Question

What is a high deductible health insurance policy?

Answer
By Insuranceopedia Staff | Last updated: June 13, 2023

A high deductible health plan (commonly referred to as an HDHP) is a health insurance plan in which a high minimum deductible must be met before any coverage or claims are paid out. In the US, what constitutes a “high deductible” varies from year to year and depending on whether you’re single or have a family.

Now, to understand the effect of this “high deductible,” we first have to understand what a deductible is. A deductible is the amount an insured must pay before any coverage is granted by the insurance company.

High deductible insurance policies reduce the number of claims an insured can make. For example, if you have a deductible of $10,000, you would not make a claim for a loss valued at $1,000 because you would be effectively throwing away $9,000. This means the insurance companies have fewer claims to deal with and their total dollars paid out would be lower. The downside here is that many people will forgo medical treatment because of this high deductible.

However, it’s not all bad news. The main benefit of having a high deductible plan is that, for the reasons discussed above, the premiums will be much cheaper, making it a more affordable option for people who might otherwise not be able to afford health coverage.

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Insuranceopedia Staff
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