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  1. When it comes to health insurance, your dependent can be your spouse or partner, and any children you have. Your dependents are covered under your plan which means they could be entitled to benefits you might have through your workplace or a personal plan you hold.

    • How Does Coordination of Benefits Work?
    • How Do You Determine Which Plan Pays First?
    • How Are Coordination of Benefits Claims reimbursed?

    There are 3 main scenarios where coordination of benefits comes into effect. In each case, one plan pays first (the primary payor) and one plan pays second (the secondary payor). 1. Scenario 1: You're covered under your employer’s benefits plan and as a dependant under your partner’s plan 2. Scenario 2: Your partner is covered under their employer’...

    Look for your scenario below and then submit your claims in the order shown. Send your claim to the first plan on the list. After your claim has been processed, if there are any unpaid amounts, submit a claim to the next plan on the list. Work your way down the list 1 by 1 as applicable.

    Submit your claim to your benefits plan first, for payment according to your coverage. Once you receive an explanation or statement of benefits for that claim, you can submit a claim for the remaining amount to the second plan and it will be paid according to the coverage of that plan. The reimbursement under both plans won’t be more than 100% of t...

  2. Dec 27, 2013 · Whether it’s the traditional two-parent family or the more modern blended household, working couples are increasingly likely to have access to more than one health and dental plan. The plans may differ in exactly what and how much they cover, but if you co-ordinate your benefits, you can take advantage of both and potentially get back 100% of your out-of-pocket healthcare expenses.

  3. Here's an overview of how having two health insurance plans works, what factors determine which insurance pays first, and the out-of-pocket costs associated with multiple insurance plans. ‍ Reasons for Having Two Health Insurance Plans: ‍ Individuals may opt for two health insurance plans for various reasons, such as:

  4. Did you know you could have multiple health insurance plans? Here are the pros and cons of having two health insurance policies.

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  6. Who your health insurance policy covers. Your health insurance policy covers you if the policy is in your name. It may also cover your partner and children under 19 years old. Children over 19 who are still in school or disabled may be eligible. Additional health insurance. Additional health insurance may help you: pay for services that your ...

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