There are basically two types of extended warranties; those offered directly from the automaker, and aftermarket warranties that are available from third-party companies. An extended warranty from a car manufacturer is very similar to the warranties that come with the vehicle when new, they are simply extensions of those policies. Some will include extras such as emergency roadside service. Third-party service contracts often have exclusions and requirements that are different from the manufacturer's warranties.
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However, most extended warranties have a deductible amount that you have to pay, similar to auto insurance, before work is completed. Contracts with automakers tend to have lower deductible amounts when compared with third-party contracts. Also keep in mind that extended warranties from third-party vendors vary widely, often including high deductibles, they may limit where you can have your vehicle repaired, and there is no guarantee they will use parts from the original auto manufacturer.