Primary Plan definition

Primary Plan means a Plan that, in accordance with the rules regarding the order of benefits determination, provides benefits or benefit payments without considering any other Plan.

Primary Plan means a plan whose benefits for a person’s health care coverage must be determined without taking the existence of any other plan into consideration. A plan is a primary plan if:

Primary Plan means a plan under which benefits for an individual's health care coverage are determined without taking into consideration the existence of any other plan. A plan is a primary plan under either of the following circumstances:

Examples of Primary Plan in a sentence

• The Secondary Plan shall pay the lesser of: • the amount of any deductible, coinsurance or copayment required by the Primary Plan; or• the amount the Secondary Plan would have paid if it had been the Primary Plan.

• The Primary Plan is a Fee Schedule Plan and the Secondary Plan is a Fee Schedule Plan: If the Dentist is a network Dentist in both the Primary Plan and the Secondary Plan, the Allowable Expense shall be the fee schedule of the Primary Plan.

• Procedures to be Followed by the Secondary Plan to Calculate Benefits In order to determine which procedure to follow, it is necessary to consider: • the basis on which the Primary Plan and the Secondary Plan pay benefits; and• whether the Dentist who provides or arranges the services and supplies is in the network of either the Primary Plan or the Secondary Plan.

• If the above order of benefits does not establish which Plan is the Primary Plan, the benefits of the Plan that covers the employee, member or subscriber for a longer period of time shall be determined before the benefits of the Plan(s) that covered the person for a shorter period of time.

• The total amount the Dentist receives from the Primary Plan, the Secondary Plan and the covered person shall not exceed the fee schedule of the Primary Plan.

More Definitions of Primary Plan

Primary Plan means a plan whose benefits for a person's health care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan means the Plan that determines and provides or pays benefits without taking into consideration the existence of any other Plan.

Primary Plan. A Plan whose benefits for a [Member’s] health care coverage must be determined without taking into consideration the existence of any other Plan. There may be more than one Primary Plan. A Plan will be the Primary Plan if either either “a” or “b” below exist:

Primary Plan means a health care plan, determined by the order of benefit determination rules, whose benefits shall be deter- mined before those of the other Plan and without taking the exis- tence of any other Plan into consideration.

Primary Plan means the Plan which pays benefits or provides services first under the Order of Benefit Determination Rules below. The Primary Plan does not reduce its benefits because of duplicate coverage.

Primary Plan means a plan whose benefits for a person's dental care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan. The Plan that typically determines payment for its benefits first before those of any other Plan without considering any other Plan’s benefits.