What does deductible per occurrence mean?

Asked by: Vergie Koss  |  Last update: June 3, 2025
Score: 5/5 (19 votes)

A per occurrence deductible is like most auto or homeowners insurance you might be familiar with; you pay the $500, and that's the max you'll pay when something happens.

What is an example of a per occurrence deductible?

Common examples of per-occurrence deductibles are auto insurance or homeowners' insurance deductibles. With these types of plans, you often have to pay a full deductible — such as $400 — every time you file a claim with your insurance company.

Is it better to have a $500 deductible or $1000?

Generally speaking, yes, a higher deductible is the better choice long term. Especially if you have a good driving history.

Is a $2500 deductible good home insurance?

I'd go with $2500, personally. High enough to lower the rate, but not excessively high so that you can still easily over the deductible and be protected.

Do you pay 100% until the deductible is met?

Let's say your plan's deductible is $2,600. That means for most services, you'll pay 100 percent of your medical and pharmacy bills until the amount you pay reaches $2,600. After that, you share the cost with your plan by paying coinsurance and copays.

Deductibles, Copay, Coinsurance, and Out-of-Pocket Maximums

30 related questions found

Do you still pay copays if you meet your deductible?

Once a person meets their deductible, they pay coinsurance and copays, which don't count toward the family deductible.

What is the quickest way to meet your deductible?

How to Meet Your Deductible
  1. Order a 90-day supply of your prescription medicine. Spend a bit of extra money now to meet your deductible and ensure you have enough medication to start the new year off right.
  2. See an out-of-network doctor. ...
  3. Pursue alternative treatment. ...
  4. Get your eyes examined.

What is the 80% rule in homeowners insurance?

The 80% rule means that an insurance company will pay the replacement cost of damage to a home as long as the owner has purchased coverage equal to at least 80% of the home's total replacement value.

What is too high of a deductible?

In 2023, health insurance plans with deductibles over $1,500 for an individual and $3,000 for a family are considered high-deductible plans.

What is a disadvantage of having a high deductible?

Cons of High Deductible Healthcare Plans

Individuals who are stretched thin for funds may delay or avoid seeking medical treatment due to the high cost of treatment. For example, someone injured may avoid the emergency room if they know it will result in an expensive bill that will be applied to the plan deductible.

What happens if my repairs cost less than the deductible?

What if my car repair costs less than my deductible? There may be times when your car insurance deductible is more than the cost of the damage to your vehicle. Unfortunately, in these cases, you'll need to pay for all repairs out-of-pocket. This is because insurance only pays for damages that are above your deductible.

Is a credit score check required to get auto insurance?

Most insurers use credit checks to create a credit-based insurance score to help set your rate. Some insurers provide auto insurance with no credit check, which might seem appealing if you have a poor credit history.

How does a per occurrence deductible work?

a per-claim insurance. A per occurrence deductible is like most auto or homeowners insurance you might be familiar with; you pay the $500, and that's the max you'll pay when something happens. But if your deductible is per claim, that means a separate deductible gets applied to every claim filed in a single occurrence.

What is the most common deductible?

Insurers offer a range of deductibles, and you can typically choose the deductible that fits your needs. According to the Insurance Information Institute (III), common deductible amounts for home and auto insurance coverages are $500 and $1,000 — but amounts vary among insurers and policies.

Is per claim or per occurrence better?

Typically for the first five years of coverage, claims made policies tend to be less expensive than occurrence policies. But keep in mind that as your business faces more exposures, your premiums will increase; usually, after five years, the cost of a claims-made policy begins to even out with occurrence policies.

What if I can't afford my deductible?

With regard to healthcare deductibles, always ask if it's possible to negotiate a payment plan. The healthcare provider cannot legally waive the deductible but they can allow you to pay it over time. The challenge comes in when a procedure involves multiple providers, such as with surgery.

Is it cheaper to have health insurance or pay out-of-pocket?

People without insurance pay, on average, twice as much for care. This means when you use a network provider you pay less for the same services than someone who doesn't have coverage – even before you meet your deductible.

Do copays count towards deductible?

No. Copays and coinsurance don't count toward your deductible. Only the amount you pay for health care services (like the medical bill you receive) count toward your plan's deductible.

What is the 50% rule in insurance?

In California's personal injury cases, the concept of 50/50 liability applies when both parties are equally responsible for an accident or incident. This shared responsibility is also referred to as equal fault or shared fault, and it falls under the broader category of comparative fault.

How do you know if you re paying too much homeowners insurance?

One big way to find out if you're being overcharged for your insurance is to look at what your policy covers. Your home insurance coverage will vary based on your location. But, if you have coverage for everything imaginable and there is a very low risk of it happening, this can drive your costs up.

How much should you insure your home for?

Insure your house at 100% of its value, or purchase what is known as replacement or repair cost protection, which, for a fairly nominal fee, increases the payout you would receive for a total loss to your home by as much as 25% of the amount of your home's value as stated in your insurance policy.

Do you pay 100% before deductible?

You pay the coinsurance plus any deductibles you owe. If you've paid your deductible: you pay 20% of $100, or $20. The insurance company pays the rest. If you haven't paid your deductible yet: you pay the full allowed amount, $100 (or the remaining balance until you have paid your yearly deductible, whichever is less).

What is the difference between a PPO and a HMO?

HMOs (health maintenance organizations) are typically cheaper than PPOs, but they tend to have smaller networks. You need to see your primary care physician before getting a referral to a specialist. PPOs (preferred provider organizations) are usually more expensive.

Does insurance pay everything after you meet your deductible?

Once the enrollee's combined deductible, copays, and/or coinsurance reach the plan's out-of-pocket maximum, the member won't have to pay anything else for the rest of the year (for in-network, medically necessary care that's considered an essential health benefit), regardless of whether it would otherwise have required ...