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Medical

Deductible

Also known as: Excess, Franchise (Switzerland), Eigen risico (Netherlands), Self-pay threshold

A deductible is the amount you pay out of pocket before your insurance starts covering costs.

Last updated: 2 April 2026

Real-world example

You have travel insurance with a $250 deductible. In Bangkok, you visit a private hospital for a stomach bug. The total bill is $180. Because this is below your deductible, your insurance pays nothing and you cover the full $180. If the bill had been $400, you'd pay $250 and your insurer would cover the remaining $150.

Why travellers need to know

Deductibles determine whether your insurance kicks in at all for smaller medical bills abroad. Many travellers assume their insurance covers everything from the first dollar, then discover they owe the full amount because the bill fell below their deductible. Choosing a higher deductible lowers your premium but means you pay more before coverage starts. For short trips, a low deductible is usually worth the extra premium.

Country-specific notes

CHF 300-2,500 annual franchise for all residents

Switzerland requires all residents to choose an annual deductible (franchise) between CHF 300 and CHF 2,500. Visitors aren't part of this system but may encounter it if they access care through a Swiss insurer or employer plan.

Frequently asked questions

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How Nomedic helps

Nomedic keeps your insurance policy details and deductible amount stored alongside your health records, so you can check your coverage instantly from any hospital reception.

Your health records, anywhere you go

Your insurance details, stored with your records.

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