Checking Accumulators and Visit Limits

The Buckets tab on a member’s coverage page shows how much of each plan limit the member has used so far in their plan year (deductible, max out-of-pocket, and visit limits).

Viewing Buckets

To see a member’s buckets:

  1. Open their coverage page.

  2. Select Buckets in the coverage menu.

  3. Use the date range selector in the top-right corner of the card to switch between plan years. The current plan year is selected by default.

Access Summary

Member

See their own buckets and family members’ buckets.

Employers

See members’ buckets on their coverage pages.

Brokers

See members’ buckets on their managed groups.

Plan Designers

See members’ buckets on their managed groups.

Providers

See buckets for any member whose coverage they have access to. Providers can also check a member's accumulators without logging in by using the eligibility look-up on the provider page.

Other vendors (networks, PBMs, utilization management, care navigators, COBRA)

See buckets for any member whose coverage they have access to.

Deductible and MOOP

This tab shows the plan's accumulators.

  • Deductible: what the member has paid toward the deductible, and the deductible limit.

  • Maximum out-of-pocket (Max OOP): what the member has paid toward the out-of-pocket maximum, and the MOOP limit.

  • Individual Accumulators: amounts for this member only.

  • Family Accumulators: amounts for the whole family on the coverage. If the plan uses an aggregate deductible, a note explains that all covered family members’ expenses count toward the family deductible and out-of-pocket maximum.

Rollover Accumulators

If credits were carried in from a prior plan or plan year (for example, a mid-year plan change), they appear as rollover amounts inside the accumulator and already count toward the totals shown.

Visit Limits

This tab shows each benefit that has a limit on the number of visits, days, or dollars per plan year.

  • For example, physical therapy visits, inpatient days, or a dollar cap on a specific benefit. Each card shows: the benefit name, used/limit, and the date the limit resets.

How are accumulators and visit limits calculated?

Amounts update when a claim is processed and approved. Claims that are still processing, pended, or denied do not count.

If a number looks wrong (for example, a paid claim is missing), contact support@yuzu.health and include the member's name, the plan year, and the claim in question.

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