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The Co-Payment refers to the fixed amount that you will be required to pay directly to the clinic or provider by cash/NETS/credit card for the visit. The remaining balance would be deducted from your benefits balance in a single transaction.
Your employer can set a Co-Payment on your Mednefits account. You can check it via your Mednefits app, simply go to View All Benefits and select any scheme under Benefits to see if your employer has enabled the Co-Payment settings.
After you have selected the scheme, under Limit Rules, you may see if there is any Co-Payment being applied by your HR for each category.
If Co-Payment is applicable, you will be able to view the cap by Panel and Non-Panel.
Using Mednefits at a panel clinic or provider when you have a Co-Payment
Step 1: Tap Scan QR to register your visit.
Step 2: On the member selection page (if applicable), select the member's name, and then click on Proceed.
Step 3: Scan the QR code.
A green confirmation screen will appear upon successful registration.
Step 4: The Checkout button will replace the Scan QR button to indicate that you have yet to checkout. When you are ready to checkout, tap the Checkout button, and on Select Service(s) page, select the services you have received before clicking on Proceed to Payment. (This page won't be displayed if the provider has only one service to offer)
Step 5: On the Payment Amount page, enter the full bill size amount (inclusive of medicine & treatment and consultation fee) and press Continue.
Step 6: On the Review Payment page, a summary of the transaction will appear, showing the following information:
- Bill amount: The cost for consultation, medicine, and treatment.
- Via Mednefits: The amount deducted from your current balance for this visit.
- Out of Pocket: The amount you will have to pay the clinic or provider by cash/NETS/credit card for this visit after deduction of Co-Payment amount.
Step 7: After you are done reviewing your payment, click on Confirm Payment to complete the payment process. (Please ensure you enter the right total bill amount and for any Out of Pocket amount, please pay directly to the provider)
Step 8: On the Transaction Completed page, the figure under Via Mednefits is the amount that is deducted from your benefits for this transaction, and the figure under Out of Pocket tells you how much cash you have to pay for this transaction.
Kindly click on this helpdesk article on how to submit non-panel claim (if applicable) if you have a Co-Payment applied.
