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Many credit cards in the United States offer some kind of rental car protection (mirror). In case of a damage to the rented car, does using the credit card's rental car protection in case of a damage with car rental result in increase of some premium (as a typical car insurance contract would) or extra fees for the customer?

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That would depend on your specific contract - they are not all created equal.
Typically, no negative consequences should arise; worst case, if you use it multiple times, they smell fraud, and will check each case very thoroughly, and finally terminate your credit card.

[I have used it once, and it was a smooth ride, with no consequences]

  • As an example of differing contracts, American Express offers some rental insurance at no cost, but account holders have the option of purchasing additional "premium" insurance at a fixed price per rental contract purchase - if enrolled it gets automatically billed when a car rental purchase is recognized in the account holder's transactions. – CactusCake Feb 22 at 16:52

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