Dear Marci,
I have a Medicare Advantage plan, and I get two notices from my plan every month. Both are called Explanation of Benefits. It seems like one is about my health care services, and one is about my prescription drugs. These statements have a lot of information, and I sometimes find them confusing and hard to read. What are they and why am I getting two different ones?
– Vivian (Buffalo, NY)
Dear Marci Code: $240
Dear Vivian,
If your Medicare Advantage plan includes prescription drug coverage, you should receive two kinds of Explanation of Benefits notices: one that explains your recently received health care services, and a second kind that summarizes your prescription drug usage in the past month.
Keep in mind that your EOB is not a bill; it simply states the health care services you have received over a period of time and the amount you have paid or should expect to pay for them. You will receive a separate bill directly from your provider for any amounts you owe them. Read your EOB to verify that you received all health care services listed, and to check that you have paid the proper amounts to your provider. If you overpaid your provider, contact your plan to correct that mistake.
-Marci
Solution Code: $26.59
Vol 13, Issue 25 – December 15, 2014
February 25, 2015