CareFirst Plan definition
Examples of CareFirst Plan in a sentence
This Coordination of Benefits (COB) provision applies to this CareFirst Plan when a Member has health care coverage under more than one Plan.
Except where prohibited by law, the benefits under this CareFirst Plan are secondary to Medicare.
Those rules determine whether the benefits of this CareFirst Plan are determined before or after those of another Plan.
That amount will then be treated as though it were a benefit paid under this CareFirst Plan.
If it does, this CareFirst Plan may pay that amount to the organization that made that payment.
A payment made under another Plan may include an amount that should have been paid under this CareFirst Plan.
Each person claiming benefits under this CareFirst Plan must give this CareFirst Plan any facts it needs to pay the claim.
It is then charged against any applicable benefit limit of this CareFirst Plan.
When this CareFirst Plan is the Secondary Plan, the benefits under this CareFirst Plan may be coordinated so the total benefits would be payable or provided by all the other Plans do not exceed one hundred percent (100%) of the total Allowable Expenses.
If the benefits of this CareFirst Plan are coordinated, each benefit is coordinated in proportion.