Question: Svetlana (45) and Petro (43) are both employed and each have their own group benefit plan that provides family coverage. Svetlana's birthday is in

Svetlana (45) and Petro (43) are both employed and each have their own group benefit plan that provides family coverage. Svetlana's birthday is in June and Petro's is in December. The couple has one child, Tatiana, who is 7 years old. Both Svetlana and Petro's group plans provide extended health benefits which include basic dental coverage. Svetlana's plan has a $100 deductible on dental claims and Petro's plan has a $50 deductible. In February, Tatiana has a routine check-up at her dentist. Which of the following CORRECTLY describes how their claims should be submitted to their respective insurers? Svetlana and Petro's group plans will each cover half of the cost of the claim. The claim should be submitted to Petro's plan first and any unpaid claims then submitted to Svetiana's insurer. The claim should be submitted to Svetlana's plan first and any unpaid claims then submitted to Petro's insurer. Oa) Ob) Od) The couple can choose to submit to Petro's plan as the first payer because it has a lower deductible.
Step by Step Solution
3.51 Rating (168 Votes )
There are 3 Steps involved in it
Answer O cThe Claim should be submitted to Savetlanas plan first and any unpaid claim t... View full answer
Get step-by-step solutions from verified subject matter experts
