Margo and Rob both work and participate in the health insurance plans offered by their separate employers. When Margo and Rob use their insurance, they are regulated by a term known as ________.

Question

17-08-2024
Business

High School

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Margo and Rob both work and participate in the health insurance plans offered by their separate employers. When Margo and Rob use their insurance, they are regulated by a term known as ________.

Answer :

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Anvi278Malik Anvi278Malik · Answer 1 · 2024-02-17T23:03:59-05:00

Final answer:

The missing term governing Margo and Rob's use of their respective employer-based insurance plans is likely 'coordination of benefits', which is a process to avoid duplication of benefits when a person is covered under more than one health insurance plan.

Explanation:

Margo and Rob, as they both participate in employer-based health insurance plans, are likely regulated by a term known as coordination of benefits (though the original question left the term blank). The coordination of benefits occurs when a person has healthcare coverage under more than one insurance plan. The insurance companies coordinate benefits to eliminate over-insurance or duplication of benefits.

This process helps avoid the insurance company paying more than it should for services. For example, if Margo visits her doctor, her insurance company and Rob's are made aware, and they coordinate to determine who pays what amount, ensuring that the combined payment does not exceed 100% of the health care service cost.

Learn more about Coordination of Benefits here:

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