Why do I have to pay a deductible if its not my fault?

Asked by: Cayla Okuneva Jr.  |  Last update: August 5, 2025
Score: 4.7/5 (30 votes)

Insurance companies collect deductibles every time they settle a claim, so they don't care who was at fault. You would not be at fault if your car was stolen from a secure facility, but you would still pay a deductible if you filed an insurance claim.

Why do I have to pay deductible when not at fault?

Generally speaking, you owe the deductible whenever you use your own first party coverage to pay for damage to your car. Has nothing to do with fault, except that the at fault driver (and their insurance) may ultimately cover your damages, which includes your deductible.

Who is responsible for paying the deductible?

Simply put, a deductible is the amount of money that the insured person must pay before their insurance policy starts paying for covered expenses.

Why do I have to pay a deductible health insurance?

The deductible is the amount of risk you've accepted to be responsible for when filing a claim through your own insurance. It's to prevent people from repeatedly filing false claims to receive a payout and get ahead financially. Plus it reduces the amount of premium you pay the higher the deductible amount is.

Will insurance pay if deductible is not met?

(For example, if your deductible is $1,000, your plan won't pay anything until you've met your $1,000 deductible for covered health care services subject to the deductible.)

Car Insurance Deductible- Why Do I Have To Pay My Deductible If The Accident Wasn't My Fault?

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Is it illegal to not pay your deductible?

If you do not pay your deductible you are committing a crime. Technically, this is a form of insurance fraud. Most homeowners' insurance policies will have a concealment or fraud section.

Why am I still paying if I met my deductible?

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

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

Remember that filing small claims may affect how much you have to pay for insurance later. Switching from a $500 deductible to a $1,000 deductible can save as much as 20 percent on the cost of your insurance premium payments.

Why do I have to pay a deductible if I pay monthly for insurance?

Deductibles are how risk is shared between you, the policyholder, and your insurer. Generally speaking, the larger the deductible, the less you pay in premiums for an insurance policy. A deductible can be either a specific dollar amount or a percentage of the total amount of insurance on a policy.

What if I can't pay my deductible health insurance?

Your healthcare provider can't waive or discount your deductible because that would violate the rules of your health plan. But they may be willing to allow you to pay the deductible you owe over time. Be honest and explain your situation upfront to your healthcare provider or hospital billing department.

How to avoid paying deductible?

How Can I Avoid Paying a Car Insurance Deductible?
  1. Choose not to file a claim until you have the money.
  2. Check your policy, as you may not have to pay up front.
  3. Work out a deal with your mechanic.
  4. Get a loan.

Should I file a claim with my insurance if I'm not at fault?

Always File a Claim, Regardless of Who Was At-Fault

One of the primary questions we receive from clients who have been in an accident is whether they should report the accident to their own auto insurance carrier, particularly when the accident was not their fault. And the answer to that question is: always.

What if I need surgery but can't afford my deductible?

In cases like this, we recommend contacting your insurance, surgeon, or hospital and asking if they can help you with a payment plan. Remember that your surgery provider wants to get paid so they may be very willing to work with you on a payment plan.

Who pays for the deductible?

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.

Is deductible mandatory?

Depending on your policy, and the types of coverages you have, a deductible may be required. With an auto insurance policy, coverages like comprehensive and collision may require a deductible before said coverages apply in the event of a covered incident.

What does $500 deductible mean in health insurance?

Let's say your deductible is $500. First, you would need to pay $500 in out-of-pocket costs for medical expenses, such as a surgery, hospital stay, or x-ray. Advertisement. Once you've reached $500 within a policy year, your benefits kick in (for the rest of the year).

Do you get your deductible back if you're not at fault?

Yes, if you have to pay your deductible and you were not at fault, you may be able to get it back from the at-fault driver's insurance company. This is called subrogation. Your insurance company will pursue the at-fault driver's insurance company to recover the money paid for the damages, including your deductible.

Do you pay 100% before deductible?

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.

Is a $2500 deductible good home insurance?

For customers who have enough money in an emergency fund to handle it, experts often advise that the savings that come with a higher deductible are worth it. By switching from a $500 deductible policy to a $2,500 deductible, customers save more than $500 per year on average on premiums, according to Insurance.com.

Do I pay my deductible if someone hit me?

Policyholders will generally pay the deductible before comprehensive coverage kicks in. Liability insurance. Liability coverage, which is required in California, doesn't involve deductibles but covers damages the policyholder causes to other vehicles, drivers, or property.

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 does $500 deductible with full glass mean?

For instance, if you're considering full glass coverage with a $500 deductible and an additional cost of $5-$10 per month on your premiums, it means that before your insurer covers any repair or replacements due to glass damages on your vehicle's windshield, sunroof, or even side windows during an accident or other ...

Why am I being charged if I met my deductible?

Once you reach your deductible, you may still have to pay a few separate expenses for your health care. These are commonly called “out-of-pocket costs,” and they don't count toward your deductible. They include things like: Premium: The amount you pay each month for your plan.

Why do doctors bill more than insurance will pay?

It is entirely due to the rates negotiated and contracted by your specific insurance company. The provider MUST bill for the highest contracted dollar ($) amount to receive full reimbursement.

Why do I still have to pay a deductible?

Insurance companies use deductibles to ensure policyholders have skin in the game and will share the cost of any claims. Deductibles cushion against financial stress caused by catastrophic loss or an accumulation of small losses all at once for an insurer.