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Coverage Behavior


Air Doctor uses Coverage to control eligibility, pricing, payment responsibility, and branding in the app.

Coverage defines whether an appointment is insured, partially insured, or paid privately by the user.

This page explains how coverage becomes available to a user and how it affects the appointment experience. The behavior applies to standalone, co-branded, and embedded Air Doctor integrations.


Coverage Types

Air Doctor supports two user categories.

Users with Coverage

These users have coverage linked to their account.

Based on policy terms, the app may show:

  • Fully covered appointments.
  • Partially covered appointments with a deductible.
  • User-paid appointments with reimbursement handled directly between the user and the insurance provider.

The app always displays payment responsibility before confirmation.

Users without Coverage

These users have no linked coverage.

  • The app displays full prices.
  • The user pays for the appointment.
  • Any reimbursement occurs directly between the user and the insurance provider, outside the app.

Coverage Availability

Coverage becomes available to the user before an appointment request through one of the following customer-visible paths.

Option 1: Add Coverage in the Air Doctor App

The user adds coverage directly in the app.

The user opens Add Coverage and provides required details, which the app validates before linking the coverage, such as:

  • Insurance provider.
  • Policy number.
  • Insurer-required personal information.

After submission:

  • Coverage links to the user account.
  • Pricing, availability, and payment logic update automatically.
  • The user can request appointments immediately.

Option 2: Join through a Corporate Program

Corporate programs provision coverage in advance.

In this flow:

  • The user receives an invitation to register.

  • The user creates an Air Doctor account through a designated entry point.

  • Coverage links automatically during registration.

After registration:

  • The app applies corporate eligibility, pricing, and payment rules.
  • Corporate branding appears when configured.
  • No manual policy entry is required.

This flow supports employees or members covered through a corporate benefit.

Option 3: Join through a Partner or Assistance Referral

Some users access Air Doctor through a partner or assistance channel.

In this flow:

  • The user receives a secure referral or access link.
  • The user signs in or completes account creation.
  • Coverage becomes available after the user confirms access through the link.

This path supports guided onboarding and assisted use cases.

Option 4: Use Air Doctor without Coverage

Users without integrated coverage can use Air Doctor as a supported private-payment mode.

In this case:

  • The user proceeds as a Private user.
  • The app displays full appointment prices.
  • The user pays directly.

The user may submit receipts to an insurance provider independently, when applicable.