What if my deductible is too high?

Asked by: Kathryne Hyatt  |  Last update: May 7, 2025
Score: 4.9/5 (11 votes)

Negotiate payment plans with healthcare providers: If you have a high deductible, it can be overwhelming to pay for medical services in a lump sum. Don't be afraid to negotiate payment plans with your healthcare providers. They often have options available to help spread out the costs over a longer period of time.

Is it better to have a $500 deductible or $1000?

Generally speaking, yes, a higher deductible is the better choice long term. Especially if you have a good driving history.

Is it bad to have a high deductible?

A high deductible is good in that it lowers your premiums. A high deductible is bad in that you have more out-of-pocket maximum risk.

Can you lower your deductible?

Many health insurance companies allow you to keep the same health plan and increase or decrease your deductible based on your needs. Changing your deductible can increase or decrease your monthly premium. This is usually a monthly cost. .

What if I can't afford my deductible?

In any situation where you have to pay your car insurance deductible up front, you will need to dip into savings, ask family for help or take out a payday loan. These loans are truly the last resort option because they have very high interest rates.

What If My Insurance Deductible Is Too High?

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Can you negotiate your deductible?

Negotiate a Payment Plan

Your healthcare provider can't waive or discount your deductible because that would violate the rules of your health plan. But they may be willing to allow you to pay the deductible you owe over time.

How can you get your deductible waived?

The California Insurance Code requires insurers to offer a Waiver of Collision Deductible if you carry Collision Coverage on any of your motor vehicles and if you carry Uninsured Motorist Bodily Injury Coverage.

What is too high of a deductible?

For individuals, a health plan can qualify as high deductible if the deductible is at least $1,350, and the max out-of-pocket cost (the most you'd pay in a year for medical expenses, with insurance covering everything else) is at least $6,750.

What is the disadvantage of having a higher deductible?

Cons of High Deductible Healthcare Plans

Individuals who are stretched thin for funds may delay or avoid seeking medical treatment due to the high cost of treatment. For example, someone injured may avoid the emergency room if they know it will result in an expensive bill that will be applied to the plan deductible.

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.

Do copays count towards deductible?

Copays do not count toward your deductible. This means that once you reach your deductible, you will still have copays. Your copays end only when you have reached your out-of-pocket maximum.

What is a typical high deductible?

Per IRS guidelines in 2025, an HDHP is a health insurance plan with a deductible of at least $1,650 if you have an individual plan or a deductible of at least $3,300 if you have a family plan. The deductible is the amount you'll pay out of pocket for medical expenses before your insurance pays anything.

Is an HSA worth it?

One of the biggest advantages of an HSA is that it offers a triple tax advantage, which means: Contributions to an HSA are federally tax-deductible, reducing your taxable income. Depending on where you live, you may also get a break on state income taxes. Assets in an HSA can potentially grow federal tax-free.

Does upping your deductible decrease the premium?

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.

Do I pay my deductible to the Body Shop?

You typically pay your car insurance deductible after your car is fixed. Depending on your insurer and the situation, your insurer may pay the repair shop directly, minus your deductible — if that's the case, you'll need to pay the repair shop your deductible.

How to get a new roof without paying deductible?

No matter what a roofer tells you you must pay your deductible. There is no way around it and insurance will consider it insurance fraud if they do. Many homeowners try to find a way around this but there is no way around it. You can also verify this directly with your insurance provider or an attorney.

Why would someone want a high deductible but a lower premium?

The size of your monthly premium impacts your deductible—typically, the lower the premium, the higher the deductible. Why does having a higher deductible lower your insurance premiums? Because you'd be taking on more costs if you actually need care, rather than paying more each month toward potential care.

Who benefits from a high-deductible plan?

If you're generally healthy and don't have medical expenses beyond annual physicals and preventive screenings, an HDHP could save you several hundred dollars or more a year.

Is a $0 deductible good for health insurance?

A no-deductible plan can be a good choice for your family if you want immediate coverage without needing to meet a deductible first, especially if multiple family members need regular care. However, these plans often have higher premiums, so consider your budget.

What is bad about having a high-deductible?

Namely, you're responsible for paying a larger portion of your healthcare expenses out of pocket. This can be a significant financial burden for those with a lot of medical expenses and could lead to financial strain. HDHPs may not be the best choice for those with chronic or frequent medical needs.

What if I need surgery but can't afford my deductible?

Be open about your struggle to afford the procedure and see what options might be available to you. Even if the hospital can't help, it may be able to refer you to a local nonprofit that can. Negotiate medical bills after the surgery. Most billing offices are willing to set up payment arrangements with patients.

Is a $3,000 deductible high?

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.

Can my doctor waive my deductible?

Remuneration for referrals [such as routine waiver of copayments and deductibles] is illegal because it can distort medical decision-making, cause overutilization of services or supplies, increase costs to Federal health care programs, and result in unfair competition by shutting out competitors who are unwilling to ...

Is everything free after deductible?

A deductible is the amount you pay for coverage services before your health plan kicks in. After you meet your deductible, you pay a percentage of health care expenses known as coinsurance. It's like when friends in a carpool cover a portion of the gas, and you, the driver, also pay a portion.

Is it better to have a 500 or 1000 deductible?

Since a lower deductible equates to more coverage, you'll have to pay more in your monthly premiums to balance out this increased coverage. A survey commissioned by InsuraQuotes found that an increase in deductible from $500 to $1,000 had an average of 8-10% reduction in premium costs.