Understanding EOBs
An Explanation of Benefits (EOB) is a statement sent by your health insurance company after you receive medical services. It outlines what the insurer paid, what you owe, and how much you are responsible for (e.g., deductibles, copays, or coinsurance). The EOB also explains any denials or adjustments made to your claim. While not a bill, it helps you understand how your insurance coverage was applied to your medical expenses.
Understanding your Explanation of Benefits (EOB) is crucial because it helps you:
- Verify Charges – Ensure that the medical services listed match what you actually received.
- Understand Costs – See what your insurance covers, how much they paid, and what you owe.
- Catch Errors – Identify billing mistakes or potential fraudulent charges.
- Track Deductibles & Out-of-Pocket Costs – Monitor your progress toward meeting your deductible or out-of-pocket maximum.
- Avoid Surprises – Know if a service was not covered and why, so you can address it with your provider or insurer.
We can help you navigate your Explanation of Benefits (EOB) by:
- Reviewing Your EOB – Our agents can walk you through the details, ensuring you understand what your insurance covered, what you owe, and why.
- Identifying Errors – We help spot billing mistakes or discrepancies that could lead to unnecessary charges.
- Explaining Costs – We break down how your deductible, co-pays, and out-of-pocket maximum impact your bill.
- Appealing Denied Claims – If your insurance denied a service, we can guide you through the appeals process to challenge the decision.
- Maximizing Your Coverage – We provide insights on how to optimize your benefits and find ways to reduce out-of-pocket costs.
With Hartman Insurance Services, you don’t have to navigate your EOB alone, we’re here to make health insurance easier to understand and manage. By reviewing your EOB, you can stay informed about your healthcare expenses and avoid unnecessary costs. Contact us today if you want to schedule time to review your EOBs.
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