Plan Is Primary Sample Clauses
The "Plan Is Primary" clause establishes that a specific plan or document takes precedence over other related materials in governing the parties' actions or obligations. In practice, this means that if there is any conflict or inconsistency between the plan and other documents, the terms of the plan will control. This clause ensures clarity and avoids disputes by designating a single authoritative source for interpreting requirements or responsibilities.
Plan Is Primary. If a Medical Group Member possesses health benefits coverage through another policy which is secondary to PacifiCare under applicable coordination of benefits rules, including the Medicare secondary payor program, Medical Group shall accept payment from PacifiCare for Covered Services as provided herein as full payment for such Covered Services, except for applicable Copayments. Medical Group Member shall have no obligation for any fees, regardless of whether secondary insurance is available.
Plan Is Primary. If a Member possesses health benefits coverage through another policy which is secondary to Health Plan under applicable coordination of benefits rules, including the Medicare secondary payor program, Medical Group shall accept payment from Health Plan for Covered Services as provided herein as full payment for such Covered Services, except for applicable Copayments. Member shall have no obligation for any fees, regardless of whether secondary insurance is available.