Different Types of Insurance Deductibles

Different Types of Insurance Deductibles

Buying insurance coverage helps keep you protected from the full financial fallout of an accident or injury. But even with insurance, you’ll probably still be responsible for some costs when you file a claim.

An insurance deductible is the amount of money the insured party is responsible for at the time of loss or damage: it’s the cost you have to pay before the insurance company pays out its share.

Here’s what you need to know about the different types of insurance deductibles and other insurance-related costs you may face.

Key Points

•   Lower deductibles typically result in higher premiums; higher deductibles result in lower premiums.

•   Higher deductibles can save on monthly costs but may increase personal financial risk.

•   Zero-deductible policies are available but are typically more expensive.

•   Copays are fixed payments at service, while deductibles are initial out-of-pocket costs.

•   Out-of-pocket maximums cap annual healthcare expenses, offering financial protection.

What Is a Deductible?

When you buy insurance, you’ll encounter several different costs depending on the type of coverage you’re purchasing. These may include monthly premiums, copays, out-of-pocket maximums, and possibly others.

The vast majority of insurance policies, whether they’re auto, health, or homeowners, carry a deductible. So what is a deductible, and how does it work?

The deductible is a sum of money you, as the insured party, are expected to pay toward a loss. Another way to think about it: It’s the amount the insurance company deducts from the total claim and asks you to pay.

For instance, say you get into a car accident in which you sustain $8,000 worth of damage and you have a $1,000 deductible. When you file your claim, you’ll pay $1,000 toward repairs, and the insurance company will cover the remaining $7,000 (or up to whatever limits are laid out in your insurance contract).

Your deductible can be a fixed dollar amount or a percentage, depending on your individual plan and the kind of insurance policy you’re talking about. Homeowners insurance, for instance, is commonly offered with deductibles calculated as a percentage of the property’s total insured value.

It’s important to understand that your deductible is separate from your premium, which is the amount of money you pay each month in order to keep your insurance policy active.

Also remember that you may also be responsible for other insurance-related expenses, like copays or coinsurance, so always read the fine print carefully.

Copay vs Deductible

With certain types of insurance — primarily health insurance products — you may be required to pay a copay each time you go to the doctor’s office or receive a covered service. This copay is separate from your deductible, and, generally, your copay doesn’t count toward your deductible amount.

As with other types of insurance, the health insurance deductible must be paid by the insured person before the insurance company begins its coverage. However, individual health plans may cover certain services, such as regular check-ups, even before the deductible is paid in full.

Here’s an example: Say you twist your ankle and visit your doctor, who orders an MRI. If your copay is $25, you’ll pay $25 at the office before or after you see your physician. If the total cost of the doctor’s care and imaging services is $1,000 and you have a $500 deductible, you may still be responsible for the full $500. Any copays you’ve paid along the way won’t be subtracted from your deductible.

Some plans may carry a coinsurance cost rather than a copay. The two are similar, but not identical. Coinsurance is an amount you pay when you receive a medical service, separate from your deductible. Unlike copays, which are charged at a fixed dollar amount, coinsurance is calculated as a percentage of the total cost of the service. Your plan might even include both copays and coinsurance.

All insurance policies are different, and your individual costs and experience may vary depending on the services you’ve received and the specific coverage you have. You can consult your insurance paperwork or contact your insurer for full details on what’s covered in your plan.

Out-of-Pocket Maximums

Health insurance policies in particular are subject to federally mandated out-of-pocket maximums. This is the highest total dollar amount you’ll have to pay toward covered healthcare over the course of a single year, including both deductibles and copays.

The out-of-pocket maximum does not include the amount you pay toward your monthly premium, however. Nor does it include out-of-network services or services that your plan expressly does not cover.

For 2025, the out-of-pocket maximum for a Marketplace plan can’t be more than $9,200 for an individual or $18,400 for a family. In 2026, that limit rises to $10,600 for an individual or $21,200 for a family. (The maximum is allowed to be lower, however, so consult your plan paperwork for full details.)

Do You Want a High or Low Deductible?

When shopping for insurance coverage, you’ll likely have a range of options to consider, including varying deductible costs. And when it comes to figuring out whether you want a high or low deductible, the answer is: It depends.

Generally speaking, the lower your deductible, the higher your premium will be and vice versa. This makes sense when you think about it. If you have a low deductible, the insurer will have to pay out a higher amount when you incur a loss. So in exchange for the promise of covering most of the costs when a claim is filed, the company expects you to pay more up front in the form of a higher premium.

While choosing a higher deductible can help you save money over time since your monthly premiums will be lower, it also means you’re assuming more risk. If something happens and costs are incurred, you’ll be responsible for a larger share of those expenses.

On the other hand, choosing a lower deductible means you’ll likely pay a higher premium each month. But you’ll also have less to worry about if you do need to file a claim, since the insurance company will cover more of the costs (assuming that all the damages and expenses are covered under your policy).

As with so many other financial matters, what’s right for you comes down to a number of factors, including your risk tolerance, budget, and even your lifestyle. If you participate in extreme sports, for instance, and are at risk for catastrophic injuries, you might want to pick a health insurance policy with a lower deductible and higher premiums.

Recommended: How Much Is Homeowners Insurance?

Zero-Deductible Insurance: Is It a Thing?

You may see ads for zero-deductible insurance policies and wonder if they’re too good to be true. While zero-deductible insurance policies do exist, they usually carry higher premiums than policies with deductibles, and you may also be responsible for a one-time no-deductible fee or waiver.

Furthermore, some insurance coverages are required by state law to carry a minimum deductible, particularly when it comes to auto insurance.

Before you sign up for any kind of insurance coverage, be sure to read the contract thoroughly to ensure you understand what costs you’re responsible for.

Recommended: What Does Auto Insurance Cover?

Types of Deductibles

There are many different types of insurance policies with deductibles on the market. Common ones include:

•   Health insurance deductibles

•   Auto insurance deductibles

•   Homeowners insurance deductibles

•   Renters insurance deductibles

•   Life insurance deductibles

The deductible amount varies by type of insurance, company, and plan, among other factors.

