Coordination of Benefits

Insurance term

Definition

The process used when a patient is covered by two or more insurance plans to determine which plan pays first (primary) and which pays second (secondary). This prevents duplicate payments and can reduce out-of-pocket costs for patients with dual coverage.

Related Terms

  • Deductible

    The amount you must pay out of pocket for covered healthcare services before you...

  • Copay

    A fixed amount you pay for a covered healthcare service after you have met your ...

  • Coinsurance

    Your share of the costs of a covered healthcare service, calculated as a percent...

  • Out-of-Pocket Maximum

    The most you have to pay for covered services in a plan year. After you spend th...

  • Premium

    The amount you pay each month for your health insurance coverage, regardless of ...

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