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Large Deductible v.s. Small Deductible

The common wisdom is that it will cost you less to go to the hospital if your health insurance policy has a low deductible rather than a high deductible. Sometimes the common wisdom iswrong. The following is an example of how a typical hospital visit for a forty year old female in Houston, Texas would cost less with a $2,500 deductible than a $500 deductible.

Less Cost More

Health Insurance Comparison
  Plan A Plan B
Hospital Bill $20,000 $20,000
Deductible $2,500 $500
Balance $17,500 $19,500
Coinsurance $0.00 $3,000
You paid $2,500 $3,500
Annual Insurance Premium $2,300 $3,600
You paid Total $4,800 $7,100
Total Savings $2,300  
Insurance Plan Details
  Plan A Plan B
Annual Deductible $2,500 $500
Coinsurance 100/0 75/25
Coinsurance Max $0.00 $3,000
Doctor visit copay none $25
Premium monthly $191 $300
Premium annual $2,300 $3,600

Hey, wait a minute! Plan A does not have a doctor visit copay. That means I have to pay the doctor bill when I go to the doctor. That is right. But since doctor visits are a “covered expense” on Plan A, you get the network discount.

A typical office visit of $100 is “discounted” to $50. You pay $50. The typical person goes to the doctor twice a year. You would pay $100 for two office visits with Plan A or $50 with Plan B. Since Plan A cost $1,300 less per year than Plan B (with a $25 copay), you pay the $100 out of your $1,300 savings. You still save $1,200 per year.

This is how More Deductible ($2500 deductible) is better than Less Deductible ($500).