2024年11月5日 · On this page, you’ll learn what an explanation of benefits is for, and how to read one. See what an explanation of benefits looks like (PDF) What’s an explanation of benefits? An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isn’t a bill.

Virginia Medicaid currently has five MCOs: Aetna Better Health, Anthem HealthKeepers Plus, Molina Healthcare, Sentara Community Plan, and UnitedHealthCare Community Plan. Enroll in a health plan online, by mobile app, or by phone during open enrollment. Call our Managed Care HelpLine or find contact information for your MCO.

Check your Explanation of Benefits (EOB). Your plan will mail you an EOB each month you fill a prescription, visit a health care provider, or file a claim. This notice gives you a summary of your claims and costs. For more up-to-date claims information, contact your plan.

States establish and administer their own Medicaid programs and determine the type, amount, duration, and scope of services within broad federal guidelines. Federal law requires states to provide certain mandatory benefits and allows states …

It will show you the total charges for your visit and how much you and your health plan owe. An EOB is NOT A BILL. You can also use it to track how you and your family use your coverage. You may get a separate bill from the provider. Here’s an example of an Explanation of Benefits.

Each month you fill a prescription, your Medicare Prescription Drug Plan mails you an "Explanation of Benefits" (EOB). This notice gives you a summary of your prescription drug claims and costs. When should I get it?

2024年11月9日 · If you have a Medicare Advantage or a Medicare Part D plan, the document will generally be called an Explanation of Benefits, and will arrive after each medical service you receive). And depending on where you live, you might get an EOB if you're enrolled in Medicaid and receive healthcare services.

2012年3月12日 · Here are two sets of guidelines for medical EOB retention periods and good practices – one for people in normal health and one for people with chronic, debilitating or terminal health conditions: Normal Health. 1. Keep medical EOBs in a file for one year.

Your EOB is a summary of your prescription drug claims and costs. It also lists any changes to your plan’s drug list, or formulary, that may affect you. Use your EOB to see your progress through the Medicare Part D coverage phases, including the coverage gap. With paperless EOBs, you have up to 36 months of statements at your fingertips.

Virginia Medicaid members are part of Cardinal Care - a single system of care for all of our 2 million members. Cardinal Care connects members to the care that they need when they need it and reduces transitions between programs as their health care needs evolve.