A coordination ofbenefits (COB) provision in a group health insurance policy isdesigned to prevent...

A coordination of benefits (COB) provision in a group health insurance policy is designed to prevent a group member from

a.) Receiving more in benefits from multiple group medical expense insurance policies than the amount of medical expenses the member actually incurred.

B.) obtaining coverage under more than one group medical expense policy.

C.) filing a claim for benefits with more than one of the group medical expense insurance plans under which the group member is covered.

D.) being covered by more than one group medical expense insurance policy that offers the same benefits.

Solutions

Expert Solution

Coordination Of Benefit is not a law. COB can be complicated, if you have a PPO type plan and your spouse has an HMO. Here is how COB generally works when you and your spouse are covered under each other's health plan:

- The plans will not pay more than 100% of the cost of the medical treatment, nor will it pay for a treatment or service not covered under that plan.

Thus, option (a) is the correct answer.

jeff jeffy answered 1 year ago

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