Coordination of Benefits (COB) is a process that manages your healthcare coverage when you have more than one insurance plan. It's common for people to have multiple plans, such as through their job and their spouse's job, or Medicare and a private plan.
How Primary and Secondary Insurance Works Together
Primary Insurance
This is your main coverage. It pays first for your healthcare costs, up to its coverage limits.
Secondary Insurance
After your primary insurance pays, your secondary insurance may cover some or all of the remaining costs, depending on its terms.
For example, if you have a $1000 medical bill, your primary insurance might pay $800. Then, your secondary insurance could cover part or all of the remaining $200, based on its policy.
Why COB Matters for You
Ensures accurate claim processing: Helps avoid overpayment or underpayment of claims
Maximizes your coverage: You get the most out of all your insurance plans
Reduces your out-of-pocket costs: You might pay less for your healthcare
Speeds up claim resolution: Claims are processed more quickly when insurers know their responsibilities
Minimizes delays in healthcare services: Proper COB can prevent hold-ups in getting the care you need
Managing Your Insurance Plans: Steps to Take
Keep Your Information Up-to-Date Regularly update your insurance details in the Circle Medical app. This includes any changes to your primary or secondary insurance. If you need help updating your secondary insurance information, our support team is ready to assist you via chat.
Talk to Your Insurance Providers Contact all your insurance companies to understand how they work together for your specific situation. Ask questions like:
Which plan is primary and which is secondary?
How do they handle claims when I have multiple coverages?
Are there any specific procedures I need to follow?
Keep Detailed Records Save all insurance-related documents and communications. This includes:
Policy information
Explanations of Benefits (EOBs)
Bills from healthcare providers
Any correspondence with your insurance companies Having these records can help if you need to resolve any issues in the future.
Remember: You are responsible for managing the COB process with your insurance companies. Taking an active role helps avoid issues with claims or delays in your healthcare. If you're ever unsure about how your coverage works, don't hesitate to ask your insurance provider(s) directly.