
FEMA and insurance deductible coverage can be a bit confusing, but it's essential to understand the basics.
FEMA's Individual Assistance program typically covers 75% of eligible expenses, but it doesn't cover insurance deductibles, which can be a significant out-of-pocket cost.
If you're not prepared for the deductible, you may need to pay it upfront, which can be a financial burden.
FEMA's assistance is meant to help with the costs of disaster recovery, but it's not a substitute for insurance coverage.
Insurance and Assistance
FEMA assistance can be a lifesaver, but it's essential to understand how it interacts with your insurance coverage. If you have insurance that covers some of the damaged costs, FEMA can cover about 75% of the deductible costs.
You need to tell FEMA about all your insurance coverage when you apply for assistance. This includes flood insurance, homeowners insurance, renters insurance, and any other type of insurance you may have. By law, FEMA can't pay for costs that your insurance covers, so it's crucial to contact your insurance company right away to file a claim.
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FEMA will look at your insurance payout and compare it to your verified loss or damage. If your net payout is less than the loss amount recorded during your FEMA inspection, you can get Home Repair Assistance for the difference between FEMA verified loss and your net insurance payout.
Here's an example of how this works: if you received $2000 from your insurance company for home repairs and a FEMA inspection determines you need $8000 of basic repairs to make your home safe to live in, you could be awarded up to $6000 from FEMA.
FEMA can help you with needs that are not covered by your insurance or give you money while you are waiting on insurance money. However, you won't get help with your insurance deductible, and you'll need to pay FEMA back after you receive your insurance money.
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Still Need Help After Insurance Payout?
So, you've filed a claim with your insurance company and received a payout, but you still need help covering some of the costs. FEMA can still be a valuable resource in this situation.
If you need help after getting money from your insurance, you can send FEMA a copy of the documents from your insurance company that show the damage or expenses your insurance covers. This can include insurance settlement information, an insurance denial letter, or proof of lack of insurance.
You should contact your insurance company right away to file a claim, and then let FEMA know about all the insurance coverage you have when you apply for assistance. This is to ensure that FEMA doesn't pay for costs that your insurance already covers.
Some examples of documents you can send to FEMA include an insurance settlement information, an insurance denial letter, or proof of lack of insurance. For instance, if your insurance company denied your claim because the damage didn't exceed the policy deductible, you can send FEMA a copy of that denial letter.
FEMA may be able to help with costs that your insurance doesn't cover, up to FEMA's maximum award amounts. This means that you can get Home Repair Assistance for the difference between FEMA verified loss and your net insurance payout.
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Insurance and FEMA
If you've already received money from your insurance, you can still apply for FEMA assistance. This is because FEMA may help pay for costs your insurance didn't cover, up to FEMA's maximum award amounts.
To qualify, you'll need to send FEMA a copy of documents from your insurance company that show the damage or expenses your insurance covers. These documents may include an insurance settlement information, insurance denial letter, or proof of lack of insurance.
FEMA can only help pay for costs not covered by your insurance, so it's essential to contact your insurance company right away to file a claim. By law, FEMA can't pay for costs that your insurance covers.
You'll need to tell FEMA about all the insurance coverage you have, including flood, homeowners, renters, vehicle, mobile home, medical, and burial insurance. This will help FEMA determine what costs are not covered by your insurance.
Here are some examples of documents you can send to FEMA:
- Insurance settlement information.
- Insurance denial letter, including a denial because damage did not exceed the policy deductible.
- Proof of lack of insurance, such as a policy with an exclusion for specific causes of damage, or a lack of coverage for temporary housing.
Keep in mind that FEMA doesn't directly pay deductibles, but your FEMA award may be able to cover some or all of your deductible.
Frequently Asked Questions
What will FEMA not cover?
FEMA does not cover non-essential household items and personal property. Assistance is limited to repairs that make a home safe, accessible, and functional.
Sources
- https://www.cbh.com/insights/articles/fema-disaster-assistance-guide-answers-to-faqs/
- https://www.fema.gov/fact-sheet/help-survivors-insurance
- https://www.fema.gov/fact-sheet/fema-may-help-even-if-you-are-insured
- https://texaslawhelp.org/article/disaster-recovery-what-can-fema-do-for-me
- https://www.fema.gov/press-release/20230502/fact-sheet-rumors-vs-facts-about-disaster-assistance
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