# Vetra for Enrollees
### Your health plan, in your pocket

> **Vetra** gives you a simple, secure place to see what your plan covers, find a provider, check your card, see your visits and claims, and catch anyone misusing your benefits.

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## 1. What the enrollee portal gives you

| Module | Purpose |
| --- | --- |
| **Dashboard** | What's on, what's used, what's left this period. |
| **Card** | Your digital health card with your Vetra Member ID. |
| **Coverage** | Your plan + benefit limits + how much has been used so far. |
| **Providers** | The hospitals, pharmacies and labs covered by your plan. |
| **Claims** | Every claim filed for you, with status and amount. |
| **Authorizations** | Pre-auth requests made on your behalf — and alerts if any look wrong. |
| **Check-ins** | Visit history. |
| **Settings** | Your profile, password, security. |

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## 2. Your Member ID

Your Vetra Member ID looks like:

```
HYG-DNG-00234-PR
│   │   │     │
│   │   │     └── Type (PR principal, SP spouse, CH child)
│   │   └──────── Your sequential number
│   └──────────── Your employer / sponsor
└──────────────── Your HMO
```

You'll need it whenever you visit a provider. Show your **Card** screen or tell them the ID.

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## 3. Setting up

1. Accept the invite email or open `app.vetrainsure.com/enrollee/signup` with your Member ID.
2. Set a strong password. Turn on biometric or 2-step if your phone supports it.
3. Confirm your details on **Settings** (name, DOB, phone).
4. Open **Card** — that's your digital health card. Add it to your wallet if you like.

---

## 4. Checking what's covered

- Open **Coverage** to see your plan tier, benefit limits, and how much has been used in the current period.
- The amounts come from **APPROVED claims** only, so this is a real spend ticker — not an estimate.
- If a limit is close to being used up, you'll see a warning so there are no surprises at the next visit.

---

## 5. Finding a provider

- Open **Providers**. Search by name, type (hospital / pharmacy / lab / dentist / optician) or location.
- Each provider card shows: address, services, hours, and whether they're in-network for your plan tier.
- A provider that isn't in your network may not be covered — call your HMO before going.

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## 6. Pre-authorizations

Some treatments need pre-approval (PA) from your HMO before the provider can carry them out. You'll see every PA raised on your behalf in **Authorizations**.

> **Ghost-patient alert.** If an **EMERGENCY** PA is filed for you, the portal pings you immediately. If you didn't visit a hospital — that's a red flag. Tap "Not me" and your HMO is notified.

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## 7. Following your claims

- **Claims** shows everything filed for you, with status (Submitted → Received → In review → Approved / Rejected → Settled).
- Each claim shows the provider, the amount, what was treated, and what the HMO paid.
- If you spot a claim you don't recognise, tap "Report" and your HMO is notified.

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## 8. Check-ins

The **Check-ins** module is a simple history of your provider visits — date, provider, reason — so you don't have to keep a paper trail.

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## 9. Notifications

You get a real-time ping when:
- A PA is filed on your behalf (especially emergency ones).
- A claim is approved, queried or rejected.
- Your benefit limit hits 70% / 90% / 100%.
- Anything looks out of the ordinary on your account.

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## 10. Privacy

- Only **you**, your **HMO**, and the **provider treating you** can see your clinical detail.
- Your employer sees aggregated utilisation only — **not** what you were treated for.
- All data is encrypted in transit and at rest.
- You can export everything we have on you from **Settings → Data**.

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## 11. Day-in-the-life — Enrollee

| Moment | What you do |
| --- | --- |
| Phone breaks first thing | Open **Providers**, find the nearest in-network pharmacy. |
| Doctor visit | Show your **Card** — provider scans the Member ID. |
| Two hours later | Notification: PA approved. |
| End of week | Open **Coverage** — you've used 12% of your annual out-patient cap. |
| Strange ping at 02:00 | Emergency PA you didn't authorise → tap "Not me". HMO investigates. |

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## 12. Where to get help

- **In-app:** the Help icon (bottom-right).
- **Docs:** `vetrainsure.com/documentation`
- **Email:** members@vetrainsure.com
- **Status:** `status.vetrainsure.com`

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*Vetra Health, Inc. — Your health plan, in your pocket.*