What is Coordination of Benefits (COB)?
Benefits under one plan are coordinated with benefits from another insurance plan (that covers the same benefits), so payments won’t be duplicated. All families must submit COB information annually, if using benefits, in order to expedite the claims paying process. If you have questions, please contact our Customer Service Department at the number on the back of your ID card.
A46.Coordination of Benefits (COB) is the anti-duplication provision to limit benefits for multiple group health insurance in a particular case to 100% of the covered charges and to designate the order in which the multiple carriers are to pay benefits. Under a COB provision, one Plan is determined to be primary and its benefits are applied to the claim. The unpaid balance is usually paid by the secondary Plan to the limit of its liability. Benefits may becoordinated between two contracts at the same Blue Plan, different Blue Plans or between a Blue Plan and another commercial carrier.
Related Questions
- Coordination of benefits (COB) is confusing. Can you provide some examples for dual coverage with medical plans so I can get a better understanding of how benefits will be coordinated?
- May carriers deny or pend claims on the basis of coordination of benefits (COB)?
- What are coordination of benefits (COB)?
