Why would someone choose a higher deductible?

Asked by: Lera Cummings  |  Last update: June 2, 2025
Score: 4.8/5 (39 votes)

If you are generally healthy and don't have pre-existing conditions, a plan with a higher deductible might be a better choice for you. Your monthly premium is lower since you're only visiting the doctor for annual checkups, and you're not in need of frequent health care services.

Why would you want a higher deductible?

If you go with a higher deductible, its deemed as paying later. This means you will pay lower monthly premium, and pay larger healthcare bills when care is consumed. If you dont anticipate using much healthcare, or only go for your wellness visits and a few sick visits, this is a great option.

Why would someone increase their deductible?

If you go with a higher deductible, its deemed as paying later. This means you will pay lower monthly premium, and pay larger healthcare bills when care is consumed. If you dont anticipate using much healthcare, or only go for your wellness visits and a few sick visits, this is a great option.

Why would an insured person choose to pay a higher deductible?

Policies with lower deductibles typically have higher premiums, meaning you'll pay more each month for your insurance coverage. However, if you have a higher deductible, you may be able to save money on your premiums but may be responsible for paying more out of pocket if you need to file a claim.

What is the point of a high deductible?

Lower monthly premiums: Most high-deductible health plans come with lower monthly premiums. If you anticipate only needing preventive care, which is covered at 100% under most plans when you stay in-network, then the lower premiums that often come with an HDHP may help you save money in the long run.

Revisiting Deductibles, Coinsurance, and Max out of Pocket...And COPAYS

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What is the downside of a high deductible?

The primary disadvantages of a high-deductible health plan include the high out-of-pocket costs and the potential reluctance to seek medical care due to upfront expenses. While HDHPs have lower premiums, individuals may face financial strain if they need medical services before meeting the deductible.

Is $1500 a high deductible?

The higher the deductible, the more out-of-pocket costs you pay before your insurer begins covering medical expenses. The IRS defines high-deductible health plans for 2023 as: Individual plans with deductibles of at least $1,500. Family plans with deductibles of at least $3,000.

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.

Who should not use a high deductible health plan?

A chronic illness, such as heart disease or diabetes, can be much more expensive to manage under an HDHP than a traditional health care plan. With these conditions, regular medications and health screenings may be required. These costs may quickly add up until deductibles are finally met.

Why might a person select a high deductible on their car insurance?

Any claim you file for damage that is covered by collision will be subject to a collision deductible. The higher a deductible, the lower the annual, biannual or monthly insurance premiums may be because the consumer is assuming a portion of the total cost of a claim.

Why is it not a great idea to have a high deductible?

Large medical expenses: Since HDHPs generally only cover preventive care, an accident or emergency could result in very high out-of-pocket costs. Future health risks: Because of the costs, you may refrain from visiting a physician, getting treatments, or purchasing prescriptions when they're not covered by your HDHP.

When should you increase your deductible?

Per Nerd Wallet contributor Lacie Glover, raising your deductible for health insurance coverage is a good idea if you meet the following criteria: You are healthy and rarely need medical care. You're financially able to make significant monthly contributions to an HSA.

Do I get my deductible back if I'm 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.

What is the upside to having a high deductible?

This means you'll pay less each month for insurance and more out-of-pocket when you receive care. The upside? Preventive care is still covered at 100 percent on these plans. Once you hit your deductible, your health plan will start to cover the cost of your other care.

Does a higher deductible make your insurance cheaper?

With a higher deductible you'll pay more out of pocket, but your car insurance rate will be lower.

Is a $0 deductible good for health insurance?

Health insurance with zero deductible or a low deductible is best if you expect to need major medical care in the upcoming year. Even though you'll pay more for the plan, it will help you save overall because the full benefits begin right away.

Why would you want a high deductible?

Key takeaways. Low deductibles are best when an illness or injury requires extensive medical care. High-deductible plans offer more manageable premiums and access to HSAs. HSAs offer a trio of tax benefits and can be a source of retirement income.

What is the main disadvantage of choosing a high deductible?

When a person chooses high deductibles, then it means he will have to pay a huge sum of amount for himself to get care before his insurance begins to fulfill the policy. The policyholder would face a major disadvantage if he selects a deductible on an insurance policy and has to pay a huge sum from his/her pocket.

Who should select a high deductible health plan?

HDHPs have higher out-of-pocket costs than LDHPs. So, this type of plan is best for healthy people who expect little to no healthcare expenses. If this outlines your scenario, the HDHP's lower premium will likely save you more money than you would spend on medical care.

How high is too high 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 normal deductible for health insurance?

What is a typical deductible? Deductibles can vary significantly from plan to plan. According to a KFF analysis, the 2024 average deductible for individual, employer-provided coverage was $1,787 ($2,575 at small companies vs. $1,538 at large companies).

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.

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 are the disadvantages of a high-deductible health plan?

Disadvantages of a high deductible health plan
  • You pay all costs for nonpreventive care until you've paid the high deductible.
  • Possible unplanned high out-of-pocket costs when you receive covered services.
  • Worries about money might influence your health care decisions.

How much does a doctor visit cost with a high-deductible health plan?

A rough guide is: New Patient Office Visit: $200 - $450 depending on how much time is spent on evaluation and/or how many medical conditions are addressed. Subsequent Office Visits: $75 - $300 depending on how much time is spent on evaluation and/or the number of medical conditions being addressed.