No-fault insurance COB

Fully funded group plans

Before Priority Health can consider covering medical or hospital expenses due to car accidents, we must verify what type of Personal Injury Protection (PIP) was in effect on the date of the accident.

  • If the patient has EXCESS PIP/COORDINATED MEDICAL

    Priority Health is PRIMARY.

  • If the patient has FULL PIP

    Priority Health is SECONDARY.

  • If the patient has FULL PIP with a deductible

    Priority Health is SECONDARY but, depending on the amount of the claim and whether the member's medical plan has a deductible, we may pay the deductible.

Self-funded group plans

Call to check on the patient's particular plan.

Individual/MyPriority plans

Motor vehicle accidents are not covered.

Medicaid or Medicare

The auto insurance is always primary.