The Takeaway

Purchasing insurance is an important — and sometimes legally mandated — step toward protecting yourself from the high costs of personal accidents, property damages, and medical bills. But most policies involve set costs, including deductibles. This is the portion of the claim the insured party is responsible for paying.

Whether you’re comparison shopping or switching from your current plan, it’s important to understand what your deductible will be. Having a full picture of all the costs involved can help you find coverage that fits your life and finances.

When the unexpected happens, it’s good to know you have a plan to protect your loved ones and your finances. SoFi has teamed up with some of the best insurance companies in the industry to provide members with fast, easy, and reliable insurance.

Find affordable auto, life, homeowners, and renters insurance with SoFi Protect.


Auto Insurance: Must have a valid driver’s license. Not available in all states.
Home and Renters Insurance: Insurance not available in all states.
Experian is a registered trademark of Experian.
SoFi Insurance Agency, LLC. (“”SoFi””) is compensated by Experian for each customer who purchases a policy through the SoFi-Experian partnership.

Coverage and pricing is subject to eligibility and underwriting criteria.
Ladder Insurance Services, LLC (CA license # OK22568; AR license # 3000140372) distributes term life insurance products issued by multiple insurers- for further details see ladderlife.com. All insurance products are governed by the terms set forth in the applicable insurance policy. Each insurer has financial responsibility for its own products.
Ladder, SoFi and SoFi Agency are separate, independent entities and are not responsible for the financial condition, business, or legal obligations of the other, SoFi Technologies, Inc. (SoFi) and SoFi Insurance Agency, LLC (SoFi Agency) do not issue, underwrite insurance or pay claims under LadderlifeTM policies. SoFi is compensated by Ladder for each issued term life policy.
Ladder offers coverage to people who are between the ages of 20 and 60 as of their nearest birthday. Your current age plus the term length cannot exceed 70 years.
All services from Ladder Insurance Services, LLC are their own. Once you reach Ladder, SoFi is not involved and has no control over the products or services involved. The Ladder service is limited to documents and does not provide legal advice. Individual circumstances are unique and using documents provided is not a substitute for obtaining legal advice.


Non affiliation: SoFi isn’t affiliated with any of the companies highlighted in this article.

Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

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Different Types of Banking Accounts, Explained

Understanding the Different Types of Bank Accounts

Bank accounts are essential tools for managing your money and achieving financial goals. Whether you’re looking to streamline everyday transactions, save for future expenses, or build wealth over time, there’s a type of bank account designed for each purpose.

In fact, most Americans rely on these financial tools regularly. According to SoFi’s April 2024 Banking Survey of 500 U.S. adults, 88% of respondents reported having a checking account, while 71% said they had a savings account. These numbers reflect how foundational these accounts are to everyday life.

Understanding the differences among account types can help you choose the right combination for your needs. Below, we explore seven common types of bank accounts, their features and benefits, and how they can fit into your financial plan.

Key Points

•   Checking accounts provide quick access to funds for everyday spending and transactions.

•   Savings accounts allow you to store money for emergencies and short-term goals while earning interest.

•   Certificates of deposit offer fixed interest rates and guaranteed returns but lock up funds for a set period of time.

•   Money market accounts combine higher interest rates with checking account features.

•   Brokerage accounts allow for diverse investments with potential for growth but also come with market risk.

7 Types of Bank Accounts Explained

Choosing the right mix of bank accounts can make it easier to manage your money and bring you closer to your goals. Here’s a rundown of the different types of bank accounts, how they differ, and how each can support your financial journey.

1. Checking Account

A checking account is often the hub of your financial life, where your income flows in and your day-to-day spending flows out.

Key features:

•   Opening a checking account is typically quick and easy, and these accounts are widely available through traditional banks, credit unions, and online banks.

•   Checking accounts typically come with a debit card and checks for convenient spending.

•   Checking accounts are typically insured by the Federal Deposit Insurance Corporate (FDIC) or National Credit Union Administration (NCUA) for up to $250,000 per account holder, per ownership category (such as single accounts, joint accounts, or trust accounts), per insured institution.

•   Some checking accounts charge monthly fees, but offer ways to waive them, such as maintaining a certain minimum balance or setting up direct deposit.

Because checking accounts usually pay little or no interest, they geneally work best for short-term storage and daily use, rather than long-term saving.

2. Savings Account

Savings accounts are designed to help you set aside money for future use while earning interest.

Key features:

•   Savings accounts generally earn more interest than checking accounts, especially high-yield savings accounts found at online banks. In SoFi’s survey, 23% of respondents said they have a high-yield savings account.

•   Savings accounts are typically FDIC- or NCUA-insured.

•   Savings accounts are ideal for short-term money goals or emergency funds, rather than day-to-day spending.

How People Use Their Savings Accounts

Purpose

% of Respondents

Emergency savings77%
Specific goals (e.g., vacation)52%
To earn interest48%

Source: SoFi’s April 2024 Banking Survey

•   Savings accounts usually don’t come with checks or debit cards, making the funds less accessible than money stored in a checking account.

•   While the federal regulation that limited withdrawals from savings accounts to six per month was suspended in 2020, some banks still have savings account withdrawal limits, and will assess fees if customers exceed those limits.

•   Some savings accounts require a minimum balance and will charge a monthly maintenance fee if your balance goes below that threshold.

A savings account can be a good place to build your emergency fund and/or save for a short-term goal, such as a vacation, a new car down payment, or a home renovation.

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3. Checking and Savings Account

Some financial institutions, especially online banks, offer hybrid checking and savings accounts that combine characteristics of both types of accounts.

Key features:

•   Checking and savings accounts at online banks typically offer higher annual percentage yields (APYs) compared to traditional savings accounts.

•   These accounts allow convenient access to funds — you can spend through debit cards, checks, and mobile payments, similar to a traditional checking account.

