What do you mean by deductible?

1. What is the deductible? Deductible refers to the amount that the insurance company does not pay to the insured within the deductible, which needs to be paid by the insured. For example, old Wang Mai's medical insurance deductible was 654.38+00,000, and he spent 30,000 on hospitalization. If the social security reimbursement is 60%, then the remaining deductible of 654.38+0.2 million yuan minus 654.38+0.0 million yuan is the part of medical insurance reimbursement. In other words, if the remaining expenses after social security reimbursement do not exceed 6,543,800 yuan,

In order to control the claim rate, insurance companies need to set some thresholds. Deductible is set to raise the threshold of claims and ensure the stability of products. If there is no deductible, the cost of 100 yuan will also need to be reimbursed, and the labor and material costs of insurance companies will also increase.

II. Remarks on deductible 1, the lower the deductible, the better?

The part of the deductible needs to be borne by the customer, which means that the lower the deductible, the more the customer can reimburse and the less the expenses that need to be paid out of his own pocket. This understanding is correct, but we can't put the low deductible in the first place when buying products. Deductible generally appears in reimbursement insurance, such as medical insurance and accident insurance. There are also many products with 0 deductible on the market, but generally speaking, the premium will be more expensive than the products with deductible.

Many reimbursement insurance products with zero deductible, such as small medical insurance, usually have a deductible of less than 100, but the insured amount is generally only about 1 ~ 20000. Most of the deductible of millions of medical insurance is between 1000 ~ 20000, but the insured amount is usually millions. In contrast, the protection of micro-medical insurance is obviously insufficient. Under the same price and guarantee, the lower the deductible, the better, of course, but sometimes it is more cost-effective to exchange an appropriate deductible for the increase of the upper limit of the insured amount.

Of course, the specific situation should be analyzed in detail. Interested partners can read this article about deductible selection according to their own situation and sum up the products that suit them best:

2. Annual deductible 1 1,000 yuan.

The deductible of the insured is accumulated every year. When the annual deductible exceeds 65,438+0,000, the insurance company will pay the excess. After the general social security reimbursement, after deducting the deductible, the proportion of commercial insurance can be reimbursed will be relatively large, while the proportion without social security reimbursement will be less than half. However, after one year, it did not accumulate to 10 thousand, and the new year was cleared. Last year's out-of-pocket expenses were no longer calculated.

For example, Xiao Wang needs to pay 8000 yuan for his first hospitalization, but he can't be reimbursed if he doesn't meet the standard of 1 10,000 deductible. However, he paid 7,000 yuan for his second hospitalization, and after deducting the deductible 10000 yuan, he could still reimburse the remaining 5,000 yuan. However, if the time interval between the second visit and the first visit is more than one year, the cumulative reimbursement cannot be made!

Here is a million-dollar medical insurance that can reduce the deductible year by year. Interested friends can learn about it!