Plan Year End
Dec 31, 2026
Lya Patient Hub
Coverage Predictor
Affordability risk forecasting and proactive support actions before coverage friction occurs
Deductible Remaining
$920
OOP Remaining
$3100
Risk Level
Moderate
Cost Forecast Scenarios
| Scenario | Projected Monthly Cost | Confidence |
|---|---|---|
| Current adherence maintained | $35 | High |
| Copay card exhausted in Q4 | $210 | Medium |
| Preferred pharmacy switch required | $95 | Medium |
Recommended Actions
- Apply for foundation backup before Q4
- Enable benefits re-verification reminders every 60 days
- Upload latest EOB to prevent payer mismatch delays
GenAI Forecast Assist
- Forecasts affordability risk from deductible progress and benefit timelines
- Prioritizes support actions by expected out-of-pocket impact
- Creates patient-friendly plan-change summaries