You are here: Home Insurance Health Insurance ... How To File A ... When One or Both Plans ...
Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

How To File A Claim When You Have More Than One Health Insurance Coverage

When One or Both Plans Is A PPO

Next » « Previous


A PPO will determine what it will pay based on whether you are treated in or out of network. If you are treated by a doctor who is part of the PPO network, and you only pay a co-pay, the other carrier will only reimburse the co-pay and follow the steps for when one or both plans require a co-pay.

If, however, you use a doctor that is out of the PPO's network, or if using a network provider reduces your co-insurance percentage, then you should obtain a claim form and file a claim as instructed above under when both plans require filing a claims form.

Please share how this information is useful to you. 0 Comments


Post a Comment Have something to add to this topic? Contact Us.

Characters remaining:

  • Allowed markup: <a> <i> <b> <em> <u> <s> <strong> <code> <pre> <p>
    All other tags will be stripped.