Inheritance of cost shares and maximum dollar limits
In Pega Product Composer for Healthcare, when you configure a product by using a product template, the product inherits all cost share values and maximum dollar limits from the product template. In turn, these values are inherited by a plan when you configure a plan by using a product.
Pega Product Composer for Healthcare
If needed, you can override these values at the product level if you configured a product by using a product template or at the plan level if you configured a plan by using a product.
However, within product templates, products, plans, benefits, and groupers do not inherit the following values from the network:
- Lifetime maximum
- Out-of-pocket maximum
- Annual maximum
- Deductible
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