Secondary Plan definition

Secondary Plan means a plan that is not a primary plan.

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Secondary Plan means a Plan that in accordance with the rules regarding the order of benefit determination, may reduce its benefits or benefit payments and/or recover from the Primary Plan benefit payments.

Secondary Plan means a plan which is not a Primary Plan according to the order of benefit determination rules and whose benefits are determined after those of another Plan and may be reduced because of the other plan’s benefits.

Examples of Secondary 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.

• The method this Contract uses to determine the amount to pay is set forth below in the “Procedures to be Followed by the Secondary Plan to Calculate Benefits” section of this provision.

• The Primary Plan pays or provides services or supplies first, without taking into consideration the existence of a Secondary Plan.

• During each Claim Determination Period, the Secondary Plan(s) will pay up to the remaining unpaid allowable expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan.

• The Secondary Plan shall not reduce Allowable Expenses for medically necessary and appropriate services or supplies on the basis that precertification, preapproval, notification or second surgical opinion procedures were not followed.

More Definitions of Secondary Plan

Secondary Plan means a plan which is not a primary plan.

Secondary Plan means a Plan that determines, and may reduce its benefits after taking into consideration, the benefits provided or paid by the Primary Plan. A Secondary Plan may also recover from the Primary Plan the Reasonable Cash Value of any services it provided to you.

Secondary Plan means any Plan which provides coverage for the individual for whom claim is made and which is not a Primary Plan.

Secondary Plan means a plan which is not a Primary Plan.

Secondary Plan means any plan which is not a primary plan. If a person is covered by more than one secondary plan, the order of benefit determination rules of this rule shall determine the order in which their benefits are determined in relationship to each other.

Secondary Plan. A secondary plan shall mean one which is not a primary plan. If a per- son is covered by more than one secondary plan, these order of benefit determination rules decide the order in which their benefits are determined in relation to each other. The benefits of each secondary plan may take into consideration the benefits of the primary plan or plans and the benefits of any other plan which, under these rules, has its benefits determined before those of that secondary plan.

Secondary Plan means a Plan which is not a Primary Plan. If a covered person is covered by more than one Secondary Plan, the order of benefit determination rules of this Coordination of Benefits and Services provision shall be used to determine the order in which the benefits payable under the multiple Secondary Plans are paid in relation to each other. The benefits of each Secondary Plan may take into consideration the benefits of the Primary Plan or Plans and the benefits of any other Plan which, under this Coordination of Benefits and Services provision, has its benefits determined before those of that Secondary Plan.