How does medical insurance policy work

1. Medical Insurance Policy

2. How Does medical insurance policy Work? The term “Medical insurance policy" is used when a person carries more than one kind of health insurance. Married people who work often face this kind of situation. With the hopes of securing the most adequate coverage, both the husband and wife carry health insurance policies.

3. Unfortunately, this usually causes a lot of confusion initially due to a lack of coordination. With dual health insurance, each company must agree to pay a claim in a certain order. In other words, one health insurance company must agree to pay the medical claim first while the other health insurance company pays second.

4. Dual health insurance companies must coordinate in order to determine how a medical claim is paid. One company must be a primary insurance while the other is a secondary. The way this process is initiated is by the person holding the insurance. He must notify each company of the existence of the other. After the initial notification,

5. each insurance company will review policy language and other information to determine which one is primary and secondary. In general, most health insurance companies pay as primary for medical claims submitted by the person who initiated the insurance. So, for example, a man who has Group Health through his work will submit claims to them first and whatever is unpaid to the insurance company of his spouse.

6. In order for dual health insurance to work, both companies must agree with the payment arrangement and the correct information needed to process a medical claim. For the primary insurance company, it must receive the original, itemized medical bill. For the secondary insurance,

7. the company must receive a copy of the original bill along with an explanation of benefits showing that the primary insurance has paid their portion of the claim. It is a process that can be messed up easily. So wise patients keep records of any medical bills and explanation of benefits for health services. They also keep their doctor apprised of how their insurance companies pay.

8. It is important to point out that carrying medical insurance policy is not always beneficial. Companies like Blue Cross will only pay as a secondary if it feels the primary under paid a medical claim. Therefore, it is important to verify how a company pays as a secondary before you pay for additional insurance because you could end up paying money for nothing. Source: http://www.ehow.com/how-does_4569459_dual-health-insurance-work.html

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