When you have health insurance from two or more providers, various criteria are used to determine the primary coverage, according to the Illinois Department of Insurance. The main factor considered is whether you are a primary subscriber or a dependant in the insurance coverage.Know More
The health insurance plan that offers coverage for an employee, subscriber or member is considered the primary payer over the plan that covers a person as a dependent, retiree or laid-off employee, according to the Illinois Department of Insurance. All things being equal, the plan that you have subscribed to for the longest is the primary payer.
In certain cases, such as in a no-fault accident, the accident coverage is considered the primary payer and the health insurance coverage is the secondary payer, according to the Centers for Medicare and Medicaid Services. Similarly, Workers' Compensation payments are considered primary if a worker is entitled to compensation of injuries sustained at work before Medicare payments are made.
When a person has more than one health insurance coverage, the primary payer makes the first payment, which means that it pays until reaching the limit of the coverage before the secondary payer takes over, according to the Illinois Department of Insurance. The terms do not mean that the primary payer makes the first payment.Learn more about Insurance
Provider benefit plan health insurance is a plan under which insurance companies form a network with doctors, hospitals and other health care providers to deliver health care to its insured. Subscribers to these plans, who opt to use preferred providers exclusively, are entitled to a higher level of coverage than the basic health insurance policy provides.Full Answer >
An EPO is a type of managed care health insurance that requires the holder to use only the providers on the company's list. If he fails to do this, the EPO does not pay for the medical services, states About.com. The acronym "EPO" stands for "exclusive provider organization."Full Answer >
Non-life insurance policies provide coverage to protect consumers against the risk of their insurance premiums. These types of policies are more common in European countries.Full Answer >
HO6 insurance is condo insurance that provides liability coverage for the owner's belongings and the actual unit itself. Regular condo insurance does not cover these things.Full Answer >