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Children who are covered under both parents' group health
insurance plans have one plan considered primary insurance, while the
other insurance is considered secondary. The primary insurance pays the
cost of claims first. The secondary plan pays the rest of the costs not
covered by the primary plan, if the treatment is a covered benefit.
When a child or teen is covered by the group policies of both parents,
the primary insurance usually is the one belonging to the parent whose
birthday comes earlier in the calendar year. There are exceptions to
this and families should check the details of each policy.
When 2 policies are providing coverage, record-keeping becomes
much more involved. But depending on how much coverage you get, it may
be worthwhile to keep both if you can. If the second coverage is
better, fills in gaps to pay for treatments that the primary insurance
doesn't cover, or if the primary has a low annual maximum limit, it may
be worth keeping the second one. There are many factors to think about,
and each situation is different.
Back to Children Diagnosed with Cancer:
Financial and Insurance Issues
Last Medical Review: 04/01/2009
Last Revised: 04/01/2009
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