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  • Explanation of Benefits for HMO Members

    An EOB is not a bill for services. It provides information about how a claim from a health care provider (e.g., hospital, doctor) was paid by HealthPlus on your behalf. When you receive an EOB, review it carefully to make sure you actually received the service for which you and/or HealthPlus is being billed.

    An EOB typically includes:

    • Name of patient and health provider
    • Service performed and date of service
    • Provider's fee for the service and discounted rate HealthPlus allows (if applicable)
    • Amount for which the patient is responsible

    Check out the examples below to see what you can expect with the EOBs:

    If you have questions, please call our customer service team at 800-332-9161.