Why is there a deductible in health insurance?

The deductible amount is the amount of deductible, which means that the insurance company and the insured agree in advance that if the amount of loss is within the specified amount, the insured shall bear this part of the loss, and the insurance company does not need to bear this part of the liability.

For example, if a medical insurance policy with a deductible of 10,000 yuan for general medical liability, the insured needs to bear the loss by himself when the loss of medical expenses does not exceed 10,000 yuan; Only when the loss of medical expenses exceeds 10,000 yuan, the insurance company will pay the claim.

Some of you may think that this loses the meaning of insurance, but it is not. The main purpose of buying insurance is to avoid extreme risks, and in the case of less losses, the general insured is able to bear this part of the loss.

For insurance companies, after setting a certain deductible, the claim expense can be reduced a lot, and the purpose of setting a deductible is to avoid some small claims, so as to reduce the operating costs of the insurance company.

In fact, the insured can also benefit from this, because in this way, the cost of the insurance company is lower, and the insured needs to pay less premiums.

Assuming that an insurance policy can be claimed for sneezing, there may be a lot of unnecessary medical behavior, which not only wastes medical resources, but also leads to a large increase in the cost of the insurance company, and these costs are ultimately passed on to the consumer.

It can be seen that setting a deductible is beneficial to both the insurance company and the consumer.

The setting of the deductible clause reduces the insurance company's claim rate on the one hand, and finally gives the profit to the customer and reduces the premium; On the other hand, it encourages the insured to reduce the occurrence of insured accidents and the expansion of losses caused by personal reasons, and avoid unnecessary medical expenses.

The main reason why insurance products have deductibles is mainly because insurance companies use it as a way to avoid risks based on their own interests.

Generally speaking, deductibles are more common in insurance such as medical insurance or accident insurance; And basically, when the insured's loss exceeds the agreed deductible, the insurance company will reimburse the part of the expenses that exceed the deductible on a pro-rata basis.

As the name suggests, the deductible refers to the amount of the deductible; It refers to a specific amount agreed in advance between the insured and the insurance company at the time of application.

If the amount of loss of the insured does not exceed the agreed amount, the insured shall bear the responsibility of the insured, and the part exceeding the agreed amount shall be reimbursed by the insurance company on a pro-rata basis.

Common deductibles range from a few hundred to tens of thousands, depending on the specific insurance product.

Different insurance products have different deductibles, and in the case of million medical insurance, the common deductible is 10,000.

The main reason is that the lower the deductible, the lower the deductible, the reimbursement amount that can be provided is also limited; In addition, insurance products with lower deductibles are relatively expensive for the corresponding premiums.

Considering the comprehensive coverage coverage, insurance products with low deductibles are not necessarily cost-effective.

Therefore, under normal circumstances, when you apply for millions of medical insurance, you do not need to overly pursue insurance products with low deductibles; Secondly, the deductible of some products is reducible under the conditions, and you can also consider it.

The latest top 10 million medical insurance rankings are newly released!

In general, deductibles.

The terms are health insurance.

One of the unique clauses, the significance of setting a deductible is to strengthen the insured's sense of responsibility.

At the same time, it is also to reduce the cost of small claims.

For insurance companies, deductibles can eliminate many small claims, reduce the cost of claims investigation, and reduce the cost of insurance claims, thereby reducing insurance premiums.

For the insured, it is also conducive to strengthening the insured's awareness of costs, controlling the use of unnecessary medical services in the process, and controlling the waste of medical resources.

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

The main purpose is to reduce some frequent small compensation expenses, improve the sense of responsibility and attention of the insured, avoid losses that should not occur, and also reduce the operating costs of the insurance company.

All losses that fall within the scope of insurance during the insurance period are added together, and if the total losses are less than the total deductible, the insurer will not pay any compensation. Once the total loss exceeds the total deductible, the insurer pays for all the excess losses.

Health insurance often uses a total deductible for a calendar year, where all eligible expenses during the calendar year are aggregated, and once the amount exceeds a certain amount, the insurer pays the premium according to the contract.

