Common use of Recovery of Overpayment Clause in Contracts

Recovery of Overpayment. If a benefit payment is made by Aetna; to or on behalf of any covered person, which exceeds the benefit amount such covered person is entitled to receive in accordance with the terms of the contract; Aetna has the right: to require the return of the overpayment on request; or to reduce by the amount of the overpayment, any future benefit payment made to or on behalf of that covered person or another person in his or her family. Such right does not affect any other right of recovery Aetna may have with respect to such overpayment. PHYSICAL EXAMINATION. At Aetna's expense; Aetna has the right to have a physician examine a covered person when and so often as Aetna deems reasonably necessary; while there is a claim pending under this Policy. LEGAL ACTIONS. No one may sue Aetna for payment of claim: (i) less than 60 days after due proof of claim is furnished; or (ii) more than 3 years after the date proof of claim is required by this Policy.

Appears in 3 contracts

Samples: Aetna Life Insurance Company, www.aetnastudenthealth.com, www.aetnastudenthealth.com

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Recovery of Overpayment. If a benefit payment is made by Aetna; to or on behalf of any covered person, which exceeds the benefit amount such covered person is entitled to receive in accordance with the terms of the contract; Aetna has the right: to require the return of the overpayment on request; or to reduce by the amount of the overpayment, any future benefit payment made to or on behalf of that covered person or another person in his or her family. Such right does not affect any other right of recovery Aetna may have with respect to such overpayment. PHYSICAL EXAMINATION. At Aetna's expense; Aetna has the right to have a physician examine a covered person when and so often as Aetna deems reasonably necessary; while there is a claim pending under this Policy. LEGAL ACTIONS. No one may sue xxx Aetna for payment of claim: (i) less than 60 days after due proof of claim is furnished; or (ii) more than 3 years after the date proof of claim is required by this Policy.

Appears in 1 contract

Samples: Aetna Life Insurance Company

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