Intro: Two Plans? Twice the Power — If You Know the Rules (Maximize Coverage Without Confusion)
Here’s a scenario:
- You have insurance through work.
- Your spouse has a separate plan too.
So… can you use both?
✅ Yes.
But here’s what most Canadians don’t know:
You need to coordinate your benefits correctly — or risk delays, denials, or even fraud flags.
In this article, we’ll show you how to legally and strategically use two (or more) insurance plans at the same time — so you get more coverage, less out-of-pocket cost, and zero headaches.
🧩 How Coordination of Benefits (COB) Works
Coordination of Benefits (COB) is the industry-approved process of using two or more plans to cover the same healthcare expense.
Each plan pays its share — usually up to 100% total — but in a strict order.
Person Receiving Treatment | Submit to… |
You (employee) | Your plan first → then your spouse’s |
Your spouse | Their plan first → then yours |
Your child | Parent whose birthday comes first in the calendar year → then other parent\’s plan |
✅ Example: RMT Massage Visit Using Two Plans
Your massage is $120.
- Plan A (your employer) covers 80% → $96
- Plan B (your spouse) covers the balance → $24
- You pay: $0 out of pocket BUT only if you follow the right steps 👇
🧾 How to Submit Claims to Two Plans (Step-by-Step)
- Submit to your primary plan first
- Get the Explanation of Benefits (EOB) from your insurer
- Get the Explanation of Benefits (EOB) from your insurer
- Submit the unpaid portion to your second plan
- Include the EOB + original receipt
- Include the EOB + original receipt
- Repeat each time you claim
- Each claim must be tracked separately
- Never submit the same receipt to two plans at once
💬 Tip: Ask Ruby to walk you through claim coordination at insurance.rmtclinic.net
⚠️ Mistakes to Avoid (That Can Get Your Claim Denied)
- ❌ Submitting to both plans at the same time
- ❌ Not including the EOB when submitting to the second plan
- ❌ Using the wrong primary plan (e.g. spouse’s instead of your own)
- ❌ Claiming more than 100% of the bill (this is insurance fraud)
🔄 What If You Have a Third Plan? (Yes, It Happens!)
This is more common with:
- Self-employed individuals + a spouse’s benefits
- Children of divorced parents (each parent has a plan)
- Veterans or First Nations who also have government coverage
In these cases, your insurers will follow a predetermined hierarchy based on:
- Planholder status
- Birthdates
- Government vs. private payor priority
💬 Ruby can help clarify your plan order before you book: insurance.rmtclinic.net
💼 What If You’re Self-Employed With a Health Spending Account (HSA)?
Great news:
You can still coordinate an HSA after using up your traditional plan — and get full tax-free reimbursement for any leftover balance.
Example:
- Plan A covers $75 of a $120 RMT visit
- Your HSA reimburses the remaining $45
- ✅ You pay nothing out of pocket, and it’s all tax-optimized
Use RMTClinic.net to find RMT clinics that provide receipts formatted for both insurance + HSA claims.