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About explanations of benefits

Anytime you receive medical services, you might receive an EOB as we process claims sent by you or your health care provider. The EOB is not a bill.

We send you an EOB statement to detail what medical treatments/services we've paid for you and what you will have to pay, according to your policy.

Your EOB is the key to understanding your health insurance coverage as you incur costs. The form tells you exactly how your benefits were applied. It covers the particulars related to the visit, including the service date, the provider’s name, amount billed, amount covered, amount we paid and your financial responsibility. It also tells you how much has been credited toward your out-of-pocket maximum or deductible this contract period.

How to read your EOB

This information pertains only to our QHP plans