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The State of Maryland provides a generous benefit package to eligible employees and retirees with a wide range of benefit options from healthcare to income protection. The following chart outlines your benefit options for the plan year January 1, 2022 - December 31, 2022. 2022 Health Benefits Guide - at: .DBM.maryland.gov maryland.gov benefits Documents 202 maryland.gov benefits Documents 202
The COB Process: Ensures claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first.
Coordination of benefits (COB) is part of the insurance payment process. It is how insurance companies decide who covers the cost of your care in a given situation. Insurance companies follow general principles to establish the order each company will pay. Your primary payer covers the largest share of the cost.
Coordination of benefits allows two insurance carriers to determine their fair share of the cost for covered services. Your out-of-pocket cost for services is limited to the amount, if any, that remains unpaid by the insurers.
The insurance that pays first is called the primary payer. The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer. The secondary payer only pays if there are costs the primary insurer didnt cover.
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If you have Medicare and other health insurance or coverage, each type of coverage is called a payer. When theres more than one payer, coordination of benefits rules decide which one pays first. The primary payer pays what it owes on your bills first, and then sends the rest to the secondary payer to pay. How Medicare works with other insurance - Maryland.gov maryland.gov pophealth Documents maryland.gov pophealth Documents