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     Home → Welfare→ SPD → 15.7 COB WITH MEDICAID, CHAMPUS, OR VETERANS AFFAIRS FACILITY SERVICES


15.7 COB WITH MEDICAID, CHAMPUS, OR VETERANS AFFAIRS FACILITY SERVICES

Under federal law, Medicaid or CHAMPUS are always secondary plans. If a Participant is covered by both this Plan and Medicaid or CHAMPUS, this Plan pays first and Medicaid or CHAMPUS pays second.

If a Participant receives services in a U.S. Department of Veterans Affairs Hospital or facility on account of a military service-related condition, benefits are not payable by this Plan.

If a Participant receives services in a U.S. Department of Veterans Affairs Hospital or facility on account of any Illness or Injury that is not a military service-related condition, benefits are payable by this Plan to the extent those services are Covered Expenses.



 

 
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