Private health insurance rules

private health insurance rules:
Many dual income couples, include their children on each group health insurance plan to maximize benefits. However, without some sort of system in place to help the health insurance companies coordinate benefits, it's possible that either you or your doctor would be reimbursed for more than 100 percent of the actual cost of your claim.

To avoid this,private health insurance rules insurance companies typically designate health plan insurance a parent that the main plane and the other as the secondary plan. (This is why the patient questionnaire at your doctor asks for the primary and secondary coverage.) The primary plan is responsible for payment of covered expenses within the limits of the policy. If unpaid costs are left on the secondary coverage kicks in.

DATE OF BIRTH determines that provides coverage INSURANCE

private health insurance rules The birthday rule is often used to determine which plan is primary and which is secondary.

Under this rule, the plan of the parent whose birthday falls earlier in the calendar year is designated as primary.private health insurance rules The date of birth is the determining factor is not the year so there is no joint significance is greater.

Like most rules, the birthday rule has exceptions:

- If both parents share the same birthday, the parent who has been covered by the longest system provides primary coverage for children. private health insurance rules.

- If one spouse is currently employed and has health insurance through a current employer, and the other spouse has coverage through a former employer,private health insurance rules private health insurance rules the plan belonging to the currently employed spouse would be primary.

- In case of divorce or separation,private health insurance rules the plan of the parent with custody generally provides primary coverage. If the custodial parent remarries, the new spouse of the new coverage becomes secondary.

private health insurance rules  And finally, in terms of the health of the mother does not have custody is a third layer of insurance protection. This payment order can not be changed by a court issued divorce decree or agreement, but the insurance companies must be notified.

These rules are just NO LAW INSURANCE

Note that these practices are common among health insurance companies, but they are not governed by law.private health insurance rules.

Practices may vary from one insurer to another. Read your policy carefully to ensure that you understand how your insurance company handles dual coverage. If the coverage of the policy is not clear, please ask your employer to provide specialist or department of your insurance company to service customers.private health insurance rules.

The birthday rule is often used to determine which plan is primary and which is secondary. Under this rule.

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