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The deductible refers to the amount that the insurance company does not pay to the policyholder within the deductible, which is the amount that the policyholder needs to pay, which is the insurance claim threshold;
The deductible of 10,000 yuan simply means that after deducting the reimbursement expenses of social security, the expenses that you need to bear are not compensated for less than 10,000 yuan, and you can only pay for more than 10,000 yuan.
Extended Resources:
The deductible refers to the amount of loss that the insured has to bear before the insurer makes a claim according to the conditions of the insurance. Deductibles come in the following forms:
Absolute deductible.
Absolute deductible means that the insured has to bear a certain amount of loss before the insurer makes a claim. For example, if the contract stipulates that the absolute deductible is 200 yuan, the insurer will not pay compensation if the loss is less than 200 yuan.
If the loss exceeds 200 yuan, the insurer will compensate for the excess part. Generally, this deductible is applied to each loss.
The formula for calculating the absolute deductible is as follows: Insurance claim amount = (total medical expenses - deductible) benefit ratio.
Total deductible.
Total deductible. This is to add up all the losses that fall within the scope of insurance during the insurance period, and if the total loss is 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, which aggregates all eligible medical expenses during the calendar year, and if the amount exceeds a certain amount, the insurer pays the health insurance premium according to the contract.
Relative deductible.
This is a type of deductible that is often used in marine transportation insurance, and the deductible is expressed as two percentages or a certain amount.
If the loss is less than the prescribed proportion or amount, the insurer is not liable for compensation, but when the loss is higher than the specified proportion or amount, the insurer will compensate for the entire loss.
The relative deductible is used in marine transport insurance because the shipper can expect at least some minor loss due to bad weather, the continuous navigation of the vessel and the frequent movement of cargo, and because the property is occupied by the carrier, it has no incentive to exaggerate the loss.
Disappearing deductible.
Depending on the deductible that disappears, the deductible decreases as the loss increases. In fact, this is not to pay for small losses, and to compensate for large losses in full.
For example, assuming that $500 is the starting point for the disappeared deductible, the insurer will compensate 111% of the claim amount above $500; When the loss reaches a certain amount, the deductible disappears completely.
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The deductible of 10,000 yuan means that the cost spent is less than 10,000 yuan, and the insurance company will not pay for it, which is equivalent to 10,000 yuan of expenses will not be compensated. That is, a limit set by the insurance company.
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Deductible. 10,000 yuan means that the loss within 10,000 yuan is deductible, and the insured needs to bear it himself, and the insurance company will not pay the claim. The deductible, literally, is the amount of the deductible.
In other words, if the amount of loss is within the specified amount, the insured shall bear the loss by himself, and the insurer shall not be liable for compensation. Now there are several deductible methods of insurance, such as inpatient and outpatient medical treatment is divided into 0 yuan deductible, 5,000 yuan deductible, and 10,000 yuan deductible.
So the point is that knowing the deductible, so how do we avoid the deductible pit?
1.Supplemental configuration of micro-medical insurance.
Micromedical insurance is a type of sum insured.
Lower medical insurance.
Products. It is mainly to solve the problem of medical reimbursement for minor diseases, such as hospitalization for ordinary minor diseases, accidental hospitalization medical expenses, self-financed drugs, outpatient expenses, etc.
The deductible of this type of medical insurance is generally low, usually 100 yuan deductible or 0 deductible, but the reimbursement amount is also low, generally 1-20,000 yuan, which is completely sufficient to deal with the usual minor illnesses and pains, and can also fill the deductible gap of millions of medical insurance.
After a lifetime of illness and hospitalization**, it cost 50,000 yuan, and then the million medical insurance can reimburse 40,000 yuan after deducting the deductible of 10,000, and the part of the million medical deductible can be reimbursed with small medical insurance.
2.Buy products with 0 deductible.
In addition to purchasing a small medical insurance to fill the deductible gap, we can also choose a medical insurance product with zero deductible.
However, I want to tell you that medical insurance products with 0 deductible will be more expensive than products with deductibles, after all, with 0 deductible, the insurance company also needs to bear a greater risk of compensation.
3.Share the deductible.
If you want to lower your deductible, there is another category of products to consider, and that is products with a shared deductible. There are two types of deductible-sharing products:
1) Multiple people share the deductible.
The deductible is generally shared by multiple families, and the deductible is shared by the whole family. If a family of three is insured together, the deductible of 10,000 yuan per person will be reduced to more than 3,000 per person a year, which will increase the amount of reimbursement.
2) Multi-year shared deductible.
The multi-year deductible is when the cumulative cost of medical treatment exceeds the deductible over several years. It is still a product with a deductible of 10,000 yuan, and it is still a little difficult for us to have medical expenses of more than 10,000 yuan a year, but for several years, for example, it is more reasonable for medical expenses to exceed 10,000 yuan.
Although the total deductible remains unchanged in the above two ways of sharing the deductible, the deductible is appropriately reduced by splitting and increasing our probability of receiving compensation.
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