insurance claim. please help?
2012-09-08 1:20 pm
let's say i bought medical insurance in 2 different companies. Can i have get full claims from these 2 companies if i suffered from any illness? please advise. thank you :)
回答 (5)
2012-09-08 1:34 pm
✔ 最佳答案
Yes and No, if you claim on both one is the primary and the other the excess carrier. What one does not cover the other will pick up.You can not collect the entire amount twice if that is what your asking. That is called double indemnity which is illegal.
2012-09-08 9:18 pm
Nope. Coverages don't stack, they coordinate.
The easiest way to visualize what they cover, is to think about a piece of paper, for each company. You "cut out" what your share of the claim is, whether it's the deductible, or the coinsurance, or the coverage limits, for each piece of paper. Then, you lay them on top of each other, over the claim. Whatever is showing through BOTH sets of holes, is STILL your share of the claim.
So, if one policy has a $100 deductible, and the other has a $200 deductible, your DEDUCTIBLE is still $100, out of pocket. If the $100 deductible policy has a 80% coinsurance and the $200 policy has a 70% coinsurance, your coinsurance is STILL 80%. If the policy cap on the first policy is $5000 and the second policy is $10,000, and if you have a $10,000 bill, you don't apply the second coverage to the REMAINDER, after your deductible and coinsurance - you apply it to the TOTAL. So your out of pocket is STILL going to be your $100 deductible, 20% of the next $4900, and 30% of the next $5000.
It's rarely "worth it" to buy two plans - you're better off just buying a better FIRST plan.
The easiest way to visualize what they cover, is to think about a piece of paper, for each company. You "cut out" what your share of the claim is, whether it's the deductible, or the coinsurance, or the coverage limits, for each piece of paper. Then, you lay them on top of each other, over the claim. Whatever is showing through BOTH sets of holes, is STILL your share of the claim.
So, if one policy has a $100 deductible, and the other has a $200 deductible, your DEDUCTIBLE is still $100, out of pocket. If the $100 deductible policy has a 80% coinsurance and the $200 policy has a 70% coinsurance, your coinsurance is STILL 80%. If the policy cap on the first policy is $5000 and the second policy is $10,000, and if you have a $10,000 bill, you don't apply the second coverage to the REMAINDER, after your deductible and coinsurance - you apply it to the TOTAL. So your out of pocket is STILL going to be your $100 deductible, 20% of the next $4900, and 30% of the next $5000.
It's rarely "worth it" to buy two plans - you're better off just buying a better FIRST plan.
2012-09-08 8:58 pm
No. You get only what you would have gotten if you bought insurance from only one company, and you get it slower.
For example, if one insurance would have paid 70% if it was the only insurance, and the other insurance would have paid 80% if it was the only insurance, then you get only 80% (the larger of the two numbers), not 150% (the total).
Also, neither company pays anything until they figure out which one should pay how much, which can take several months, so you have to pay everything yourself, with your own money, while you wait for the insurance companies.
For example, if one insurance would have paid 70% if it was the only insurance, and the other insurance would have paid 80% if it was the only insurance, then you get only 80% (the larger of the two numbers), not 150% (the total).
Also, neither company pays anything until they figure out which one should pay how much, which can take several months, so you have to pay everything yourself, with your own money, while you wait for the insurance companies.
2012-09-08 8:25 pm
Yes. You need to let each company know about the other so the benefits can be coordinated. One company will be your primary carrier and the other will be secondary.
2012-09-08 11:40 pm
It help from bearing loss.
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