Learning about Health Insurance Deductibles and How It Works

health insurance

The deductible on your health insurance policy is the out-of-pocket amount you must meet before your policy begins to pay for any medical care. Health insurance deductibles are typically a percentage of annual premiums but can be significantly higher or lower than the national average. In the United States, medical costs are often split between the insured person and their health insurance provider via deductibles.

The amount of your deductible is proportional to your monthly payment. The monthly cost of a health insurance policy is known as the "premium." Your continued insurance coverage is contingent upon this payment being made. Insurance deductibles tend to go down as monthly premiums go up, and vice versa.

For the record:

  • A health insurance deductible is the amount of money a policyholder must pay before the insurance begins to cover medical expenses.

  • Health insurance deductibles can be kept to a minimum by paying a larger premium each month.

  • The typical deductible is different for each plan.

Learning How Health Insurance Deductibles Work

To illustrate how health insurance deductibles work, consider the following example.

A monthly payment of $400 is made toward your health insurance premium. If something were to happen, you would be fully protected. A car accident occurs, unfortunately. You get transported by ambulance to the emergency room, where doctors fix your shattered bones, stop the bleeding, and treat your whiplash.

There will be a $20,000 bill for your hospital stay. It's important to note that your deductible is $3,000. Instead of forking over the full $20,000, you'll only have to shell out $3,000. The remaining costs are covered by your insurance policy.

To keep your health insurance premium at a manageable $250 a month, you'll need to pay $2,000 out of pocket if you're involved in an accident. With a premium of $300 every year, you'd have to shell out a total of $4,000. Of course, you must remember that these are made-up numbers to illustrate a point, and your situation may vary by the end.

The Typical Deductible for a Health Insurance

In 2020, the average American health insurance deductible for an individual was $4,364, while the average deductible for a family would be $8,439.

Health insurance plans with deductibles of at least $1,400 for an individual and $2,800 for a family are regarded to be "high deductible health plans" (HDHP).

Choosing a higher deductible allows you to put away money tax-free, which can be used to offset the out-of-pocket costs of future medical care.

Contributions to a health savings account (HSA) are tax deductible, withdrawals for qualified medical costs are tax-free, and the account grows tax deferred. However, you'll need to spend $1,3500 or more on an individual policy, or $2,700 or more on a family policy, to qualify for an HDHP.

What Is the Significance of Health Insurance Deductibles?

Insurance firms can reduce their exposure to financial loss by instituting deductibles as a condition of policy coverage. Companies can also offer policyholders the option of paying less each month by using this method.

Conclusion

You should give careful consideration to the total deductible while selecting the finest health insurance policy that is right for you. Your insurance plan and the cost of your monthly premiums will determine your annual deductible. A high deductible health insurance plan can be worthwhile if you are healthy and expect to have little medical expenses. However, those who expect more expensive medical bills may prefer a higher premium in exchange for a lower deductible. You may make a more informed choice by weighing the costs against the medical care you or your family may need.

If you are looking for a great source of individual health insurance plans in Georgia, look no further than our offers here at Brand and Britt Insurance. We are an independent insurance agency offering auto, car, home, life, business, and employee benefits insurance. Call us today and let us discuss your insurance options