•   Online banks often have fewer and/or lower fees compared to traditional banks.

•   Checking and savings accounts are typically FDIC- or NCUA-insured.

•   These accounts often come with conveniences like automatic savings tools and budgeting insights that can make it easier to track spending and saving.

Having checking and savings features combined within one account can help simplify managing your finances and make it easier to monitor your overall financial picture.

Alternatively, you can open both a checking and a savings account at the same financial institution or at two different banks, then link the accounts for easy transfers. Having multiple bank accounts can help you manage both daily transactions and short- to mid-term savings effectively. In SoFi’s survey:

•   31% of respondents said they had two checking or savings accounts

•   20% had three accounts or more

•   37% had just one checking or savings account

4. Certificate of Deposit

A certificate of deposit (CD) is a type of savings account that locks in your money for a set period of time in exchange for a fixed interest rate.

Key features:

•   Term length typically ranges from a few months to several years or longer. Longer terms tend to come with higher interest rates, although this isn’t always the case.

•   CDs typically have a minimum deposit, often starting at $500 and up.

•   Withdrawing funds early typically results in penalties, unless it’s a no-penalty CD. No-penalty CDs generally offer lower interest rates than traditional CDs.

•   CDs are usually FDIC- or NCUA-insured.

CDs can work well if you’re saving for specific, near-term goals. For example, If you’re saving for a down payment on a house or a car purchase within the next few years, a CD with a matching term can help you reach that goal with guaranteed earnings.

5. Money Market Account

A money market account (MMA) is a type of savings account that offers some of the conveniences of a checking account.

Key features:

•   MMAs typically offer better interest rates than traditional savings accounts.

•   MMAs usually come with a debit card and checks, making it easy to access your funds.

•   Like other types of savings accounts, MMAs may be subject to monthly withdrawal limits, and you may get hit with fees if you exceed those limits.

•   Many MMAs require a minimum balance to open the account and/or to earn the advertised rate.

•   Some MMAs charge monthly maintenance fees, though you may be able to waive them by maintaining a certain minimum balance or setting up direct deposits.

•   MMAs are usually FDIC- or NCUA-insured.

An MMA can be a good option for those who want interest and some level of liquidity, yet don’t require frequent access to their funds.

6. Brokerage Accounts

A brokerage account is a type of investment account that allows you to buy and sell investments like stocks, bonds, exchange-traded funds (EFTs), and mutual funds.

Key features:

•   Brokerage accounts provide access to a wide range of investment options, allowing for diversification based on your financial goals and risk tolerance.

•   Unlike retirement accounts, which often have rules about contributions and withdrawals, you can typically contribute as much as you want to a brokerage account and withdraw funds whenever you need them without penalty.

•   While there is potential for growth in a brokerage account, it also involves market risk. The value of your investments can fluctuate, and you could potentially lose some or all of your invested principal.

•   Fees vary; full-service brokerages may charge higher fees for personal support, while DIY or automated platforms offer lower-cost options.

The flexibility of accessing your money without penalties makes a brokerage account worth considering for medium- to long-term financial goals, like a down payment on a home, a car purchase, or a wedding.

7. Retirement Accounts

Retirement accounts, such as individual retirement accounts (IRAs) and 401(k)s, are designed to help individuals save for retirement in a tax-advantaged way.

Key features:

•   The primary draw of retirement accounts is their tax benefits. Depending on the specific type of account, these benefits can include tax-deferred growth or tax-free withdrawals.

•   There are limits on how much you can contribute to retirement accounts that are set annually by the IRS and can vary depending on the type of plan and your age.

•   401(k) plans are offered by many employers, sometimes with matching contributions, which is effectively free money toward retirement.

•   IRAs (traditional or ROTH) are available to eligible individuals and may offer tax deductions or tax-free growth depending on the type.

•   Contributions are typically locked in until retirement age, early withdrawals may result in penalties and taxes.

Retirement planning involves a number of factors, including:

•   Age and desired retirement date

•   Contribution limits

•   Expected return

•   Risk tolerance

Consulting with a financial advisor can help determine the best retirement account for your situation.

Finding Accounts That Work for You

Different types of bank accounts serve different roles in a well-rounded financial strategy. It’s common — and often wise — to maintain a combination of accounts to support everyday spending, short-term savings, and long-term investing.

For example you might choose to have:

•   A checking account for bills and everyday spending

•   A savings or money market account for an emergency fund

•   A brokerage account for investing and building wealth

•   A retirement account for long-term financial security

When selecting where to open these accounts, consider factors like interest rates, fees, accessibility, customer service, and mobile tools.

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The Takeaway

Understanding the main types of bank accounts can help you create a strong foundation for your financial future. Checking accounts are designed for everyday money management, while savings accounts are primarily for storing money for short-term goals while earning interest. Accounts like CDs, brokerage accounts, and retirement plans can support longer-term strategies.

By choosing the right combination of accounts and using them strategically, you can simplify money management, earn more on your deposits, and move confidently towards your financial goals.

Interested in opening an online bank account? When you sign up for a SoFi Checking and Savings account with eligible direct deposit, you’ll get a competitive annual percentage yield (APY), pay zero account fees, and enjoy an array of rewards, such as access to the Allpoint Network of 55,000+ fee-free ATMs globally. Qualifying accounts can even access their paycheck up to two days early.


Better banking is here with SoFi, NerdWallet’s 2024 winner for Best Checking Account Overall.* Enjoy 3.30% APY on SoFi Checking and Savings with eligible direct deposit.

FAQ

What are the most common types of bank accounts?

The most common types of bank accounts include checking accounts, savings accounts, money market accounts, and certificates of deposit (CDs). Checking accounts are ideal for daily transactions like paying bills or making purchases. Savings accounts earn interest and are a good place to store funds for emergencies and short-term goals. Money market accounts combine features of checking and savings, often with higher interest rates. CDs lock in your money for a fixed term with a guaranteed return. Each serves different financial needs and goals.

What are the two most common types of bank accounts?

