How is the deductible applied?
With the Bronze, Silver, and Gold benefit levels you can choose an annual deductible. Any medical expenses exceeding the deductible amount are payable in a policy year. You must file claims to prove that you have spent the deductible amount before the policy will start reimbursing. Example: The nil deductible premium is $1000 and you choose the $500 deductible option for a 25% discount reducing the premium to $750. If your first claim was $250 you would get nothing back, but you still have to file the claim. Your second claim is $500, so you would get $250 back as you have exceeded the $500 deductible in medical expenses for the year. For the rest of the policy year, on all subsequent claims, you would get 100% reimbursed. I am older and healthy and facing high premiums, what is my best option? For this situation we find many people choose the Bronze benefit level inpatient plan. You can self insure (pay yourself) for any outpatient treatment and end up paying very little for insurance
The deductible is a fixed amount per year per person of covered outpatient expenses for which you are responsible. Once your annual deductible has been met, your expenses will be reimbursed according to the conditions of your plan. We have a range of deductible options available on our plans Globe and Orbit: €0/£0/$0/, €100/£65/$125 and €300/£200/$375.
