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How do I log in?
A: Go to https://portal.yuzu.health/signin and enter your email address. You will receive a one-time code via email - no password required.
Can I access the portal on mobile?
A: Yes, it works on both desktop and mobile devices (Apple and Android).
Where can I find my insurance card?
A: Go to the Home tab and click ‘Download Card’ to save or share it.
How do I check my progress toward my deductible?
A: You can view your Deductible and out-of-pocket progress on the Home page.
How do I download an Explanation of Benefits (EOB)?
A: Go to the Claims tab, click into a claim, and select ‘Download Explanation of Benefits’ at the bottom.
How can I check the status of a claim?
A: You can view the status of all submitted claims within our system under the Claims tab.
How can I check which family members are covered?
A: You can view your family’s coverage by clicking the Family tab. If any information appears incorrect, please contact your employer.
How do I learn more about my plan details?
A: The Plan tab includes support contacts, benefit types, and your coverage start and end dates.
Where can I download a Proof of Insurance Letter?
A: Go to Plan > Documents and download the Proof of Insurance Letter.
How do I get my 1095 tax form?
A: Go to Plan > Documents and download the 1095 form for proof of coverage.
How do I understand what my plan covers?
A: Use the Benefits tab to search by name, CPT code, or place of service. It includes info on benefit types, copays, deductibles, and limitations.
What is a copay?
A: The fixed dollar amount you pay upfront for a specific healthcare service — like a doctor’s visit or prescription — regardless of the total cost.
What is a deductible?
A: The amount you must pay out of pocket before your insurance begins to cover costs.
What is coinsurance?
A: It is your share of covered costs after meeting your deductible, usually a percentage.
What is a limitation?
A: A restriction, such as a limit on the number of visits for a service.
Where can I see my deductible and out-of-pocket max?
A: These details on the Home tab and are shown on directly on your insurance card.
What is a Cash Pay Card?
A: A digital card that pays providers upfront in cash, usually resulting in $0 out-of-pocket costs for you. Cash Pay Cards are provided through Coordinated Care. Contact your Care Coordinator to see if you plan includes Cash Pay Cards.
How do I receive a Cash Pay Card?
A: Your care navigator may send it via text, email, phone, or app. You can also access it in the portal under the Cash Pay tab.
How do I use the Cash Pay Card?
A: Show the card to the provider instead of your insurance ID. You’re considered a cash pay patient and your name is on the card.
What should I do if a Cash Pay transaction is voiding?
- If the transaction voids, a common reason is the provider has entered in the information incorrectly; have them try again.
- If the card continues to fail either have the provider or yourself contact your care coordinator.
What do I do if the Cash Pay transaction is >$10K?
A: The provider has to break up the full transaction into multiple transactions. The maximum allowable transaction at one time is $10K
Do I need to keep a receipt for Cash Pay?
A: Yes. A receipt is required for every transaction. For charges over $500, request an itemized receipt.
How do I submit a receipt for Cash Pay?
A: Use the upload link sent via text or email to be directed to the portal. If you did not receive a link, find the claim in the portal and go to the receipts tab on the claim
What happens if I don’t submit receipts?
A: You may lose access to future Cash Pay Cards.
How do I upload a claim?
A: Go to Claims > Upload a Claim. Include a memo with cost and service description, and attach required receipts. You must connect a bank account to receive reimbursement.
How long does reimbursement take?
A: We try to review as quick as possible but claims are reviewed by a licensed examiner and usually take 6–8 weeks. You’ll be notified when payment is made.
How do I connect my bank account for reimbursement?
A: Go to Account > Connect Bank Account. Use Plaid or enter your bank details manually, then confirm a micro deposit.
What if there’s an error linking my bank account?
A: Double-check your info. If issues persist, consult Plaid’s troubleshooting guide or contact your bank.
Can I update my address in the portal?
A: No. To change your address, contact your employer directly.
How much will I pay for prescriptions?
- The Pharmacy Benefit Manager (PBM) varies by health plan. The PBM will be managing all pharmacy claims that are processed through your insurance. You can see which PBM your plan uses on your member ID card. Your member ID card also has contact information for your PBM.
- The PBM maintains the prescription formulary and list of In-Network pharmacies for your plan. The formulary will tell you what Tier (e.g., Generic, Preferred, Specialty) your medication falls into, which determines the copay requirements, preauthorization requirements and more.
- Depending on the brand name or specialty medication you need, your care coordinator may have an alternative source recommended for you.