Understanding your insurance deductibles | III (2024)

Deductibles have been an essential part of the insurance contract for many years. Understanding the role deductibles play when insuring a vehicle or home is integral to getting the most out of your insurance policy.

Deductible defined

A deductible is the amount of money that you are responsible for paying toward an insured loss. When a disaster strikes your home or you have a car accident, the deductible is subtracted, or "deducted," from what your insurance pays toward a claim. Deductibles are how risk is shared between you, the policyholder, and your insurer.

Generally speaking, the larger the deductible, the less you pay in premiums for an insurance policy. A deductible can be either a specific dollar amount or a percentage of the total amount of insurance on a policy. The amount is established by the terms of your coverage and can be found on the declarations (or front) page of standard homeowners, condo owners, renters, and auto insurance policies.

State insurance regulations strictly dictate the way deductibles are incorporated into the policy's language and how deductibles are implemented. These laws can vary from state to state.

How deductibles work

A specific amount would be subtracted from your claim payment if you have a dollar amount deductible. For example, if your policy states a $500 deductible, and your insurer has determined that you have an insured loss worth $10,000, you would receive a claims check for $9,500.

Percentage deductibles generally only apply to homeowners policies and are calculated based on a percentage of the home’s insured value. Therefore, if your house is insured for $100,000 and your insurance policy has a 2 percent deductible, $2,000 would be deducted from any claim payment. In the event of the $10,000 insurance loss, you would be paid $8,000. For a $25,000 loss, your claim check would be $23,000.

Note that withauto insuranceor ahomeowners policy, the deductible applies each time you file a claim. There are exceptions to this practice in Florida and Louisiana, where hurricane deductibles are applied once per season rather than for each storm.

Deductibles generally apply to property damage, not to the liability portion of homeowners or auto insurance policies. For example, with a homeowners policy, a deductible would apply toproperty damaged in a rogue outdoor grill fire; however, there would be no deductible against the policy's liability portion if a burned guest made a medical claim or sued.

Raising your deductible can save money

One way to save money on a homeowners or auto insurance policy is to raise the deductible. Therefore, if you're shopping for insurance, ask about the options for deductibles when comparing policies.

Increasing your auto insurance's dollar deductible from $200 to $500 can reduce optional collision and comprehensive coverage premium costs. Going to a $1,000 deductible may save you even more. Most homeowners and renters insurers offer a minimum $500 or $1,000 deductible, and raising the deductible to more than $1,000 can save on the cost of the policy.

Of course, remember that you'll be responsible for the deductible in the event of loss, so make sure that you're comfortable with the amount.

Homeowners disaster deductibles

Standard homeowners insurance covers wind and hail damage from storms and hurricanes. Flood and earthquake policies are purchased separately. But each of these disasters has its own deductible rules. If you live in an area with a high risk for one of these natural disasters, understand how much deductible you will need to pay if a catastrophe strikes.

Start here, check your policies and speak to your insurance professional to learn exactly how your deductibles work.

  • Hurricane deductibles.In hurricane-prone states, special deductibles may apply for homeowners insurance claims when the cause of damage is attributable to a hurricane. Whether a hurricane deductible applies to a claim depends on the specific "trigger" selected by the insurance company. These triggers vary by state and insurer and usually apply when the National Weather Service (NWS) officially names a tropical storm, declares a hurricane watch or warning, or defines a hurricane's intensity in terms of wind speed. Hurricane deductibles are generally higher than other homeowners' policy deductibles and usually take the form of a percentage of the policy limits. In some states, policyholders can choose to pay a higher premium in return for a traditional dollar deductible; however, in high-risk coastal areas, insurers may make the percentage deductible mandatory.
  • Wind/hail deductibleswork in a similar way to hurricane deductibles and are most common in places that typically experience severe windstorms and hail. These include Midwestern states (like Ohio) and around Tornado Alley (including Texas, Oklahoma, Kansas, and Nebraska). Wind/hail deductibles are most commonly paid in percentages, typically from 1 percent to 5 percent.
  • Flood insurance offers a range of deductibles.If you have—or are considering buying—flood insurance, make sure you understand your deductible.Flood insurancedeductibles vary by state and insurance company and are available in dollar amounts or percentages. Also, you can choose one deductible for your home's structure and another for the contents of your home. Note that your mortgage company may require that your flood insurance deductible under a certain amount to help ensure you will be able to pay it).
  • Earthquake insurancehas percentage deductiblesthat range from 2 percent to 20 percent of the replacement value of your home, depending on location. Insurers in states with a higher than average risk of earthquakes (such as Washington, Nevada, and Utah) often set minimum deductibles at around 10 percent. In California, the basic California Earthquake Authority (CEA) policy includes a deductible that is 15 percent of the replacement cost of the main home structure and starting at 10 percent for additional coverages (such as on a garage or other outbuildings).

