CMAA Practice Exam 2025 – Complete Guide for Exam Prep

Question: 1 / 400

In cases where a child is covered by both parents, what can the birthday rule help decide?

Which parent's insurance is secondary

Which parent pays the premium

Which parent's plan is primary

The birthday rule is a guideline used in coordinating benefits for children's health insurance coverage when they are covered by both parents. According to this rule, the health insurance plan of the parent whose birthday falls earlier in the calendar year is considered the primary plan. This means that if a child needs medical services, the insurance from that parent will pay first, while the other parent’s plan will serve as secondary insurance.

Understanding this concept is crucial for medical administrative assistants, as it affects how claims are processed and which insurance will cover the costs initially. This ensures that healthcare providers receive payment in a timely manner and helps families understand their financial responsibilities regarding their children's medical care.

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Which parent's plan offers better coverage

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