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.
Motor vehicle accidents are not covered.
Medicaid or Medicare
The auto insurance is always primary.