In the event of undercoverage, the deductible is also apportioned in proportion to the sum insured and the insured value. Calculating the deductible in the case of duplicate insurance may be a bit more cumbersome, but it can still be calculated, although legal, but not reasonable.

Hello this friend, the million medical insurance in the health insurance generally has a deductible clause, because it is a reimbursement type of insurance, if it does not exceed this deductible, then it will not be reimbursed, so let the dad explain the deductible in detail for everyone:

Just now, when we were talking about million medical insurance, the word "deductible" appeared, and some friends may not know what it is.

In fact, it is easy to understand, because the rates of medical insurance are correspondingly low, and a certain threshold is generally set, and insurance companies are not charitable, and they will set a certain deductible.

For example, outpatient medical insurance often has deductibles, and million medical insurance usually has a deductible of 10,000 yuan.

As the name suggests, the deductible refers to the part of the insurance company that waives the claim, and the insurance company will pay out only if the deductible is exceeded.

In fact, Daddy has said earlier that insurance companies need to set some thresholds in order to control the claim rate, and the deductible is set to improve the threshold of claims and ensure the stability of the product.

If there is no deductible, once the insured is out of insurance, even if there is only 100 yuan of medical expenses, the insurance company will also need to spend manpower and material resources to investigate and review the insurance event while bearing the claim, and the cost is relatively high.

If the claim rate is too high, the product is likely to be taken off the shelves, and the deductible is set to minimize small claims and ensure product stability.

Of course, in order to ensure that a million-dollar medical insurance can not be sold, in addition to the setting of deductibles, a threshold will also be set in the link of health notification, so that as many healthy individuals as possible can be insured. Reduce the number of people who are sick and insured.

Policyholders want the product to be 0 deductible, and insurance companies need to ensure product stability and reduce the claim rate, of course, not all companies will set a deductible for millions of medical insurance.

**A total of 6 million medical insurance products are displayed, of which 5 are 0 deductibles, and we can also see that the rates of these products are generally relatively high through premium calculation.

The products we usually come into contact with with with deductibles are generally 300-400 yuan for 30-year-olds, and we see that 0 deductible products for 30-year-old insurance also require a minimum of 560 yuan.

1. Pursue high insurance coverage for general hospitalization: Calm and worry-free zero deductible version.

2. Pursue proton and heavy ion protection: enjoy e-life, Lejian Life 2019**3, enjoy e-life 2020

3. Pursue critical illness hospitalization allowance protection: enjoy e-life.

4. Pursue relaxed renewal conditions: Calm and worry-free zero deductible version.

In fact, in addition to paying attention to whether it is 0 deductible, you should also pay attention to its protection content, and the more comprehensive the protection, the more beneficial it is to the insured. Of course, if you want to get comprehensive protection, in addition to millions of medical insurance, you should also gradually allocate reasonable critical illness insurance, life insurance and accident insurance. Here is a cost-effective and 0 deductible product to refer to:

How about Zhong'an Exclusive e-Student 0 deductible version? Is it worth buying? 》

How many ways are there to calculate the deductible for health insurance in China's insurance regulations? Lawyer Peng Songming gave the relevant provisions of the provisions, there are three calculation methods of health insurance deductible in China, namely: single compensation deductible, annual deductible and collective deductible, the following is an introduction to these three calculation methods.

1. Definition of health insurance.

Health insurance is an insurance in which the insurer pays the insurance benefits when the insured is unable to perform normal work due to illness, or becomes disabled or dies due to illness during the insurance period. The insurance rate of health insurance is closely related to the age and health status of the insured, and the insurance company often requires the insured to have a physical examination, stipulate the observation period or agree on the deductible, and the underwriting is relatively strict. Therefore, it is most advantageous to buy while you are young and healthy.

2. Deductible clause for health insurance.

Deductible clauses are one of the main features of health insurance, and they benefit both the insurer and the insured. When it comes to medical expenses, there is a deductible in the policy, which is the minimum amount of insurance expenses to be paid. The insurer is only responsible for the excess amount.

