When an individual is eligible for coverage under two different health insurance policies,____________________ limits the total benefits an insured individual can receive from both plans to not more than 100% of the allowable expenses.
A) COBRA
B) coordination of benefits
C) the health reimbursement arrangement
D) medical necessity

Question

Quizplus · Accepted Answer

When an individual is eligible for coverage under two different health insurance policies, coordination of benefits (COB) limits the total benefits an insured individual can receive from both plans to not more than 100% of the allowable expenses. This ensures that the insured does not receive more than the total cost of their medical expenses, preventing overpayment and fraud. COB is commonly used when both spouses have employer-sponsored health insurance plans.

When an Individual Is Eligible for Coverage Under Two Different