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Home > HR/Administrators > Benefits > How do I edit the monthly cap/cap per visit/shared monthly cap/copayment for a single scheme?
How do I edit the monthly cap/cap per visit/shared monthly cap/copayment for a single scheme?
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You can only do this based on the existing Schemes you have set up. If you need a new Scheme set up, please contact our Customer Success team :)

 


 

To set a monthly cap/cap per visit/shared monthly cap/copayment for a single scheme, follow these steps:

 

Step 1: On the Benefits tab, select one of your Schemes.

 

 

Step 2: Click on the edit icon under Action, indicated in the screenshot below.

 

 

Step 3: Enter the amount you wish to set as a monthly cap/cap per visit/shared monthly cap. Click Save Information.

 

A Shared Monthly Cap can only be activated when both Panel and Non-Panel are enabled.

 

To enable/ disable Co-Payment, click the toggle button found within the category customization.

 

Value-dollar ($): When Co-Payment is configured to adopt a value-dollar ($) logic, it indicates a FIXED amount is to be paid by members regardless of the bill/ claim amount.
Percentage (%): When Co-Payment is configured to adopt a percentage (%) logic, it indicates that a portion of the bill/ claim amount is to be paid by the members regardless of the bill/ claim amount.

 

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