HOW TO READ AN EXPLANATION OF BENEFITS

Every time you or a covered family member receives healthcare from a doctor, laboratory, clinic, hospital or other healthcare provider, and you are responsible for payment for that healthcare, you should receive an Explanation Of Benefits (EOB).

An EOB is not a medical bill. It is an itemized statement with a great deal of information, such as the specific healthcare service you received, how much was charged for that service, what was paid to the doctor or provider and what you owe. 

An EOB is for your information and files. After reviewing the EOB, you have the right to appeal certain decisions regarding your claims. You can file an appeal in writing within 90 days of the date of the EOB notice. You should keep EOBs with your health insurance records for reference.

Some of our members have new EOBs. Learn more.