Work out deductible impact instantly with clear inputs, formula shown and shareable results.
Cost sharing runs in a fixed order: you pay the deductible in full, then a coinsurance percentage of the balance, until the annual out-of-pocket maximum is reached — after which the insurer pays everything. The maximum is the figure that actually caps your financial exposure.
Your cost before the cap
Your cost = min(Deductible, Claim) + (Claim - Deductible) x Coinsurance %
Final cost
Final cost = min(Your cost, Out-of-pocket maximum)
Indicative estimate only. Fees, entitlements, limits and formulas vary by jurisdiction, statute, policy wording and the facts of the case. This is not legal, tax, insurance or financial advice — confirm with a qualified professional or the relevant authority.
In most designs yes, along with coinsurance and copayments. Premiums never do.
Compare the annual premium saving with the extra exposure. It pays off if you can absorb the deductible and claim infrequently.