Two of the most common types of bank accounts are checking and savings. A checking account is designed for frequent use, offering easy access to your money through debit cards, checks, and online banking. A savings account, on the other hand, is intended for storing money and earning interest over time. It can help you build an emergency fund or save for specific goals while keeping your money accessible but separate from daily spending.

What is the best kind of bank account to open?

The best kind of bank account to open depends on your financial goals. If you need easy access to your money for daily expenses, a checking account can be ideal. For saving money and earning interest, a savings account can be a good choice. If you want higher interest rates and can meet balance requirements, consider a money market account. For longer-term savings with a fixed return, a certificate of deposit (CD) can be a smart option. Many people benefit from having both checking and savings accounts.


Photo credit: iStock/hemul75

SoFi Checking and Savings is offered through SoFi Bank, N.A. Member FDIC. The SoFi® Bank Debit Mastercard® is issued by SoFi Bank, N.A., pursuant to license by Mastercard International Incorporated and can be used everywhere Mastercard is accepted. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated.

Annual percentage yield (APY) is variable and subject to change at any time. Rates are current as of 12/23/25. There is no minimum balance requirement. Fees may reduce earnings. Additional rates and information can be found at https://www.sofi.com/legal/banking-rate-sheet

Eligible Direct Deposit means a recurring deposit of regular income to an account holder’s SoFi Checking or Savings account, including payroll, pension, or government benefit payments (e.g., Social Security), made by the account holder’s employer, payroll or benefits provider or government agency (“Eligible Direct Deposit”) via the Automated Clearing House (“ACH”) Network every 31 calendar days.

Although we do our best to recognize all Eligible Direct Deposits, a small number of employers, payroll providers, benefits providers, or government agencies do not designate payments as direct deposit. To ensure you're earning the APY for account holders with Eligible Direct Deposit, we encourage you to check your APY Details page the day after your Eligible Direct Deposit posts to your SoFi account. If your APY is not showing as the APY for account holders with Eligible Direct Deposit, contact us at 855-456-7634 with the details of your Eligible Direct Deposit. As long as SoFi Bank can validate those details, you will start earning the APY for account holders with Eligible Direct Deposit from the date you contact SoFi for the next 31 calendar days. You will also be eligible for the APY for account holders with Eligible Direct Deposit on future Eligible Direct Deposits, as long as SoFi Bank can validate them.

Deposits that are not from an employer, payroll, or benefits provider or government agency, including but not limited to check deposits, peer-to-peer transfers (e.g., transfers from PayPal, Venmo, Wise, etc.), merchant transactions (e.g., transactions from PayPal, Stripe, Square, etc.), and bank ACH funds transfers and wire transfers from external accounts, or are non-recurring in nature (e.g., IRS tax refunds), do not constitute Eligible Direct Deposit activity. There is no minimum Eligible Direct Deposit amount required to qualify for the stated interest rate. SoFi Bank shall, in its sole discretion, assess each account holder's Eligible Direct Deposit activity to determine the applicability of rates and may request additional documentation for verification of eligibility.

See additional details at https://www.sofi.com/legal/banking-rate-sheet.

*Awards or rankings from NerdWallet are not indicative of future success or results. This award and its ratings are independently determined and awarded by their respective publications.

Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

We do not charge any account, service or maintenance fees for SoFi Checking and Savings. We do charge a transaction fee to process each outgoing wire transfer. SoFi does not charge a fee for incoming wire transfers, however the sending bank may charge a fee. Our fee policy is subject to change at any time. See the SoFi Bank Fee Sheet for details at sofi.com/legal/banking-fees/.
Tax Information: This article provides general background information only and is not intended to serve as legal or tax advice or as a substitute for legal counsel. You should consult your own attorney and/or tax advisor if you have a question requiring legal or tax advice.

Third Party Trademarks: Certified Financial Planner Board of Standards Center for Financial Planning, Inc. owns and licenses the certification marks CFP®, CERTIFIED FINANCIAL PLANNER®

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Beginners guide to health insurance

Beginner’s Guide to Health Insurance

Medical expenses can get very large very quickly, especially if you get sick, are in an accident, or have an ongoing health issue. In fact, medical bills are one of the leading reasons why people go into debt and file for bankruptcy.

One way to help protect both your health and your financial well-being is to purchase health insurance.

While these plans also have costs associated with them — in the form of premiums, deductibles, copays, and other fees — buying coverage can often be worth the investment.

Finding the right plan for your needs and budget, however, can sometimes be daunting. And, if you’re shopping for health insurance for the first time, it may seem like these companies are speaking an entirely different language.

Fortunately, we’re here to help guide you through all the health insurance basics you need to know when shopping for insurance plans, whether it’s through the federal marketplace, an employer, or directly through an insurance company.

Key Points

•   Health insurance protects against significant medical expenses.

•   Employer-sponsored insurance often provides lower costs.

•   Exchange-based options offer government subsidies for premiums.

•   High-deductible health plans tend to have low monthly premiums.

•   Different health plan types vary in network restrictions and cost structures.

What Does Health Insurance Cover?

The Affordable Care Act (ACA), also known as Obamacare, made covering certain health care services a requirement for all health insurance plans available to consumers.

These required services are known as the 10 health essential benefits. These 10 categories of services include:

•  Ambulatory patient services (outpatient care that you can receive without being admitted to a hospital)
•  Emergency services
•  Hospitalization for surgery, overnight stays, and other conditions
•  Pregnancy, maternity, and newborn care
•  Mental health and substance use disorder services
•  Prescription drugs
•  Rehabilitative and habilitative services and devices (treatment and devices that help people gain mental and physical skills after an injury or chronic condition)
•  Laboratory services
•  Preventive and wellness services
•  Pediatric services, including dental and vision coverage for children

Different Types of Private Health Insurance

Unless you qualify for insurance administered by federal or state governments such as Medicaid, Medicare, and the Children’s Health Insurance Program (CHIP), you will be in the market for private health insurance, which refers to any health care plan offered by a health insurance company.

