Recovery of Overpayments. If the benefits paid under this Certificate, plus the benefits paid by other plans, exceeds the total amount of Covered Benefits, HMO has the right to recover the amount of that excess payment if it is the secondary plan, from among 1 or more of the following: (1) any person to or for whom such payments were made; (2) other plans; or (3) any other entity to which such payments were made. This right of recovery shall be exercised at HMO's discretion. A Member shall execute any documents and cooperate with HMO to secure its right to recover such overpayments, upon request from HMO.
Appears in 7 contracts
Samples: Group Agreement, Aetna Health, Group Agreement
Recovery of Overpayments. If the benefits paid under this Certificate, plus the benefits paid by other plans, exceeds the total amount of Covered BenefitsAllowable Expenses, HMO has the right to recover the amount of that excess payment if it is the secondary plan, from among 1 or more of the following: (1) any person to or for whom such payments were made; (2) other plans; or (3) any other entity to which such payments were made. This right of recovery shall be exercised at HMO's discretion. A Member shall execute any documents and cooperate with HMO to secure its right to recover such overpayments, upon request from HMO.
Appears in 2 contracts
Samples: Group Agreement, www.instantbenefits.com
Recovery of Overpayments. If the benefits paid under this Certificate, plus the benefits paid by other plans, exceeds the total amount of Covered BenefitsAllowable Expenses, HMO has the right to recover the amount of that excess payment if it is the secondary planSecondary Plan, from among 1 one or more of the following: (1) any person to or for whom such payments were made; (2) other plans; or (3) any other entity to which such payments were made. This right of recovery shall be exercised at HMO's discretion. This recovery shall not include any liability settlements. A Member shall execute any documents and cooperate with HMO to secure its right to recover such overpayments, upon request from HMO.
Appears in 1 contract
Samples: Group Agreement