Common use of Plan Is Primary Clause in Contracts

Plan Is Primary. If a Medical Group Member possesses health benefits coverage through another policy which is secondary to PacifiCare under applicable coordination of benefits rules, including the Medicare secondary payor program, Medical Group shall accept payment from PacifiCare for Covered Services as provided herein as full payment for such Covered Services, except for applicable Copayments. Medical Group Member shall have no obligation for any fees, regardless of whether secondary insurance is available.

Plan Is Primary. If a Medical Group Member possesses health benefits coverage through another policy which is secondary to PacifiCare under applicable coordination of benefits rules, including the Medicare secondary payor payer program, Medical Group shall accept payment from PacifiCare for Covered Services as provided herein as full payment for such Covered Services, except for applicable Copayments. Medical Group Member shall have no obligation for any fees, regardless of whether secondary insurance is available.