These options typically include:

Employer-Sponsored Insurance

Also sometimes referred to as “group insurance,” employer-provided health insurance plans are private plans purchased and managed by your employer.

Employer-sponsored plans need to follow the same rules as other private insurance plans and cover the 10 essential benefits listed above.

Because employer-sponsored health insurance covers a large group of people, premiums are generally more affordable than a comparable individual plan. Plus, in many cases, employers cover a portion of your premium costs, which can make this option even more affordable.

Recommended: Choosing an Individual Health Insurance Plan

Exchange-Based Insurance

While federal and state governments oversee the ACA exchanges, the insurance is offered through private health insurance companies. As a result, exchange-based coverage is considered private insurance.

Depending on your income, however, you may qualify for premium assistance through your state or the federal government when you purchase insurance through an exchange.

Exchanged-based insurance is divided into four metal tiers: bronze, silver, gold, and platinum. The tiers do not necessarily reflect quality of service in the plans, but rather how much you’ll pay in premiums and other out-of-pocket costs.

With bronze plans, for instance, you’ll typically pay higher deductibles and copays but lower premiums. Platinum plans generally charge the highest premiums, but you’ll usually pay the least in out-of-pocket costs. Silver and gold tend to land somewhere in between.

Off-Exchange Insurance

This is a health care plan provided by a private insurance company that is sold separate from the exchanges. It may be purchased through an insurance broker or agent or directly from the insurance company.

Off-exchange plans must cover the 10 essential benefits and follow other rules dictated by the ACA — meaning you don’t have to worry about any loopholes or “gotchas.”

With off-exchange insurance, however, there are no government-funded premium subsidies. Also, insurers don’t have to offer a plan at every metal tier. They can offer just one type of health insurance plan.

Short-Term Health Insurance

Short-term plans are designed to provide temporary emergency coverage when you are between health plans or outside of enrollment periods.

Depending on what state you live in, short-term coverage can last up to 12 months, sometimes with the possibility of renewal for up to 36 months.

Short-term plans do not need to be ACA compliant. As a result, these plans do not have to provide essential coverage, most notably, coverage for preexisting conditions. Deductibles and out-of-pocket costs can also be significantly higher than traditional health plans.

Short-term health insurance may still be worth buying to cover a short coverage gap of one or two months if, say, you’re looking for a new job or a new job has a waiting period before your health insurance kicks in. Many large health insurers offer short-term options.

Understanding the Different Types of Plans

Whether you get insurance through your employer, through an exchange, or directly through a health insurance company, you will likely be able to choose between several different types of plans.

You’re also likely to encounter some confusing acronyms while shopping, like HMOs, PPOs, EPOs, or POS plans. Understanding what these letters mean can be important. The kind of plan you choose can have a big impact on your out-of-pocket costs and which doctors you can see.

Here’s a rundown of the various forms of health insurance.

Health Maintenance Organization (HMO)

These plans generally limit coverage to healthcare providers who are under contract with the HMO.

You typically need to have a referral from your primary care doctor to receive care from a specialist or other provider in the HMO network. Care from providers out of the HMO network is generally not covered, except in the case of an emergency.

HMO plans typically have cheaper premiums than other types of private health insurance plans.

Preferred Provider Organization (PPO)

PPOs are typically less restrictive than HMOs when it comes to accessing your network of providers and getting care from outside the plan’s network.

You will likely have the option to choose between an in-network doctor, who you can see at a lower cost, or an out-of-network doctor at a higher cost. Usually, no referrals are necessary to see a specialist.

PPO plans typically have more expensive premiums than HMOs.

Exclusive Provider Organization (EPO)

EPO plans are usually a mix between HMO plans and PPO plans.

EPO plans typically give you the option of seeing a specialist without a referral. However, they generally do not cover out-of-network physicians.

EPO plans tend to have more expensive premiums than HMOs, but may have less expensive premiums than PPOs.

Point of Service (POS)

POS plans are another hybrid of HMO and PPO plans. Plan members typically pay less for care from network providers. Like an HMO, you may need to get a referral from your primary care doctor to see a specialist.

POS plans typically have more expensive premiums than pure HMOs, but may have less expensive premiums than PPOs.

High-Deductible Health Plan (HDHP)

This is a health plan that charges a high deductible (such as $1,650 or more for an individual or $3,300 or more for a family). This is what you would have to pay for health care costs before insurance coverage kicks in.

In return for higher deductibles, these plans usually charge lower premiums.

Often, you can combine an HDHP with a tax-advantaged health savings account (HSA). Money saved in an HSA can be used to pay for qualified medical expenses.

You can deduct HSA contributions from your taxes. Plus, earnings typically grow tax-free in the account, and withdrawals used to pay for healthcare are generally not subject to federal taxes.

Recommended: How Do I Start a Health Savings Account?

Catastrophic

These health plans are typically designed to cover only dire circumstances. They tend to have very high deductibles and lower premiums than other plans.

Catastrophic plans can help if you get seriously ill or injured, but you’ll usually pay a large chunk out of pocket for all other healthcare costs.

Catastrophic plans on the exchanges are only available to people under age 30 and people of any age with a hardship or affordability exception.

Key Features That Determine How Much You Pay

When you shop for a health insurance plan, it’s important to know which features decide how much you’re actually going to pay for health care.

These out-of-pocket expenses can typically be grouped into five major features of your health insurance plan. These include:

Premium: This is the amount of money you pay to your health insurance company each month to stay enrolled in your plan and keep your insurance coverage.
Deductible: This is how much you need to pay for health care services out of pocket before your health insurance kicks in. Your plan may have a family deductible in addition to individual deductibles. You may want to keep in mind that the deductible and out-of-pocket maximum are two different things (more on that below). Plans with lower premiums tend to have higher deductibles.
Copayment: Often shortened to “copay,” this is a fixed amount that you pay for a specific service or prescription medication. Copayments are one of the ways that health insurers will split costs with you after you hit your deductible. You will pay copayments until you hit your maximum out-of-pocket amount.
Coinsurance: This is another way that health insurers will split costs with you. Unlike a copay, coinsurance usually isn’t a fixed cost. It’s typically a percentage of the cost that you pay for covered services. For example, if you have a coinsurance of 20%, you’ll pay 20% of the cost of covered services until you reach your out-of-pocket maximum.
Out-of-pocket maximum: This refers to the most you’d ever have to pay for covered health care services in a year. Payments made towards your deductible, as well as any copayments and coinsurance payments, generally go toward your out-of-pocket limit. Typically, monthly premiums do not count.

