If you are covered under more than one insurance plan simultaneously, you can coordinate benefit payments from all plans. The total reimbursement cannot exceed the actual expense incurred.
Your claims should generally be submitted first to this plan. Your spouse’s claims should be submitted first to their plan, and your dependent children’s claims should be submitted first to the plan of the parent whose birthday (i.e., month and day) occurs earlier in the calendar year.
Please contact us to verify which plan pays first. If the other plan does not have a coordination of benefits provision, claims should be submitted first to that plan. If priority cannot be established by those means, benefits will be prorated between the plans.
A copy of the explanation of benefits from the other insurance carrier, a completed Extended Health Care Claim Form and photocopies of all receipts are required for consideration of the claim balance.