Insurance Claim

Insurance Claim Calculator Estimate your actual payout after deductibles, depreciation, and coverage limits — for auto, h...

Insurance Claim Calculator

Estimate your actual payout after deductibles, depreciation, and coverage limits — for auto, home, and health claims.

Auto Claim

Home Claim

Health Claim

Car Value Before Accident ($)

Vehicle Age (Years)

Repair Estimate ($)

Deductible ($) 500 1,000 2,000

Coverage Type Actual Cash Value Replacement Cost (Rare for Auto)

Damage Estimate ($)

Property Type Dwelling Personal Property

Deductible ($)

Medical Bill ($)

Network Status In-Network Out-of-Network

Deductible Met? No Yes

$0

Estimated Payout

$0

Depreciation Applied

$0

Your Out-of-Pocket

0%

Coverage %

Claim Payout Breakdown

How Claim Payouts Are Calculated

Auto Claims

Actual Cash Value (ACV) = Replacement Cost − Depreciation → Depreciation: ~10–20% first year, 10% annually thereafter → Payout = ACV − Deductible Example: $15K car, 3 yrs old (60% remaining value = $9K), $1K deductible → **$8,000 payout**

Homeowners Claims

ACV Policies: Pay replacement cost minus depreciation RCV Policies: Pay full replacement cost upfront, or hold back depreciation until repairs are done (recoverable depreciation). Example: $10K roof, 5 yrs old (50% depreciated), RCV policy → $10K paid after proof of repair.

Health Claims

Payout = Bill − Deductible − (Coinsurance × Remaining) → In-network: 80/20 coinsurance common → Out-of-network: May hit balance billing Example: $5K bill, $1.5K deductible, 20% coinsurance → You pay $1,500 + $700 = **$2,200**

Common Claim Denials & How to Fight Back

⚠️ Top reasons for denial or underpayment:

• Pre-existing damage (auto) — provide pre-accident photos or Carfax
• Ordinance or law exclusion (home) — code upgrades often excluded unless added
• Experimental treatment (health) — appeal with peer-reviewed studies
• Misclassified network status — verify provider’s contract with insurer

✅ Appeal steps:

1. Request claim file + adjuster notes (free under most state laws)
2. Get independent estimates (auto: 3 body shops; home: licensed contractor)
3. File written appeal with evidence
4. Escalate to state insurance commissioner if denied twice

📊 Data: 85% of appealed claims result in higher payouts (NAIC).

2025 U.S. Claim Benchmarks

Claim Type	Avg. Payout	Median Processing Time
Auto Collision	$4,800	14 days
Auto Comprehensive	$2,300	10 days
Home Fire	$18,000	30 days
Home Theft	$7,500	21 days
In-Network Health	80% covered	30 days

📉 Depreciation Reality: • Personal property: 5–10% annual depreciation • Roofing: 2.5–5% per year (20-yr life) • Electronics: 20% first year, 15% thereafter

How to Use This Calculator

➡️ Auto Claim

Enter car’s pre-accident value, age, and repair estimate. The tool applies standard depreciation and subtracts your deductible.

➡️ Home Claim

Select dwelling or contents, enter damage estimate and deductible. For RCV policies, recovery of depreciation is assumed if repairs are completed.

➡️ Health Claim

Input bill amount, network status, and deductible status to estimate your out-of-pocket.

Note: Estimates assume no coverage gaps, policy limits, or exclusions. Always review your policy declarations page.