How to Buy Health Insurance

If you are employed and your benefits include health insurance, you may be eligible to buy coverage through your employer, either at your date of hire, during open enrollment season, or if you experience certain qualified changes of status such as a marriage or birth of a child.

Another option is to buy insurance through the exchanges at Healthcare.gov. Here, you can also determine if you qualify for a premium subsidy. You may also be given the option of purchasing a plan through your state’s exchange.

You can sign up for exchange coverage during the annual open enrollment period, which typically runs from November 1 through January 15. (Some states have longer enrollment periods.)

Or, you may qualify for a special enrollment period, which allows you to purchase coverage at any time. Loss of employer-based insurance or a move to another state are examples of situations when you might qualify for a special enrollment period.

You can also buy private insurance plans directly from insurance companies. You can research individual and family plans on insurance company websites or work with an insurance broker who specializes in private coverage. Online insurance brokers are also a place to compare plans and prices.

The Takeaway

Health insurance can protect you from large medical bills should you or a member of your family experience an illness or accident. You may be offered health insurance through your employer. Or, you might choose to buy health insurance through the federal health insurance marketplace or directly from a private health insurer.

When looking for a plan that fits your situation and budget, it’s a good idea to review all costs involved. This includes deductibles, copays, and coinsurance, in addition to premiums. You’ll also want to ensure the network of providers and services that each plan covers fit with your health needs. After all, having the right coverage in place can help you maintain your health and preserve your financial security.

When the unexpected happens, it’s good to know you have a plan to protect your loved ones and your finances. SoFi has teamed up with some of the best insurance companies in the industry to provide members with fast, easy, and reliable insurance.

Find affordable auto, life, homeowners, and renters insurance with SoFi Protect.


Auto Insurance: Must have a valid driver’s license. Not available in all states.
Home and Renters Insurance: Insurance not available in all states.
Experian is a registered trademark of Experian.
SoFi Insurance Agency, LLC. (“”SoFi””) is compensated by Experian for each customer who purchases a policy through the SoFi-Experian partnership.

Non affiliation: SoFi isn’t affiliated with any of the companies highlighted in this article.

Tax Information: This article provides general background information only and is not intended to serve as legal or tax advice or as a substitute for legal counsel. You should consult your own attorney and/or tax advisor if you have a question requiring legal or tax advice.

Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

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The Basics of How Umbrella Insurance Works

The Basics of How Umbrella Insurance Works

Umbrella insurance is a type of insurance policy that extends the personal liability coverage you probably already have through your homeowners or auto insurance. In other words, it’s a policy that helps protect your assets if you ever get sued for a whole lot of money.

Although most people won’t face a multi-million dollar lawsuit in their lifetimes, if you are the unlucky exception, an umbrella policy can help you avoid financial ruin. This is a relatively affordable kind of insurance coverage, too — although there are some additional costs it can require, which we’ll get into below.

Here’s what you need to know about umbrella insurance and how to decide if it’s right for you.

Key Points

•   Umbrella insurance extends personal liability coverage beyond standard limits.

•   Policies cover injuries, property damage, and lawsuits, excluding intentional acts and personal property damage.

•   Annual cost for $1 million coverage is about $150 to $300.

•   Qualification requires minimum liability coverage on existing policies.

•   High-risk individuals, such as those with pools or trampolines, can benefit most from umbrella insurance.

What Is Umbrella Insurance?

Certain types of insurance include liability coverage, which is insurance coverage that protects your finances and assets in case you get sued. You likely already have this kind of coverage, to some extent, through your homeowners or car insurance policy.

An umbrella insurance policy adds additional liability coverage on top of whatever coverages you might already have. That can be a lifesaver if you get sued for an amount of money large enough to exceed your existing liability insurance.

For example, say your auto insurance covers $25,000 in bodily injury liability per person and up to $50,000 in bodily injury liability per accident. It also covers up to $20,000 in property damage liability per accident. In total, you have a total of up to $70,000 per accident in coverage.

If you get into a fender bender, or even a moderately severe collision, that coverage might be sufficient. But say you get into a catastrophic accident that involves several cars and more than two people. That $70,000 isn’t going to be enough to cover multiple totaled vehicles or the medical bills for several hospital stays. If you’re sued for those losses and damages, you could lose your retirement savings, liquid savings and checking accounts, and potentially even your home.

If you have an umbrella insurance policy, it would kick in to cover the overage that your auto insurance policy doesn’t meet. Which is to say: umbrella insurance, as its name suggests, can protect you from a seriously rainy day.

But as with all insurance policies, it’s important to read the fine print.

What Does Umbrella Insurance Cover — or Not?

Although umbrella insurance is specifically meant to extend your existing liability coverages, it’s important to understand that these policies don’t cover everything. (Notably, umbrella insurance does not cover your personal property. It’s all about making sure your assets are covered when other people incur losses and damages.)

Although it’s always important to consult the specifics of the policy you’re considering for the full details, here’s a basic breakdown of what umbrella insurance typically does and does not cover.

What Umbrella Insurance Generally Covers

The good thing about umbrella coverage is that it’s an inclusive policy rather than an exclusive one. That means that instead of listing named perils, the way homeowners insurance does, umbrella insurance covers most liabilities with certain named exceptions.

But again, umbrella insurance is all about protecting you from the financial fallout of a lawsuit. It isn’t about protecting your physical home, car, or person from physical dangers. That’s why you still need homeowners, auto, and health insurance products.

