COB with supplementary plans

Question

If a patient has a primary plan either through an employer or the open market, will as supplementary plan like AFLAC or Colonial Life with no COB be listed as secondary? I just would like some clarification. COB has rules but when there is no COB some direction is helpful.

Austinida · Answer

Hello! This depends on whether or not the primary plan will even coordinate benefits with a secondary plan. Typically, Aflac and Colonial Life are fee schedule plans where the patient pays the difference between their fee schedule contract fee and UCR. Some Colonial Life or Aflac plans directly reimburse the patient and not the office, so it really depends on the plan details. Hope this helps!

COB with supplementary plans

Post your Answer

Corporate Profile

Quick Links

ADCA Legal