Learn more about deductibles and how to track them below. To find out how deductibles work with other health care costs, see paying for health care.
How does a deductible work?
Most health plans have a deductible, but the amount can vary from one plan to the next. A plan with a higher deductible often has a lower monthly premium. Plans with a lower deductible generally have a higher monthly premium.
The deductible amount also can vary depending on where you get health care. Some plans have different deductibles for care you receive outside of the network. Typically, you pay less when you get care from a doctor in your network.*
How do I track what I've paid?
Your health plan tracks how much you’ve paid toward your deductible. Each time you receive care, your plan sends you an Explanation of Benefits (EOB). The EOB shows how much of the cost applies to your deductible.
Here’s an example of how deductibles work:
- Adam’s plan has a $2,500 deductible.
- He visits an emergency room at a hospital in his plan network.
- Blue Cross sends Adam an EOB showing he owes $500 for the emergency room visit. Adam pays $500 to the hospital.
- Blue Cross tracks Adam’s payment of $500 toward his $2,500 deductible. If Adam seeks medical care in the future, he still has $2,000 to pay to meet his deductible. Once he reaches his deductible, he will share the cost for covered care with his plan. This cost sharing is known as coinsurance.
More about health care costs
How do I track and see my claims?
What is a network and why does it matter?
7 ways to save on health care
Why you might need prior authorization
When does a preventive visit turn into an office visit?