Sometimes the deductibles for specific insurance categories differ from the general deductible. Below are some common scenarios and how to set them up.
- If the General Deductible does not apply to diagnostic or preventive care, enter 0.00 for both Diagnostic and Routine Preventive deductibles. This is the default.
- If the General Deductible applies to diagnostic care but not preventive care, leave Diagnostic blank and enter 0.00 for Routine Preventive.
- If the General Deductible applies to all care, leave Diagnostic, all individual/family deductible fields blank.
- If the diagnostic deductible is different than the general deductible and preventive work has no deductible, enter the deductible for Diagnostic and 0.00 as the deductible for Routine Preventive.
Questions & Answers
Q: In what order are deductibles and annual max applied?
A: Deductibles and annual max are applied in the order that claims are created, not by procedure date.