Aggregate Deductible vs Co-payment Explained: Which One Should You Choose?

2 min 7 sec · 29 September 2026 · nyvo

An aggregate deductible and a co-payment both make you share a claim, but not in the same way. On the same ₹5 lakh hospital bill, a deductible costs you once a year, while a co-pay takes a share of every bill. Kshitij Jain, nyvo's founder, walks through one ₹5 lakh claim to show who pays what under each, how the deductible can be claimed from your corporate cover, and which of the two nyvo recommends.

What this video says

  • An aggregate deductible is a fixed amount, such as ₹10,000, ₹25,000 or ₹50,000 (and ₹5 lakh or ₹10 lakh on super top-ups); a co-payment is a percentage, such as 10%, 20% or 30%.
  • On a ₹5 lakh claim with a ₹50,000 deductible you pay ₹50,000 and the insurer pays ₹4.5 lakh; with a 20% co-payment you pay ₹1 lakh and the insurer pays ₹4 lakh.
  • The deductible applies once a year, while a co-payment applies to every bill: on a second ₹5 lakh bill in the same year the deductible plan pays in full, but the co-payment costs you another ₹1 lakh.
  • The video says the deductible you pay can be claimed from another policy, such as corporate cover, but a co-payment cannot be claimed from anywhere else (nyvo's current data: a corporate plan can often pay the deductible, but check its wording; nyvo does not say a co-payment can never be recovered, as with two policies the first insurer must coordinate with the other for the balance).
  • nyvo recommends the aggregate deductible as a predictable way to lower the premium, and a co-payment only when no other policy is available.

Figures to check against today's data

The video was recorded on 29 September 2026. Where nyvo's current data states a figure differently, it is below.

In the videonyvo's current data
1:17with aggregate deductible, the 50,000 that you paid out of pocket, you can also claim from your another insurance, be it corporate insurance or any other insurance policy you have.nyvo's answer is 'often yes': an employer plan's payment can count towards the deductible, but confirm how your plan's wording counts it before relying on it.
1:35but in co-payment, you can't claim it from anywhere else.Not supported by nyvo's published data. nyvo cites the Master Circular rule that, with two policies, the insurer you claim from first must coordinate with the other for the balance; whether the second policy pays a co-pay share depends on its own terms.

Chapters

Chapters as published with the video.

Transcript

From the video's English captions, with misheard names corrected. Tap a time to play from that point.

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0:00Many people, while buying health insurance, would have heard terms like co-payment or aggregate deductible. They think both are the same, but they are not. Today, let me just tell you difference between aggregate deductible and co-payment. Aggregate deductible comes in the form of 10,000, 25,000, 50,000.

0:16Even for super top up, it go up to 5 lakh, 10 lakh, etc. Whereas, co-payment comes in the form of percentages, 10%, 20%, 30%.

0:29The aggregate deductible, let's say you choose 50,000. The first 50,000 you have to pay, and the rest the insurance company will pay. Let's say a claim of 5 lakhs come. The first 50,000 you will need to pay out of your pocket, and the rest 4.5 lakh the insurance company will pay.

0:44Let's talk about co-payment in this scenario. If you have 20% co-payment, 20% of 5 lakh, that is 1 lakh, you will have to pay out of pocket, and 4 lakh will be paid by insurance company. But here's the difference. Aggregate deductible get applied once every year.

1:00Whereas, co-payment is valid for every bill. For the next 5 lakh bill, while insurance company will pay whole amount in case of aggregate deductible, in co-payment, you will have to pay again 1 lakh out of your pocket. So, this makes a bigger difference between aggregate deductible and co-payment. Another second difference, with aggregate deductible, the 50,000 that you paid out of pocket, you can also claim from your another insurance, be it corporate insurance or any other insurance policy you have.

1:26Now, coming to the second difference, the 50k that you paid in aggregate deductible, you can claim from your corporate insurance, but in co-payment, you can't claim it from anywhere else.

1:37So, what do we recommend? Aggregate deductible is a strategic decision to lower your premiums, and it is predictable. But co-payment is not recommended, as in a huge bill amount, you will have to pay a lot of money from out of your own pocket, and it is unpredictable in nature. Co-payment should only be taken when there is no other policies available.

1:58Hope you understood this term. We will be posting more such videos to explain insurance terms. Stay tuned and subscribe our channel.

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