Deductible (health insurance)
A set rupee amount of covered bills that the health insurer will not pay, before the policy starts paying.
A deductible is the first slice of covered bills a health policy leaves to you or to another policy. It is the engine behind top-up and super top-up cover. See how it plays out in rupees in super top-up vs top-up health insurance.
Questions people ask
What is a deductible in health insurance?
It is a specified rupee amount the insurer will not pay, which applies before any benefit is paid. In the standard definition used in policy wordings, a deductible does not reduce the sum insured.
What is the difference between a deductible and a co-pay?
A deductible is a fixed amount you or another policy pay first, before this policy pays anything. A co-pay is a share of each admissible claim you pay yourself, even after the policy starts paying.
Is the deductible per claim or per year?
It depends on the policy. Some apply it to each claim alone. Others apply it to the total of all claims in a policy year. The wording says which.
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