Coordination of Benefits Example

Remi buys a pair of prescription glasses for $575. He is a CAEAS-ECAB member and his benefit maximum is $500 every 2 years.  He has not claimed glasses under the CAEAS-ECAB plan to date.

He submits a claim to his plan and receives a claim payment of $500.

Remi’s spouse, Padma, then claims the remaining $75 from her plan. Therefore, Remi receives full reimbursement for glasses through coordination with his spouse’s plan.

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