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Which provision in a health insurance plan is used to avoid overinsurance when a person is covered by more than one plan?

User Dommicentl
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2 Answers

1 vote

Answer:

Coordination of Benefits

Step-by-step explanation:

This is used to avoid over insurance in a situation whereby someone is covered by more than one insurance plan.

User Keturah
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3 votes

Answer:

Coordination of Benefits

Step-by-step explanation:

The Coordination of Benefits is a method used by medical plans to determine claims payments if you have more than one plan in your family.

The primary plan is the payer of the covered services and will pay first according to the established rules. The secondary plan will pay for covered services after the primary plan pays.

If both you and your spouse have health insurance, or if your dependent children are covered under other health insurance, your insurance company will probably coordinate payment of benefits with the other insurance company. This is done so that the payments of both companies are not greater than the actual costs of your medical care. If your coverage guidelines or benefits manual has a section on Benefits Coordination, read it to see how expenses will be paid when two insurance companies insure you and your family.

User Starturtle
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