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
How To Determine Which Plan Is Primary: Both Plans Are Group Health Coverage And Both Have Coordination Of Benefits Provisions Included In The Policy
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- Your plan is primary. Your spouse or significant other's plan is secondary.
- If your spouse or significant other has a claim, his or her policy is primary for him or her and yours is secondary.
- For children, as strange as it sounds, if both parents have group plans, the plan which covers the parent whose birthday comes earliest in the year is primary.
- In the event of a dispute between the two plans, the plan that has insured the person the longest is primary.
- If you have two group policies, the plan that has insured you the longest is primary.
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