Next steps:Steps to take in the event of a homeowners claim.

Understanding your insurance deductibles | III (2024)

FAQs

How do you understand insurance deductible? ›

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.

Is it better to have a $500 deductible or $1000? ›

If you're more likely to get into an accident, you won't want to pay out a higher deductible. However, if you're generally a safer driver, your car insurance premiums will be lower with a $1,000 deductible.

What is the best explanation for a deductible? ›

A deductible is an amount that you have to pay for health care costs before your insurance will begin to help you pay for services in a calendar year. Deductibles renew each calendar year. A copay is a fee that you pay for each doctor visit or each time you fill a prescription.

What should my insurance deductible be? ›

Before you choose a deductible, most insurance professionals recommend you figure out what you can afford to pay if your car is damaged in an accident. If your budget allows for a maximum out-of-pocket expense of $500, you probably should not choose a deductible higher than $500.

Is it better to have a higher or lower deductible? ›

If you are generally healthy and don't have pre-existing conditions, a plan with a higher deductible might be a better choice for you. Your monthly premium is lower since you're only visiting the doctor for annual checkups, and you're not in need of frequent health care services.

Do copays count towards deductible? ›

You pay a copay at the time of service. Copays do not count toward your deductible. This means that once you reach your deductible, you will still have copays. Your copays end only when you have reached your out-of-pocket maximum.

What is too high of a deductible? ›

The deductible is separate from the monthly premiums. For individuals, a health plan can qualify as high deductible if the deductible is at least $1,350, and the max out-of-pocket cost (the most you'd pay in a year for medical expenses, with insurance covering everything else) is at least $6,750.

What is a good comprehensive deductible? ›

Comprehensive coverage: Deductibles for comprehensive coverage, which covers damage to the vehicle from a non-driving peril, like extreme weather, theft and vandalism, are typically set at $500 or $1,000. Collision coverage: Drivers can typically choose to pay $500 or $1,000 as their collision deductible.

What is the disadvantage of having a higher deductible? ›

The main drawback to choosing an HDHP is having potentially high out-of-pocket expenses when you receive covered services during the year.

What is an insurance deductible foolproof? ›

A health insurance deductible is the amount you must pay annually before your insurance company starts to pay for the costs of medical services and sometimes prescriptions. For example, if your plan had a $3,000 deductible, you'd have to pay the first $3,000 for healthcare before your insurer would begin to pay.

What goes towards your deductible? ›

What costs count toward a deductible?
Costs that typically count toward deductible2Costs that don't count
Bills for hospitalizationCopays (typically)
SurgeryPremiums
Lab testsAny costs not covered by your plan
MRIs and CAT scans
3 more rows

Does insurance cover anything before the deductible? ›

Many plans pay for certain services, like a checkup or disease management programs, before you've met your deductible. Check your plan details. All Marketplace health plans pay the full cost of certain preventive benefits even before you meet your deductible.

Why do I have to pay deductible when it's not my fault? ›

This is called subrogation. Your insurance company will pursue the at-fault driver's insurance company to recover the money paid for the damages, including your deductible.

Do you have to pay deductible if not your fault? ›

When you're not at fault for a car accident, claims typically fall under the Direct Compensation Property Damage (DCPD) coverage on your insurance policy. Often DCPD coverage has a $0 deductible.

What's a normal health insurance deductible? ›

The amount of your deductible can affect your health insurance premiums and out-of-pocket costs. The average deductible for a single person in an employer health insurance plan is $1,735.

What does 80% of deductible mean? ›

You have an “80/20” plan. That means your insurance company pays for 80 percent of your costs after you've met your deductible. You pay for 20 percent. Coinsurance is different and separate from any copayment. Copayment (or "copay")

What does a $500 deductible mean on car insurance? ›

A car insurance deductible is what you have to pay out of pocket to cover damages from an accident before the insurance company covers anything. For example, if you have a $500 deductible, you'll have to pay that $500 out of pocket before your insurer will put a dime toward damages.

Why is deductible more than out-of-pocket? ›

An out-of-pocket maximum is higher than a health insurance deductible because it's the most you'll pay for in-network healthcare services in a year. A deductible is your portion of healthcare costs before a health insurance company kicks in money for care.

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