Real answers for your healthcare questions

What is a health insurance deductible and when do I pay it?

Answer

A health insurance deductible is the amount you generally pay for certain covered healthcare services before your plan begins sharing more of the cost. Not every service is necessarily subject to the deductible.

What to Know

For example, if your deductible is $2,000, you may pay the negotiated cost of covered services until the applicable deductible is met. Preventive care may be covered before the deductible on many plans, and some plans use copays for certain visits or prescriptions even before the full deductible is reached.

What to Do Next

Check your Summary of Benefits and Coverage to see which services apply to the deductible. When comparing plans, look at the deductible together with the premium, copays, coinsurance, and out of pocket maximum.

Agent Perspectives

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P
Pamela Willis Verified Licensed
Health Insurance BrokerWest Palm Beach, FL

A health insurance deductible is the amount you pay for covered medical services each year before your insurance starts sharing the cost. On ACA compliant plans preventive services such as annual checkups and many screenings are covered at no cost before the deductible is met.

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