There are generally three types of deductible calculations: cavity consolidation.

One is a single indeductible. the amount of each payment;

The second is the annual deductible, which is based on the total amount of compensation per year. The payment will be paid only after the amount exceeds one year;

The third is the collective deductible, which is calculated according to the cumulative cost of all members for the same accident for the insured of the group.

How much is health insurance a year 2017

The sum insured of health insurance accounts for 25% of the total sum insured, including critical illness insurance, medical insurance (including subsidy insurance), due to the continuous medical expenses, so this type of insurance requires regular review of the sum insured, timely replenishment and increase. When the insured person is unable to work for a long time due to illness, this insurance benefit can help the insured person fulfill various life responsibilities and obligations, and also enable the insured person to choose whether to continue to work in the future and live a dignified life.

After the deductible is stipulated, the insured is responsible for the small amount of medical expenses, and the insurer is responsible for the large amount of medical expenses. This approach is based on the underwriting theory that a certain percentage of out-of-pocket costs can motivate the insured to make an effort to recover rather than taking advantage of unnecessary services and medical equipment; And it does not mean that medical insurance can take medicine and hospitalization casually, and medical insurance is not unlimited.

1. Exemption means no compensation;

2. Different insurances have different exemptions for blind celebrations;

3. Exemption often appears in reimbursement and proportional compensation;

4. There is no deductible for critical illness, disability, life insurance, and savings insurance;

Popularize financial knowledge and advocate healthy financial management.

How to manage the financial management of the salaried layer has been launched, log in to the space to view!

Extended Talk Reading: [Insurance] How to buy Shenpei, which is better, teach you to avoid these insurance"pits"

Summary. 1.As the name suggests, the deductible is the amount of deductible, which is the amount of money that does not need to be lost.

It means that the insurer (insurance company) and the insured agree in advance that the amount of loss is within the specified amount, and the insured shall bear it by himself, and the insurer will not compensate. This can reduce the insurance company's claim expenses, which in turn reduces the insurance company's operating costs. It may seem bad for consumers, but in the end, it will still be reflected in the premium of the insurance product, and the premium of the insurance product will definitely be reduced.

The deductible of million medical insurance is 10,000, although the deductible is very high, but it can be bought for a few hundred dollars, which is really cost-effective.

Hello dear. Bumper Bi you asked, I have already picked up the key to the finger noise. I'm in the process of collating relevant information and content. I'm typing for a little time now, and I hope you'll be patient for five minutes or so.

1.As the name suggests, the deductible is the amount of deductible, which is the amount of money that does not need to be lost. It means that the insurer (insurance company) and the insured agree in advance that the amount of loss is within the specified amount, and the insurer shall bear it by itself, and the insurer will not compensate.

This can reduce the insurance company's claim expenses, which in turn reduces the insurance company's operating costs. It may seem bad for consumers, but in the end, it will still be reflected in the premium of the insurance product, and the premium of the insurance product will definitely be reduced. The deductible amount of the million-dollar medical bridge demolition treatment insurance is 10,000, although the deductible is very high, but it can be bought for a few hundred dollars, which is really cost-effective.

2. Exceeding the absolute deductible: The insurance company imitates the excess part of the pure travel compensation 9 or taking the pants cover million medical insurance as an example, the deductible is 10,000, and the cost of hospitalization and medicine is 100,000. The insurance company only pays the excess, which is 90,000.

There is also a medical fee of 10,000 yuan that needs to be borne by the policyholder.

Medical insurance deductible refers to the part of the accumulated medical expenses incurred by the insured within the scope of insurance liability during each insurance period, which is not compensated by the contract. It refers to the actual hospitalization expenses in the insurance year (1 year cumulative), and if it meets the scope of reporting for hail sales, social security reimbursement will be made first. After Social Security reimbursement, the remainder minus the deductible is millions of Medicare reimbursement costs.

The deductible is the amount that the insurance company does not pay for the insurance claim. Usually there is a deductible for each specific guarantee item, and customers need to pay attention when choosing an insurance plan.