An Explanation of Benefits (EOB) is a simple recap of what your insurance has paid for. Every time one of your health care providers files a claim, you’ll get a notification via mail. Or if you’ve signed up for online EOBs, you’ll get an email alerting you that an EOB is available online.
It’s important for you to review your statement. It will help you make sure you are getting the most value out of your health care spending.
The EOB will tell you:
How much your provider charged for each service.
How much your health insurance company paid for each service.
How much you saved by staying in-network.
How much you are responsible for paying out of pocket.
If a service isn’t 100 percent covered, the EOB will provide you an explanation of:
› Why it wasn’t covered.
› How much you will be expected to pay out of pocket.
Always make sure the services listed on your EOB are accurate. If you receive a bill from your provider, compare the charges to your EOB. If they don’t match up, contact your provider’s billing department.