Contact us to update your coordination of benefit information. You can also update this information when you submit a claim through the Personal Health Plan Member Portal, Group Member Portal, Group Member Services App or on paper.
When you are covered under more than one health plan, you can enjoy the benefits of both. Submit your claim under one plan, and then submit the remainder of that claim (for example, the remaining 20% of a claim that is covered up to 80%) to the other plan.
Here’s how to make your claim, whether it is for you, your spouse or your dependents.
|Claim is for ...||How to Claim|
|You – Group/Employer Member||Submit your claim. Once it’s been processed, send a copy of your receipts and the Explanation of Benefits (EOB) to your other insurer.|
|You – Personal Member||Submit to your group/employer insurer first. Once it’s been processed, send a copy of your receipts and the EOB to us.|
|Your partner||Submit to your partner’s insurer first. Once it’s been processed, send a copy of your receipts and the EOB to us.|
|Your children / dependents||Submit to the insurer of the partner whose birthday comes earlier in the calendar year. Once processed, provide a copy of your receipts and the EOB to the other insurer.|