Question

multiple choice question

the plan that pays first when more than one plan is in effect is called the ______ insurance.

primary
principle
tertiary
secondary

Explanation:

Define coordination of benefits

When a patient is covered by more than one health insurance plan, coordination of benefits rules determine the order in which the plans pay.

Identify the first-paying plan

Using the Primary Insurance knowledge point
The plan that is responsible for paying its benefits first, up to its limits, is designated as the primary insurance.

Evaluate the remaining options

• Secondary insurance pays after the primary insurance has processed the claim.
• Tertiary insurance pays third, after both primary and secondary plans have paid.
• Principle is not a standard insurance priority term.

Answer:

• primary (Correct answer)
• principle
• tertiary
• secondary