premium; lower deductibles raise it.
How a deductible works
When you file a covered claim, you pay the deductible first — the insurer covers the remainder up to your policy limit. For example, if your deductible is $1,000 and a covered loss totals $6,000, you pay $1,000 and your insurer pays the remaining $5,000. The NAIC Glossary of Insurance Terms describes a deductible as the portion of an insured loss paid by the policyholder before the insurer's obligation begins.
Deductible types across policy lines
- Health insurance: You pay the deductible before the plan shares costs. Preventive care is often exempt and covered before the deductible is met.
- Homeowners/renters insurance: A flat dollar deductible applies per claim. Some policies use a *percentage* deductible for perils such as hurricanes — calculated as a percentage of the home's insured value.
- Auto insurance: Collision and comprehensive coverages each carry their own deductible. Liability coverage typically has no deductible.
- High-deductible health plans (HDHPs): The IRS sets annual minimums for a plan to qualify as an HDHP, making it eligible to pair with a Health Savings Account (HSA).
Deductible vs. premium trade-off
There is a direct inverse relationship between deductible and premium: a higher deductible reduces the premium you pay each period, while a lower deductible means higher premiums. The right balance depends on your ability to absorb an out-of-pocket cost at claim time and how frequently you expect to file claims. This is a personal financial decision — no single answer fits all situations.
Key facts on deductibles
- For health plans, the deductible is the amount you pay for covered services before your insurance plan starts to pay its share. — NAIC
- Some homeowners policies use percentage deductibles for named perils (e.g., hurricanes) — a 2% deductible on a $300,000 home is $6,000 before the insurer pays. — NAIC
- The lower the deductible, the higher the policy premium — and vice versa. This trade-off is consistent across health, auto, and property insurance. — NAIC — Glossary of Insurance Terms
Key takeaways
- A deductible is what you pay on a claim before insurance starts paying.
- Higher deductibles = lower premiums; lower deductibles = higher premiums.
- Different policy types (health, auto, home) structure deductibles differently — some flat-dollar, some percentage.
- For health insurance, many preventive services are covered before the deductible is met.
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