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If you’ve visited a doctor or been in the hospital, you’ve likely received an explanation of benefits (EOB). Like many in our community, you’ve probably been left wondering, “What is an EOB statement? Why did my insurance company send it to me? Is this a bill?”
An EOB is not a bill, but it’s still important to know what it is, and how it differs from a bill. Below we show examples of an EOB and a health insurance bill and highlight the differences.
EXPLANATION OF BENEFITS DEFINITION:
An EOB form explains which medical
services were paid for by the insurance company.
HEALTH INSURANCE BILL DEFINITION:
A bill shows what services were used and the
total amount the insured individual needs to pay.
KEY DIFFERENCE: An EOB form breaks down how much or what part of the service(s) are covered and what parts are not. A bill, on the other hand, shows how much each service costs, the overall amount, and what you still owe.
EXPLANATION OF BENEFITS SAMPLE
Learn about other everyday health insurance challenges.