Multiple Health Insurance Policies

by Guest » Tue Jan 13, 2009 02:09 pm
Guest

Hi. I was wondering--if you are covered by more then one health insurance policy, is it ever possible that you would get less reimbursement then if you were covered by just a single individual policy?

Here's my situation: My wife's current insurance allows in-network specialist visits, which she uses frequently, without a referral with a small ($20) co-pay. I may be able to also get her covered by my insurance for basically free, which would then be secondary to her current insurance. My insurance covers everything completely, but has a very annoying, arduous referral process which she would probably skip since she has to go to this specialist frequently.

What I am wondering is this--without the referral my insurance (which would be her secondary) would likely not pay anything for the specialist appt. Would her current primary insurance (which currently covers everything except a $20 co-pay) be able to say that they won't cover the specialist appt. fully because her secondary insurance should have paid some, and that she should have gotten a referral from the secondary insurance before the appt?

Thanks a ton!

Total Comments: 16

Posted: Sat Jan 17, 2009 12:39 pm Post Subject:

So, you let the other policy lapse or just didn't enroll for it?

I never enrolled in it..

So, you have to meet their policy terms first to get the coverage.

Correct

would the secondary policy still cover him?

They would most likely cover him/his wife at a 'reduced' rate...you know if you go to 'their' docs they pays (as example) 100% less co pay if you go 'out of the network or without referal' they pay say 60%...so if the procedure for secondary were not followed the benefits would be at a reduced amount

Posted: Thu Oct 14, 2010 06:51 pm Post Subject: multiple insurane

hi i hope someone can help me i have ins with my job. i have a high deductuble of $3,500 and a $35 co-pay and it pays at only 80% after deductuble has been met. i want to get another insurance to cover my primary ins ded and co-pay and co-ins of 20%. is that posible?? and will that ins cost me alot a month??

Posted: Thu Oct 14, 2010 09:16 pm Post Subject:

Not available. You are asking for others to pay 100% of the cost of your health care for less than that in premiums. Not even Obamacare promises to do that. Give the Democrats enough time, and they might try.

Posted: Thu Jun 02, 2011 10:08 pm Post Subject: uIDIrgmFpegwuHqlL

Wow! That's a rlaely neat answer!

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