This content is for general informational purposes and does not constitute medical, legal, or financial advice. Healthcare rules and costs change annually. Last reviewed: January 1, 2025. Always verify current details with your insurer, employer, or a licensed healthcare navigator.
Deductible
The amount you pay out-of-pocket before your insurance starts covering costs.
Full Definition
A deductible is the fixed dollar amount you must pay for covered health services before your insurance plan begins to pay. For example, with a $1,500 deductible, you pay the first $1,500 of covered care yourself. After that, you usually pay only a copay or coinsurance for covered services. Most preventive care is exempt and covered before the deductible is met.
Real-World Example
You have a $1,000 deductible. You get an MRI that costs $800. You pay the full $800 yourself. Later that year you need a $600 procedure — you pay the remaining $200 deductible, then your insurance covers the rest.
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