There are two types of payments for insurance services under the American model. The periodic payment, paid in order to maintain health insurance coverage, is called the premium. When a worker's insurance pays a medical expense, a certain fixed amount of the expense is paid by the worker. This payment is called the deductible. | There are two types of payments for insurance services under the American model. The periodic payment, paid in order to maintain health insurance coverage, is called the premium. When a worker's insurance pays a medical expense, a certain fixed amount of the expense is paid by the worker. This payment is called the deductible. |