Insurance Deductible: What It Is and How It Works

Insurance policies often include something called a deductible, and understanding how it works can help you make better decisions about your coverage and out-of-pocket costs. Whether you’re buying car, health, travel, or home insurance, the deductible affects how much you pay at the time of a claim and how much you pay in premiums throughout the year.

 Insurance Deductible: What It Is and How It Works | MrKumka

What is deductible in insurance?

A deductible is the amount of money you must pay toward a covered claim before your insurer contributes to the remaining costs. It can be a fixed amount or a percentage, depending on the type of policy. In simple terms, the deductible is your share of the financial responsibility when something happens.

For example, if your deductible is THB 5,000 and your approved repair cost is THB 20,000, you pay the first THB 5,000 THB and the insurer pays the remaining THB 15,000.

Why do deductibles exist?

Deductibles serve several purposes:

  • Risk sharing: They ensure policyholders share part of the financial responsibility for claims.
  • Premium control: Higher deductibles typically reduce premiums, making insurance more affordable.
  • Claim management: They discourage small or frequent claims, helping insurers keep overall costs down.

Types of deductibles

Deductibles can vary by policy type and structure:

  • Fixed amount: A set amount you pay per claim or per year.
  • Percentage-based: Common in property insurance, calculated as a percentage of the insured value.
  • Annual deductible: Applies once per policy year, often in health insurance.
  • Per-claim deductible: Applies to each separate incident, common in motor and travel insurance.
  • Compulsory vs voluntary: In Thailand, compulsory excess are set by the insurer; voluntary deductibles are chosen by you to lower premiums.

How does an insurance deductible work?

When you file a claim, the insurer reviews the damage or expenses and calculates the approved claim amount. Your deductible is then subtracted, and you pay that part yourself while the insurer pays the rest. If the claim amount is lower than the deductible, the insurer generally will not pay anything.

Motor insurance

Deductibles in motor insurance often apply when you opt for a voluntary excess to lower your premium or when accident circumstances require you to share repair costs. They are calculated per claim, meaning each separate accident or damage event may involve its own deductible.

ค่า Excess กับ Deductible ต่างกันอย่างไร? | มิสเตอร์ คุ้มค่า

Deductible vs excess

A deductible is the amount you agree to pay out of pocket before the insurer covers the remaining claim. It’s often voluntary and helps reduce your premium. Deductibles are common in:

  • Health insurance
  • Travel insurance
  • Home and property insurance
  • Some motor insurance policies (as a voluntary feature to lower premiums)

Meanwhile, an excess is compulsory in motor insurance and is set by the Thailand’s Office of Insurance Commission (OIC). It’s the first portion of the loss you must pay when certain conditions apply in each incident, especially when you’re at fault in an accident or no third party can be identified.

In short, deductibles are more common outside motor insurance, while excess relates specifically to car insurance claims are assessed. Both reduce the insurer’s payout, but they’re applied and referenced differently depending on the policy.

Why deductibles matter

Deductibles determine both the cost of your insurance and how much you pay when you make a claim. A higher deductible usually results in a lower premium because you’re taking on more of the financial responsibility if something happens. A lower deductible does the opposite: it keeps out-of-pocket costs low during a claim but increases your premium.

They also help reduce small or frequent claims, which is one of the ways insurers keep overall premiums affordable for everyone. Understanding how your deductible is set, and how it affects your payments, can help you choose an insurance policy that fits both your budget and your expectations.

How to choose the right deductible

Choosing the right deductible depends on your financial comfort level and how often you expect to claim. If you want lower premiums and don’t mind paying more during a claim, a higher deductible may make sense. If you prefer predictable costs and want to minimise what you pay out of pocket when something happens, a lower deductible offers more certainty.

It also helps to consider the type of insurance you’re buying. Health, motor, travel, and home insurance all apply deductibles differently, so it’s worth reviewing how each structure works. The goal is to find a balance between premium savings and a deductible amount you can confidently afford in an emergency.

FAQs about insurance deductible

How does a deductible affect my premium?

Higher deductibles usually mean lower premiums, while lower deductibles often result in higher premiums.

Do I always pay the deductible?

You pay the deductible only when you file a claim that exceeds your deductible amount. If the claim is less than your deductible, you cover the full cost.

Can I change my deductible?

Yes, most insurers allow you to adjust your deductible when renewing your policy or sometimes mid-term. Increasing your deductible can lower your premium, while decreasing it will raise your premium.

What happens if the damage is lower than the deductible?

If the repair or damage cost is less than your deductible, your insurance will not pay anything. You’ll pay the entire amount out of pocket.

Definition

Premium The amount you pay to your insurer, usually monthly or annually, to maintain coverage.
Claim A formal request you make to your insurer for payment or reimbursement after a covered event occurs.
Policy year The 12-month period your insurance contract covers, starting from the effective date.
Incident An event that triggers an insurance claim, such as an accident, illness, or property damage.
Covered event An incident or situation specifically listed in your policy as eligible for insurance benefits, such as accidents, illnesses, or property damage.