homepersonal finance NewsHigh or low deductible health insurance plan, which one should you choose?

High or low deductible health insurance plan, which one should you choose?

A deductible is a percentage of the total sum insured in the health plan that the buyer needs to pay upfront for the treatment before receiving the reimbursement from the insurance company

Profile image

By CNBCTV18.com Jul 6, 2022 12:20:57 PM IST (Published)

Listen to the Article(6 Minutes)
3 Min Read
High or low deductible health insurance plan, which one should you choose?
With the increase in lifestyle diseases, it has become imperative to buy a health insurance plan. However, buying a health plan includes paying a certain amount of premium which can shoot up if the buyer opts for a large sum insured. In order to reduce the premium, the buyer can increase the deductible amount.

Live TV

Loading...

Deductibles are often a source of confusion for a health insurance buyer. However, it is not advisable to buy a health plan without understanding the premium and deductible clauses in the policy. An insurance plan is a balance between the premium and the deductibles. This means, the more a buyer is willing to pay each month on the premium will result in lower deductibles.
What is insurance deductible?
A deductible is a percentage of the total sum insured in the health plan that the buyer needs to pay upfront for the treatment before receiving the reimbursement from the insurance company.
For example, if the buyer has opted for Rs 20,000 as the deductible and the claim amount for treatment is Rs 1 lakh, the insurer is liable to pay Rs 80,000 only. If the claim amount does not exceed the deductible, then the insurer is not liable to pay any amount.
How does it impact premium?
The premium amount paid for a health plan and the deductible are inversely related. If a buyer chooses a higher deductible amount, it would translate into a lower premium amount.
Types of plans
There are two types of deductible options that the buyer can choose from:
  • Low deductible health insurance plan
  • High deductible health insurance plan
  • In no or low deductible plans, the premium amount paid is on the higher side. However, the buyer does not need to pay anything at all or a small amount for the coverage limit.
    In high deductible plans, the policy premium paid is extremely affordable. However, the buyer will have to bear a pre-determined percentage before availing benefits of the health insurance cover.
    Which one should you choose?
    Those who are more likely to get hospitalised for treatment or surgery due to their age or any pre-existing disease should opt for a health insurance cover with a low deductible and a higher premium. Low deductible health insurance plans are also ideal for those who have an infant or are expecting a baby. This plan helps during health emergencies as the buyer will not have to worry about cash and can focus on the treatment.
    Those who are young with good medical record and have no dependents like children or ageing parents can opt for high deductible health plan. This is because these people do not see a chance of getting hospitalised anytime in the future.

    Most Read

    Share Market Live

    View All
    Top GainersTop Losers
    CurrencyCommodities
    CurrencyPriceChange%Change