Status of being primary, or first in order, When two or more Insurance policies each cover the same loss, one Policy may provide that it is excess cover’ the other. The Policy not containing such a provision has primacy. In some cases, a Policy will state that it provides primary coverage, giving it primacy.
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Primary
In reinsurance, this term is applied to the nouns: insurer, insured, policy and insurance and means respectively: 1) the insurance company that initially originates the business, i.e., the ceding company; 2) the policyholder insured by the primary insurer; 3) the initial policy issued by the primary insurer to the primary insured; 4) the insurance covered under the primary policy issued by the primary insurer to the primary insured (sometimes called “underlying insurance”).
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Basic, fundamental; an insurance policy that pays first with respect to other outstanding policies.
Primary Beneficiary
The individual first designated to receive the proceeds of an insurance policy.
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See: beneficiary.
Primary beneficiary (Life Insurance)
The first person delegated to receive benefits or a pay-out from an insurance policy after it becomes due.
Primary care
1. First time a patient seeks medical care from a provider. 2. Basic health care attention when a patient first contacts someone to care for simpler and more common illnesses and injuries. Primary care can be provided by a family practitioner, pediatrician, or internist and health professionals such as nurse practitioners or physician assistants.
Primary care (Health Insurance)
Medical care provided by a primary physician.
Primary care capitation
Each primary care physician of a managed care plan receives a specific amount each month for each member who selects that physician as his or her primary care physician. See capitation (cap or CAP).
primary care case management (PCCM)
Managed care option under Section 1915(b) of the Social Security Act. In the Medicaid program, this lets states contract directly with primary care providers who agree to provide medical services to Medicaid recipients and authorize specialty care. In this system the state pays the primary care physician a monthly case management fee, as well as fee-for-service (FFS).
primary care case management (PCCM) provider
Usually a physician, physician group practice, or an entity employing or having other arrangements with such physicians, but sometimes also including nurse practitioners, nurse midwives, or physician assistants who contract to locate, coordinate, and monitor covered primary care and sometimes additional services.
Primary care center
See: ambulatory care facility and free-standing surgical center.