Content Overview
- Summary
- What is Coordination of Benefits?
- How Coordination of Benefits Works
- Two Examples Of How Coordination Of Benefits Works
- How To Determine Which Plan Is Primary In General
- How To Determine Which Plan Is Primary: Both Plans Are Group Health Coverage And Both Have Coordination Of Benefits Provisions Included In The Policy
- How To Determine Which Plan Is Primary: One Plan Is Medicare. The Other Plan Is A Group Health Plan.
- How To Determine Which Plan Is Primary: One Plan Is Medicaid; The Other Plan Is A Group Health Plan.
- How To Determine Which Plan Is Primary: One Plan Is An Individual Health Insurance Plan; The Other Plan Is Group Health Coverage.
- How To Determine Which Plan is Primary: There are three plans in effect.
- When One or Both Plans are HMOs
Coordination Of Benefits : When You Are Covered Under Two Or More Health Plans
What is Coordination of Benefits?
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There are industry wide rules to determine which health insurance pays first and which pays second when a person has more than one health insurance plan
Coordination of benefits are intended to assure:
- That your medical bills are paid without conflict or delay.
- That neither you nor the health care provider make a profit because of the existence of more than one insurance plan.
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