Generally speaking, umbrella insurance covers liabilities related to:

•   Injuries

•   Property damage

•   Lawsuits

•   Other personal liability situations

Additionally, umbrella insurance usually extends to household members beyond you, the policyholder, and the incident doesn’t necessarily have to involve your personal property or vehicle to be eligible for umbrella coverage. Your umbrella policy might also cover you worldwide, with some exceptions. Again, consult your individual plan paperwork or insurance representative for full details.

What Umbrella Insurance Does Not Cover

Umbrella insurance is broad and inclusive, but it doesn’t cover every liability. Notable exceptions include:

•   Injuries sustained by you or your family or damages to your own property

•   Intentional actions that result in losses or damages (for example, if you get into a fight and punch somebody in the face)

•   Actions classified as criminal

•   Liabilities you agreed to assume in a contract you signed

•   Liabilities you incurred in your business or professional life. These require business liability insurance, which is a separate product

•   Liabilities caused by war or armed conflicts

What About Deductibles?

It’s also important to understand that even with umbrella insurance, you might still be responsible for paying a deductible when a claim is filed, whether it’s through the underlying insurance policy or the umbrella policy itself.

For example, imagine someone is injured during a party you throw in your home and they sue you for their medical costs and lost wages. Say your homeowners insurance policy covers up to $100,000 in personal liability, but your guest wins a lawsuit to the tune of $500,000.

If your homeowners insurance deductible is $1,000, you’ll need to pay that amount out of pocket before the homeowners coverage kicks in to pay for $99,000 toward the judgment. Then, your umbrella insurance would pay the additional $400,000, as well as any separate legal expenses related to the court proceedings.

Even if your underlying insurance doesn’t have a deductible, or if you use your umbrella policy to pay for a liability that other insurance policies don’t cover, you’d probably still be responsible for some of the cost. You’d likely be asked to pay a self-insured retention before the umbrella policy kicked in to cover the rest of the claim.

How Much Does Umbrella Insurance Cost?

Umbrella insurance is a relatively affordable policy, which makes it an attractive option for those seeking peace of mind in a “lawsuit happy” world. A $1 million umbrella policy costs about $150 to $300 per year, according to the Insurance Information Institute, and you can purchase even more insurance coverage than that for less than $100 per million.

That said, because their products kick in after regular insurance is used, most umbrella insurers will require you to carry a decent amount of coverage already through your baseline policies. You’ll likely need to buy a minimum of $250,000 in liability insurance on your auto policy and $300,000 in liability insurance on your homeowners policy in order to qualify, which means you’ll probably be spending more on insurance overall.

Is It Worth Having Umbrella Insurance?

Learning how umbrella policies work is one thing. But how do you decide whether or not you need this coverage?

At the end of the day, as with so many financial matters, it comes down to your personal choice and level of risk tolerance. After all, anyone can get sued. That said, there are some people who are at higher risk of getting sued than others.

For example, if you regularly have large, raucous gatherings on property you own, you run a decent risk of someone getting injured, which could result in serious medical bills. Ditto if your home has a trampoline or pool. If you’re the owner of a dog or the parent of a teenage driver, you might consider umbrella insurance in case of accidental damages. Celebrities and public figures also often take out umbrella policies.

The Takeaway

Umbrella insurance is an extended liability insurance product that can help protect you in case of a lawsuit. Depending on how likely you are to be sued and your level of risk aversion, you may want to add umbrella insurance to your list of coverages. It’s important to remember, however, that umbrella insurance doesn’t cover all contingencies. And whether or not you take out an umbrella insurance policy, you need basic insurance products like homeowners, auto, and renters insurance.

When the unexpected happens, it’s good to know you have a plan to protect your loved ones and your finances. SoFi has teamed up with some of the best insurance companies in the industry to provide members with fast, easy, and reliable insurance.

Find affordable auto, life, homeowners, and renters insurance with SoFi Protect.


Auto Insurance: Must have a valid driver’s license. Not available in all states.
Home and Renters Insurance: Insurance not available in all states.
Experian is a registered trademark of Experian.
SoFi Insurance Agency, LLC. (“”SoFi””) is compensated by Experian for each customer who purchases a policy through the SoFi-Experian partnership.

Third-Party Brand Mentions: No brands, products, or companies mentioned are affiliated with SoFi, nor do they endorse or sponsor this article. Third-party trademarks referenced herein are property of their respective owners.

Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

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Choosing an Individual Health Insurance Plan

Choosing an Individual Health Insurance Plan

Buying health insurance can be intimidating when you’re not under an employer’s umbrella. The various types of health insurance plans, the wide range of costs, and the numerous ways to research and buy a policy can make the process daunting at first.

Here’s a guide to help you sort through the basics to find the plan that’s right for both your budget and your health needs.

Key Points

•   Main health insurance plans include HMO, PPO, HDHP, catastrophic, and short-term health insurance.

•   HMOs tend to have lower costs but less flexibility; PPOs typically offer more flexibility but have higher premiums.

•   HDHPs feature high deductibles and low premiums, often paired with HSAs for savings.

•   Evaluating cost-sharing helps predict and manage health care expenses effectively.

•   Check if preferred doctors and medications are covered in the plan’s network and formulary.

What Is Individual Health Insurance?

The term “individual health insurance” is a little confusing. In most cases it means a policy purchased by an individual. But individual insurance also includes family coverage. Depending on your situation, you could be buying an individual health care plan that covers just you, or your spouse and dependents as well.

Young adults aging out of coverage under their parents’ plan may also need to buy an individual health insurance plan.

You may find yourself shopping for private health insurance for you and your family if you no longer have employer-based insurance.

Types of Individual Health Insurance Plans

When you start your search for health insurance, prepare for alphabet soup — HMO, PPO, HDHP. Individual insurance comes in a lot of forms.

Choosing the right coverage for you starts with determining which type of plan best meets your needs. Here’s a quick look at the different types of health plans available and who might benefit most from each.

