Primary Plan definition

Primary Plan means a Plan that, in accordance with the rules regarding the order of benefits determination, provides benefits or benefit payments without considering any other Plan.

Primary Plan means a plan under which benefits for an individual's health care coverage are determined without taking into consideration the existence of any other plan. A plan is a primary plan under either of the following circumstances:

Primary Plan means a plan whose benefits for a person's health care coverage must be determined without taking the existence of any other plan into consideration. A plan subject to this chapter is a primary plan if:

Examples of Primary Plan in a sentence

• The Secondary Plan shall pay the lesser of: The amount of any deductible, coinsurance or copayment required by the Primary Plan; or the amount the Secondary Plan would have paid if it had been the Primary Plan.

• For the purpose of coordinating benefits with this individual contract, Medicare or coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan is always the Primary Plan and this Contract is always the Secondary Plan.

• The Secondary Plan shall pay the lesser of: the difference between the amount of the billed charges and the amount paid by the Primary Plan; or the amount the Secondary Plan would have paid if it had been the Primary Plan.

• The total amount the provider receives from the Primary plan, the Secondary plan and the Member shall not exceed the fee schedule of the Primary Plan.

• If the provider is a network provider in the Primary Plan, the Allowable Expense considered by the Secondary Plan shall be the fee schedule of the Primary Plan.

More Definitions of Primary Plan

Primary Plan means a plan whose benefits for a person's health care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan means the Plan that determines and provides or pays benefits without taking into consideration the existence of any other Plan.

Primary Plan means a health care plan, determined by the order of benefit determination rules, whose benefits shall be deter- mined before those of the other Plan and without taking the exis- tence of any other Plan into consideration.

Primary Plan. A Plan whose benefits for a [Member’s] health care coverage must be determined without taking into consideration the existence of any other Plan. There may be more than one Primary Plan. A Plan will be the Primary Plan if either “a” or “b” below exists:

Primary Plan means the Plan which pays benefits or provides services first under the Order of Benefit Determination Rules below. The Primary Plan does not reduce its benefits because of duplicate coverage.

Primary Plan means a plan whose benefits for a person's dental care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan. The Plan that typically determines payment for its benefits first before those of any other Plan without considering any other Plan’s benefits.