Out of Pocket Calculator Help

General Deductible

The General Deductible is specified in the Deductibles/Maximums Sheet. You should only make an entry if the health plan model you are using in your scenario has a General Deductible requirement, and you don’t want to use the default value provided in your model (meaning you want to customize your entry based on a specific health plan you are using in your scenario).

A General Deductible requirement involves a set annual dollar threshold that all covered allowable charges are applied against, and insurance coverage by the plan does not begin to apply until the covered allowable charges exceed this amount. Every plan year, the General Deductible requirement is reset, so that application of charges from the previous year are typically not carried forward into the new year. The General Deductible involves application of allowable charges for all types of services, in contrast with a Hospital Deductible, where only covered hospital charges are applied. Of course, a plan can have both a General Deductible and a Hospital Deductible requirement.