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Simple guide on the way to Combine Benefit Plan

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Combine Benefit Plan and save changes.
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How to Combine Benefit Plan

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[Music] welcome to south africas leading provider of health insurance heres what you need to know about the affinity health combined plan a combined plan comprises of all the benefits available on the day-to-day and hospital plans our day-to-day cover is specifically designed to ensure that the essential medical requirements of your daily life are taken care of a day-to-day plan provides unlimited telehealth consultations with a nurse doctor or mental health professional including prescribed medication according to the affinity health medicine formulary the plan also caters for unlimited managed gp visits and acute medication to treat common daily ailments such as colds flu and much more other benefits include specialist visits in-room gp procedures casualty room treatment trauma support services primary health care screening a maternity management program and maternity scans combined plan members also have an increased casualty room treatment benefit as well as access to a post-hos

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Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.

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How does benefit coordination work?

Coordination of Benefits (COB) is when two insurance plans work together to pay claims for the same person. This occurs when you or your dependents are covered for benefits under more than one insurance plan.

Is dual coverage worth it?

Having access to two health plans can be good when making health care claims. Having two health plans can increase how much coverage you get. You can save money on your health care costs through whats known as the coordination of benefits provision.

How does it work if both spouses have health insurance?

Can married couples have separate health insurance? Spouses do not have to be on the same plan, which means that if you both have individual plans that you love, there is no reason to lose that coverage. However, you also have the option to be on the same plan, which may be a more economical choice for some couples.

Can you combine insurance benefits?

It is common for employees to be covered by more than one group insurance plan. This is typically achieved through a spouse or common-law partners plan. When an individual is covered by more than one plan, coordination of benefits becomes a requirement to ensure everything runs smoothly between the two plans.

How does it work when both spouses have benefits?

Who submits when, if both spouses have coverage through their employer? Each employee would first submit expenses through their own plan first, and then submit a copy of the receipts and a copy of the Explanation of Benefits document from the first carrier to the spouses carrier.

Can married couple have two insurances?

For example, its possible that a married couple could have two health insurance plans, even if each spouse is covered through a health insurance plan at their workplace. You also might have two health insurance plans if you have health insurance through an employer, but also receive Medicaid or Medicare coverage.

How does having two health insurances work?

If you have multiple health insurance policies, youll have to pay any applicable premiums and deductibles for both plans. Your secondary insurance wont pay toward your primarys deductible. You may also owe other cost sharing or out-of-pocket costs, such as copayments or coinsurance.

What does COB amount mean?

Coordination of Benefits (COB) is a term used when one more dependent under the insured, also has benefits with another insurer. The claims can then be coordinated with that insurer to provide up to 100% of the claimed amounts.

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