HMO

HMO plans limit coverage to health care providers who are under contract with the health maintenance organization (HMO). You usually need to have a referral from your primary care doctor to receive care from a specialist or other provider in the HMO network.

Care from providers outside of the HMO network is typically not covered, except in the case of an emergency and for routine services with an obstetrician/gynecologist. HMO coverage is usually confined to specific geographic areas.

Some insurers offer a similar setup called exclusive provider organization plans, with coverage only if you use doctors, specialists, or hospitals in the plan’s network, with the exception of emergencies.

May be best for: People looking for the lowest-cost plans, who don’t need coverage outside their geographic area, and who don’t mind changing doctors to stay in the HMO network.

PPO

Members of preferred provider organization (PPO) plans pay less when they use network providers. Care outside the network is covered but at an additional cost. In general, no referrals are necessary.

Some insurers offer a similar type of plan called point of service. As with a PPO, plan members pay less for care from network providers, but they are free to go outside the network. Like an HMO, they must use a network primary care doctor and get a referral to see a specialist.

May be best for: Individuals who can afford higher premiums and perhaps higher out-of-pocket costs in return for the freedom to see specialists and other providers outside the network.

Recommended: What Is a PPO Plan?

High-Deductible Health Plan

This is a health plan that charges a deductible of $1,650 or more for an individual or $3,300 or more for a family for 2025. A deductible is the amount you pay out of pocket for health care costs before insurance coverage kicks in.

In return for higher deductibles, these plans usually charge significantly lower premiums. (Preventive care is usually covered at 100% when you stay in the network.)

You can combine a high-deductible health plan with a tax-advantaged health savings account (HSA). Contributions to an HSA are tax-free and can be used to pay for qualified medical expenses.

May be best for: People who don’t use a lot of health care services and are willing to risk high out-of-pocket costs, and those who are looking to start an HSA to save for future health care expenses.

Recommended: Benefits of a Health Savings Account

Catastrophic

These low-premium, very-high-deductible health plans are designed, as the name implies, to cover only dire circumstances.

The plans cover the essential benefits defined by the Affordable Care Act, including hospitalization, emergency services, prescription drugs, lab work, maternity and newborn care, pediatric care, and more. There may be limits on preventive care and the number of covered visits to a primary care provider.

Deductibles are, well, high: in 2025, $9,200 for an individual, according to healthinsurance.org.

The plans will help if you become seriously ill or are injured, but you’ll pay out of pocket for many other health care costs.

Catastrophic plans are only available to people under age 30 and to people with a hardship or affordability exemption. They can be purchased on healthcare.gov or directly from carriers.

May be best for: People in between coverage plans looking for a short-term buffer against large medical bills should an accident or serious illness occur. These plans are generally not viewed as suitable for anyone looking for traditional health care coverage.

Short-Term Health Insurance

Short-term plans are designed to provide temporary emergency coverage when you are between health plans or outside enrollment periods. Depending on what state you live in, short-term coverage can last up to 12 months, sometimes with the possibility of renewal for up to 36 months.

Short-term plans are not compliant with the Affordable Care Act and therefore do not have to provide essential coverage such as preventive, maternity, and mental health care, and treatment for preexisting conditions.

Deductibles and out-of-pocket costs can be significantly higher than those of traditional health plans.

May be best for: Like catastrophic insurance, this is generally considered suitable only for people looking for stopgap coverage while they are otherwise uninsured.

Recommended: Beginner’s Guide to Health Insurance

Choosing an Individual Health Plan

It’s best to consider a number of factors beyond the premium price to determine the most affordable choice that meets your needs.

Consider how you typically use health care: Are you generally healthy and only need to go to the doctor for annual physicals? Or are you treating a chronic condition that requires consistent care?

It might be a good idea to try to project what the coming year will look like in terms of how you use health care. From there you can take into account what’s most important to you, including costs, providers, and pharmaceutical coverage.

Some questions to possibly ask as you compare plans:

What would my cost-sharing be? This includes out-of-pocket costs such as deductibles, copays, and coinsurance.

Does the plan have an annual or lifetime limit on how much I’d spend out of pocket? Every plan that is ACA compliant must publish a summary of benefits and coverage that you can check to see how the plan covers costs. In addition, most insurers and health care organizations have online tools that can help you compare plan costs.

Are my doctors in the plan’s network? You can check with the insurers or directly with your providers. If your providers are not in the network of the least-expensive plans, ask yourself what is most important to you: lower costs and changing doctors or higher costs and keeping current providers.

Are my medications covered? Most plans have a formulary, a list of drugs that are fully or partly covered under the plan. You can access the plan’s formulary on the insurers’ websites. The lists typically change from year to year.

An experienced agent or broker who sells plans that are on the Health Insurance Marketplace and off the exchange can help you compare the broad range of plans to determine which one is right for your needs. (Agents and brokers often get a commission from insurance companies for selling plans, but the customer does not pay extra for enrolling with them.)

Or you can shop on your own for exchange plans and determine if you qualify for premium subsidies on Healthcare.gov. You can compare off-exchange plans through one of the many online brokers or directly with insurers.

The Takeaway

Shopping for an individual health insurance policy requires time, knowledge, and patience. But armed with the basics and some tools, you’ll have the best chance to find coverage that will meet your health care needs and budget.

When the unexpected happens, it’s good to know you have a plan to protect your loved ones and your finances. SoFi has teamed up with some of the best insurance companies in the industry to provide members with fast, easy, and reliable insurance.

Find affordable auto, life, homeowners, and renters insurance with SoFi Protect.


Auto Insurance: Must have a valid driver’s license. Not available in all states.
Home and Renters Insurance: Insurance not available in all states.
Experian is a registered trademark of Experian.
SoFi Insurance Agency, LLC. (“”SoFi””) is compensated by Experian for each customer who purchases a policy through the SoFi-Experian partnership.

Non affiliation: SoFi isn’t affiliated with any of the companies highlighted in this article.

Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

SOPRO-Q325-009

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