What is a health insurance deductible?

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Created on:

12 Dec 2023

Last Updated on:

28 Apr 2025

Mastering Insurance Jargon.

Navigating through the myriad of terminologies related to deductible health insurance can be a daunting task. One such key term to grasp is a health insurance deductible, otherwise referred to as a deductible insurance or medical insurance deductible. Simply put, this is the amount that you, as the policyholder, need to pay towards your healthcare before your insurer such as Zurich Kotak General Insurance kicks in with their contribution.

How does a health insurance deductible work?

In deductible health insurance, the insurer has a preset limit which you, as the insured, are required to meet out of your pocket before they start paying for your healthcare services. For example, if your policy states a deductible of Rs 5000, it implies that you pay Rs 5000 towards your health costs. Once this limit is reached, your insurer will start sharing the healthcare costs according to the agreement set in the insurance policy.

Does every service come with a deductible?

No, not every service falls under deductible insurance. Generally, preventive services, if covered, such as vaccinations and health check-ups are exempted from the medical insurance deductible. These services can be utilized without reaching your deductible limit. Therefore, always understand the policy thoroughly or get help from an expert to help navigate through it.

Can a health insurance deductible affect the policy cost?

Absolutely! The insurance deductible has a direct impact on the cost of the policy. In general, if the insurance deductible is higher, the policy premium tends to be lower. This is because, with a high deductible, you are committing to bear a higher portion of your health costs. Therefore, insurers assume less financial risk, resulting in lower policy costs. Conversely, a low insurance deductible means a higher policy cost as the financial risk for the insurer increases.

Are there variations in the health insurance deductible?

The design of health insurance plans is not one-size-fits-all. Different plans have different types of deductibles. The most common variations include per-person deductibles and family deductibles. Per-person deductibles are those which each person must meet individually in their health insurance policy, while a family deductible is the total amount that a family needs to meet before the insurer starts sharing costs.

Strategies to handle health insurance deductibles

Managing your health insurance deductible requires an understanding of your health situation and financial status. If you seldom fall sick and don't frequently require medical attention, you might consider opting for a policy with a high insurance deductible and consequently, lower premiums.

On the other hand, if you have chronic health issues that require constant medical care, you may want to consider a plan with a lower deductible but a higher premium. This would ensure your insurer such as Zurich Kotak Health insurance starts sharing costs sooner rather than later.

Conclusion

Understanding your insurance deductible health insurance policy is crucial in helping you budget and plan for your healthcare. While it might be overwhelming, a little bit of time spent on understanding insurance jargon, specifically medical insurance deductible, can go a long way in reducing unforeseen financial risks. Always remember to scrutinize the policy before agreeing to its terms, and don't hesitate to seek professional help if needed.

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Team Zurich Kotak GIC

The content of this blog has been created and carefully reviewed by the esteemed team at Zurich Kotak General Insurance, with the sole purpose of providing valuable guidance and sharing insights on the importance of general insurance. Our objective is to assist users in making informed decisions when purchasing or renewing insurance policies for their cars, bikes, and health. Our expertly curated information aims to empower our readers with the knowledge they need to protect their valuable assets and financial interests.

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