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What are annual deductible and co-pay?

07 Mar 2018

Annual deductible and co-pay, these terms can be present on some insurance contracts and are not always easy to understand. Here are some explanations about these two options in your policy.

Annual deductible

Annual deductible is a fixed amount that you are going to have to pay before your insurance takes in charge the rest of the amount due. The deductible payment can be on an annual basis, meaning if you were hospitalised twice in a year and already payed the full deductible amount in the first bill, you do not need to pay any more deductibles for the second hospitalisation bill.

Annual deductible are usually used for expensive healthcares like surgery, hospitalisation,etc…In order to have a better understanding, let’s take an example:

Annual deductible health insurance

Marion breaks her arm and the cost of the surgery is S$20,000. The insurer set the annual deductible at S$2,000. This means that Marion has to pay S$2,000 by herself and her insurance company would pay the remaining S$18,000.

However, if in the same year, Marion returns to the hospital, her health insurance will cover entirely all the expenses. By including an annual deductible in your health insurance, the price of your top-up will drastically shrink.

Co-pay

Co-pay is an option that is also used in some insurance contracts for some coverages. The concept is quite easy : for some of your treatments and medicals visits, you are going to have to pay a percentage of the expenses from your pocket.

Co-pay is usually offered on outpatient: general practitioner, specialist, dental…Let’s take an example to fully understand:

Definition of co-pay in health insurance

Marion goes to her dermatologist at Raffles Hospital. This consultation costs S$146. She has a health insurance with a co-pay of 20% of the total price, which makes S$29. Her insurance company will reimburse the rest of the fees up to the annual limit.

Unlike annual deductible, co-pay applies to every medical expenses. Imagine that Marion needs to go back to her dermatologist. In that case, she will need to pay the 20% of the price of the consultation.

However, just like the annual deductible, taking an insurance with co-pay will reduce the cost of you health insurance.

If you already possess a health insurance provided by your company, these options can be taken into account by this insurance provided by company. Don’t hesitate to check-out our article about this subject.

UEX offers health assurances that have co-pay and annual deductible. Feel free to contact us for more details.

To find out more about healthcare topics in Singapore you can check our articles. To understand how your health insurance plans cover the healthcare costs, you can approach UEX’s happiness team by email or by phone for more information and guidance – and the good news is that they are super nice!

With UEX, you can obtain a quote for a health insurance contract customized to your needs and requirements – all in less than a minute!


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