What is meant by primary and secondary insurance coverage what portion of a claim generalyy paid each plan?

Primary and secondary insurance coverage refers to the order in which insurance plans are responsible for paying for medical claims. Each insurance plan has a specific order of responsibility, and the primary plan pays for the claim first. If the primary plan does not cover the entire cost of the claim, the secondary plan may pay for the remaining portion.

The portion of a claim generally paid by each plan depends on the terms of the insurance policies. Typically, the primary plan will pay for the majority of the claim, and the secondary plan will pay for the remaining balance. However, there may be instances where the secondary plan pays for a larger portion of the claim or even the entire claim.

Here are some general guidelines on how primary and secondary insurance coverage works:

* The primary insurance plan is the one that is responsible for paying for the majority of the medical claim. This is usually the plan that the person is covered by through their employer.

* The secondary insurance plan is the one that is responsible for paying for any remaining balance that is not covered by the primary plan. This is usually a plan that the person has purchased on their own or through a different employer.

* The order of responsibility for primary and secondary insurance coverage is determined by the terms of the insurance policies. The insurance policies will specify which plan is responsible for paying for which types of claims.

* If a person has multiple secondary insurance plans, the plans will usually pay for claims in the order of their priority. The first secondary plan will pay for the remaining balance of the claim after the primary plan has paid its portion. The second secondary plan will pay for any remaining balance after the first secondary plan has paid its portion, and so on.

It is important to understand how primary and secondary insurance coverage works in order to ensure that you are getting the maximum coverage for your medical claims. If you have any questions about your insurance coverage, you should contact your insurance company.

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