Insurance Plan with Different Coverage Levels

Certain Insurance Plan Types provide different coverage levels per patient on the plan.

In Other Benefits, click Add.

Examples:

To start, enter the insurance plan for the subscriber with the subscriber's benefit information, and add the insurance plan to other family members (non-subscribers).

For family members that have a different coverage level, add an Other Benefit.

  1. Check Patient Override.
  2. Select the category affected.
  3. Enter the percentage covered for this year.
  4. Select a Coverage Level of Individual.
  5. Click OK.

In the benefit grid this benefit row will have an X in the Pat column to indicate it applies to this patient only. In this example, restorative procedures for this patient are only covered at 50%.