Who is eligible for coordination of benefits?

Coordination of benefits is available to individuals who have Medicare coverage and have additional health insurance coverage from another source. This may include employer-sponsored group health plans, retiree coverage, COBRA, or other private health insurance policies. As per Medicare guidelines, the order in which insurance claims are processed depends on the individual's status, such as whether they are an active employee or a retiree. Those who are eligible for Medicare due to disability or end-stage renal disease may also be eligible for coordination of benefits with their primary insurance provider. It is important to note that coordination of benefits is designed to ensure that individuals receive the maximum coverage available, avoiding any duplication or overpayment of claims.