Deductible in Health Insurance



What is Deductible?

The total amount that will be deducted from the claim amount in a policy year. Coverage will start once single / multiple claim amounts add up to the deductible amount in that year.

For ex. If 50,000/- is the deductible in the policy, then total claim amount up to 50,000/- will not be payable in that year.

Advantage of Deductible?

Premium will be almost 30-45% lesser.  

Illustration: 

Let’s say a family of Husband (aged 42), wife & 2 children opts for 10 lakhs policy with 50,000/- as deductible.

Annual Premium without deductible: 29,319/- 

Annual premium with deductible: 16,126/- 

Annual Savings in premium: 13,193/-


Illustration for Claim (s) in a year with deductible:

1st Claim: 50,000/-

Not Paid as the amount is within deductible limit. Balance Sum Insured: 10 lakhs.

2nd claim: 1 lakh

Paid as the deductible is already over. Balance Sum Insured: 9 lakhs.

3rd Claim: 40,000/-

Paid as the deductible is already over. Balanced Sum Insured: 8.60 lakhs