What is Deductibles in Insurance, It's Meaning, Types & Working Explained
What is an Insurance Deductible?
An insurance deductible is an amount the policyholder will have to shell out from his pocket for repairs in the event of loss or damage. Only after this will the insurance policy come into play. The insurer will pay for the losses per the policy's pre-defined limits.
Deductible, in other words, is the policyholder's share in the claim amount. It is amongst one of the conditions of acceptance of the insurance contract.
Say you get your office building, equipment, and other fixtures covered. The insurer clarifies that a claim up to Rs.1 lac will have 1% of the claim amount or Rs.10,000 (whichever is higher) applied as a deductible. A fire occurred, and a loss of Rs.750
How does Insurance Deductible Work?
An insurance deductible is to support you when a huge loss occurs that is beyond the capacity of your pocket. There is a limit to expenses that we can bear in our daily lives. The same goes for asset insurance.
You have a car worth Rs.10 lakhs and buy insurance. The insurance premium is Rs.55000/-, and the mentioned deductible is Rs.15,000/-. Now, you agree that you can bear any claim to Rs.15,000. But beyond this, you need the support of an insurer to take care of expenses above this amount.
Here, Rs.15,000 is the deductible that you, as the policyholder, can afford. This also means that up to this amount, you can self-insure the risk.
Presume that your car gets a bang-on in the extremes of the traffic. There is no way you could manage a saviour which rips off the car's bumper and the rear camera. The total loss, including the bumper and the camera, costs Rs.40,000/-. As per the condition of the insurance contract, the first Rs.15,000 will be managed by you. But the remaining Rs.25,000 will be paid by the insurer.
What is the Purpose of Deductible in Insurance?
There are several purposes of a deductible in insurance, and some of them are mentioned in the following section
The deductibles allow policyholders to share healthcare expenses with their insurance companies.
Sometimes, policyholders make fraudulent claims that result in a huge loss for the company. In these cases, the deductibles can protect the company by preventing the loss.
Sometimes, policyholders take advantage of their policies and make small claims that are non-beneficial for the company. Hence, companies introduced deductibles to stop policyholders from making small, unnecessary claims.
Types of Deductibles in Insurance
The various types of deductibles in insurance are mentioned in the following section:
What Happens When the Claim Amount is Less than the Deductible?
If the claim amount is less than the deductible mentioned in the policy, then the claim will not be admissible. This implies that the insurer's role will not be involved when the claim amount is less than the deductible.
Another angle to the substance is that you should be aware of your policy and deductible, indicating the money you will have to bear at the time of claim.
It is good to understand factors like age, susceptibility to damage, history, and the present condition of the asset for which you're getting insurance.
Presume your vehicle, which you bought 10 years ago, is no longer in good condition. The car is old and not that fuel efficient now. Despite no fault, you have asked for the claim in recent years. In such a situation, even after 10 years, the possibility of a claim may be high or low. You must think of the deductible when you get the insurance when the vehicle's value reduces.
With time, the insured value of the vehicle also depreciates but the repairs of parts like bumper will attract price as per the latest installations. This will force you to spend the same amount for repair even when the value and premium have reduced over time.
Deductibles in Health Insurance
The health insurance sector has deductibles that depend on the policy’s terms and regulations. They help insurance companies reduce small claims and prevent fraud. However, there are two types of deductibles in health insurance:
Deductibles in Car Insurance
Deductible in Property Insurance
Deductibles in property insurance are the amount that you, as an owner (whose name is under the policy), pay towards the policy’s claim before the insurance provider pays its part.
Depending on the type of property insurance the policyholder has bought, there are various types of deductibles seen, and they are:
Percentage Deductible: In this case, the deductible is a specific percentage of the total value of the insured property mentioned in the claim.
Flat Deductible: This is a fixed amount that has to be paid no matter how much loss you have suffered. After this value is paid, the insurance company takes over.
Time-Based Deductible: This does not include monetary compensation. The deductible amount is measured in time, which is generally a waiting period before coverage starts.
Split Deductible: The split deductible is a balanced combination of flat and percentage deductible.
Difference Between Compulsory Deductibles and Voluntary Deductibles
Taking a deeper insight into how deductibles play can help manage finances in times of emergencies.
Deductibles in insurance are vital to insurance companies' operations, helping them avoid problems and fraudulent activities. However, customers should be aware of deductibles and their advantages so they have no problem using them when required.
FAQs about Deductibles in Insurance
What is the meaning of deductibles in insurance?
Deductibles in insurance refer to the money that the policyholder has to pay before the insurance company covers the rest of the expenses.
What is the deductible in an insurance example?
Suppose you have a health insurance deductible of ₹20,000 and your medical expenses total ₹1 Lakhs. Then you need to pay the ₹20,000 at first.
What does deductible mean in cargo insurance?
Deductibles in cargo insurance policies refer to the sum of money the insured person has to pay from their savings before the insurance company starts covering up for their losses.
What is the difference between deductible and excess in insurance?
People often need clarification on excess and deductibles. Hence, the excess is the sum the insured has to pay once the deductible is maxed out.
How does deductible work for health insurance?
The deductible for health insurance is the amount that the policy owner pays before the insurance company covers the rest of the expenses.
How does deductible work for car insurance?
The deductible in car insurance refers to the out-of-pocket money that the insured pays before the insurance company covers the claim.
How does deductible work for home insurance?
In the case of home insurance, a deductible is the amount of money that the homeowner must pay before the policy kicks in.
What is the difference between deductible and coinsurance?
A deductible is the amount of money that the insured pays for coverage services, while coinsurance is a percentage of the total healthcare expenses after the deductible has been paid off.
What is the difference between deductible and copay?
The deductible is a fixed amount of money that a policyholder needs to pay at the beginning of each year to cover certain services, while the copay is the fixed amount that a policyholder pays for certain covered services whenever they receive them.
What is the difference between deductible and out-of-pocket?
The deductible refers to the sum of money that the policyholder pays before the insurance company steps in, while the out-of-pocket is the maximum amount that a policyholder pays, including coinsurance, copayments, and deductible payments.
What is the difference between premium and deductible?
The difference between a premium and deductible is that the policyholder pays a premium to receive the benefits of a particular insurance. In contrast, the deductible is the amount of money you need to pay before the insurance company covers your expenses.