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SPECIAL REPORT: How Coordination of Benefits Can Save You More

Intro: Double the Coverage, Double the Power

Most Canadians don’t realize that if they have access to two or more insurance plans — through a spouse, employer, or family — they may be eligible to combine coverage and claim up to 100% of their healthcare costs.

This is called Coordination of Benefits (COB) — and if done right, it can eliminate out-of-pocket costs entirely.

Let’s break down how to make it work for you.

🔄 What Is Coordination of Benefits (COB)?

COB allows you to claim from more than one plan, in a specific order, to increase the total amount reimbursed.

You have…You can claim from…
Your own plan onlyJust your insurer
Your plan + spouse’s planYours first, then spouse’s
Child with two parentsParent with earliest birthday in year first

💡 If your plan covers 80% and your spouse’s plan covers 80%, you can claim the other 20% from theirs — up to 100% total.

📋 How to Coordinate Benefits Step-by-Step

  1. Submit to your own plan first (called the primary insurer)
  2. Get an Explanation of Benefits (EOB) back (proof of what was covered)
  3. Submit the EOB + receipt to the second plan (secondary insurer)
  4. Receive reimbursement from the second plan for the remaining eligible balance

💬 Ask Ruby at insurance.rmtclinic.net to walk you through the coordination process.

🧠 Tips to Make Coordination Work Smoothly

  • 📥 Always keep original receipts and submit copies
  • 📤 Submit claims within each plan’s deadline (usually 12 months)
  • 📝 Some plans require a Coordination of Benefits form – ask your HR rep

📞 Call both insurers to confirm coverage overlap for massage, chiro, etc.

🔍 Real Example: How COB Saves You Money

Let’s say your massage therapist charges $100 per session.

  • Your plan covers 80% → You get $80 back
  • Submit the EOB + receipt to your spouse’s plan
  • Their plan covers the remaining 20% → You get another $20

✅ Result: $100 covered, $0 out-of-pocket

🧾 Which Services Can Be Coordinated?

Most COB plans allow combining coverage for:

  • Massage Therapy (RMT)
  • Chiropractic
  • Physiotherapy
  • Acupuncture
  • Mental Health / Psychology

Not usually covered: Supplements, equipment, cosmetic treatments

🏥 Where to Find COB-Friendly Clinics

Search verified clinics at RMTClinic.net and look for:

  • ✅ RMT license required by both insurers
  • 📄 Digital receipts with all details
  • 💬 Support for direct billing coordination

✅ Action Checklist

  • 📅 Check your benefits booklet(s) for COB rules
  • 🧾 Save your receipts and EOB statements
  • 🔍 Use RMTClinic.net to find RMTs who support COB
  • 💬 Get help coordinating at insurance.rmtclinic.net
Henry Tse
Author: Henry Tse

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