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

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.

How do you understand insurance deductibles? ›

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.

How do I know what goes towards my deductible? ›

In these plans, usually, any money you spend toward medically-necessary care counts toward your health insurance deductible as long as it's a covered benefit of your health plan and you followed your health plan's rules regarding referrals, prior authorization, and using an in-network provider if required.

What is a good deductible amount? ›

What's the average car insurance deductible? There aren't any hard statistics on this, but industry sources say a $500 deductible is considered “standard.” There are good reasons to opt for a higher deductible, though…

Is $2500 a high deductible? ›

The benefits of a high-deductible versus a low-deductible medical plan. In 2023, health insurance plans with deductibles over $1,500 for an individual and $3,000 for a family are considered high-deductible plans.

Is 2000 deductible too high? ›

A $2,000 deductible is not bad for car insurance, as long as it's an amount you can afford to pay out of pocket in the event of an accident. If you can afford to pay a high deductible, it will mean cheaper car insurance premiums.

Do copays count towards deductible? ›

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 should my deductible be for full coverage? ›

The average auto insurance deductible is $500, but you could also select amounts like $250, $1,000 or $2,000; this will also affect your policy's premium. Choosing a higher deductible to get a lower premium may seem like an easy way to pay less for car insurance, but it's not always the best decision.

What to do when you meet your deductible? ›

Steps to take after meeting your deductible
  1. Fill your prescriptions. Once you've met your deductible, it's a good idea to fill your prescriptions for the year, if possible. ...
  2. Complete your annual physical. ...
  3. Get in with specialists. ...
  4. Schedule testing, screenings, and lab work,
Jan 24, 2024

How can I hit my deductible fast? ›

How to Meet Your Deductible
  1. Order a 90-day supply of your prescription medicine. Spend a bit of extra money now to meet your deductible and ensure you have enough medication to start the new year off right.
  2. See an out-of-network doctor. ...
  3. Pursue alternative treatment. ...
  4. Get your eyes examined.

What happens if I don't meet my deductible? ›

The insurance company pays the rest. If you haven't paid your deductible yet: you pay the full allowed amount, $100 (or the remaining balance until you have paid your yearly deductible, whichever is less).

Is everything free after deductible? ›

A: Once you've met your deductible, you usually pay only a copay and/or coinsurance for covered services. Coinsurance is when your plan pays a large percentage of the cost of care and you pay the rest. For example, if your coinsurance is 80/20, you'll only pay 20 percent of the costs when you need care.

Do prescriptions count towards the deductible? ›

Prescriptions typically count toward the deductible as long as they are covered under your plan. Your copay for a prescription may count toward the deductible, depending on your plan. Your health insurance agent can help you determine what type of deductible you have and which prescriptions your plan might cover.

Does insurance cover anything before the deductible? ›

Health insurance plans obtained from the marketplace are required to cover the cost of some preventative healthcare services before the deductible has been met. This is true no matter if you're looking at HMO plans or PPO plans. Some of these preventative benefits include: HIV screenings.

What is the most common car insurance deductible? ›

Car insurance deductible fast-facts
  • $500 is the most common car insurance deductible.
  • Not every type of car insurance coverage uses a deductible.
  • A higher car deductible can lower your insurance premium.
  • You pick your deductible when buying insurance.
  • You'll owe your deductible before your coverage kicks in.

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

Key takeaways. Low deductibles are best when an illness or injury requires extensive medical care. High-deductible plans offer more manageable premiums and access to HSAs. HSAs offer a trio of tax benefits and can be a source of retirement income.

Is a $1,000 dollar deductible bad? ›

A $1,000 deductible is better than a $500 deductible if you can afford the increased out-of-pocket cost in the event of an accident, because a higher deductible means you'll pay lower premiums. Choosing an insurance deductible depends on the size of your emergency fund and how much you can afford for monthly premiums.

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 the advantage to having a high deductible say $1000 to $1 5000 over $500 or less? ›

A higher deductible means a reduced cost in your insurance premium. For example, say your policy has a line of $5,000 in coverage. A low deductible of $500 means your insurance company is covering you for $4,500. A higher deductible of $1,000 means your company would then be covering you for only $4,000.

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