An individual can collect multiple payments for the same illness or accident unless his or her health insurance policy includes a:
A) pre-existing condition clause.
B) guaranteed renewability provision.
C) coordination of benefits provision.
D) co-insurance clause.
E) stop-loss provision.

Question

Quizplus · Accepted Answer

A coordination of benefits provision in a health insurance policy prevents an individual from collecting multiple payments for the same illness or accident when covered by multiple insurance policies. This ensures that the total payment received does not exceed the actual cost of the medical treatment.

An Individual Can Collect Multiple Payments for the Same Illness