What Is a Deductible? (And How It Affects Your Health Insurance)

What Is a Deductible? (And How It Affects Your Health Insurance)

April 21, 20251 min read

A deductible is the amount you have to pay out of your own pocket for healthcare services before your health insurance starts paying.

Think of it like this: it’s your share of the cost before your plan starts to help cover bills.

💡 Real-Life Example:

Let’s say your health insurance plan has a $2,000 deductible.

  • You go to the doctor and get tests done. The total bill is $800.
    👉 You pay the full $800 — because you haven’t hit your deductible yet.

  • A few months later, you have another medical visit that costs $1,500.
    👉 You already paid $800, so now you only owe $1,200 more to reach your $2,000 deductible.
     

Once you’ve paid that $2,000 total, your insurance starts sharing the cost — this is where coinsurance or full coverage kicks in, depending on your plan.

 

🧠 Quick Breakdown:

  • ✅ You pay 100% until you meet your deductible. 

  • 🔁 After that, insurance helps pay (like 80% them / 20% you). 

  • 🏥 The deductible resets every year.
     

LAUREN P., Agency Owner

Lauren P.

LAUREN P., Agency Owner

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