Explanation of Benefits (EOB): If you see mistakes on this summary or have questions?
This section shows details of how to contact your plan should you find a mistake on your Explanation of Benefits (EOB).This section will read as follows:
If you have questions, call us
If you have questions, see mistakes, or suspect fraud, call [insert plan name] Member Services at [insert Member Services phone number] (TTY [insert TTY number]). You can also find answers to many questions at our website: [insert plan website URL] Or, call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.You can also call your State Health Insurance Assistance Program (SHIP). The name and phone numbers for your state SHIP are in Chapter 2, Section 3 of your Evidence of Coverage.
Navigate the Explanation of Benefits document:
- SECTION 1: Your prescriptions during the past month
- SECTION 2: Your current drug payment stage
- SECTION 3: Your "out-of-pocket costs" and "total drug costs"
- SECTION 4: Updates to the plan's Drug List that will affect drugs you take
- SECTION 5: If you see mistakes on this summary or have questions, what should you do?
- SECTION 6: Important things to know about your drug coverage and your rights
- FAQs: Questions and Answers about Explanation of Benefits
Click on a section above for more details and examples.
Click here for Questions and Answers about Straddle Claims