An EOB (Explanation of Benefits) is a document you receive from your health insurance company that details payments made for medical procedures received by you and your family and processed by your health insurance plan. The EOB includes the date(s) of service, cost of the procedure, the amount that was applied to your health plan deductible, co-insurance and/or co-payment amount, as well as the amount that is your responsibility. It will also list the provider discount. This discounted amount should not be your responsibility under the terms of the health insurance plan.

Making Payments to Providers

Your insurance carrier also sends a similar document to your provider. This document indicates the amount that the provider should be charging to you. In other words, the amount that is subject to the deductible, coinsurance, or a co-payment.

Anytime you receive a bill from a provider you should wait to receive the corresponding EOB before making a payment. Compare the amount that you owe on the EOB to the amount being billed by your provider. You should never pay more than what your health plan deems as your responsibility.

Why does The Choice Care Card™ ask you for your EOBs and other information?

The funds made available to you on your Choice Care Card are a non-taxable benefit to you, as long as the payments abide by plan and IRS guidelines. In order to remain in compliance with the IRS, The Choice Care Card™ must audit every transaction. In order to do so, we must document date of service and prove that your heath insurance is being processed. Due to HIPPA, which ensures your medical records remain private, we cannot access these EOBs from your health plan (unless authorized to do so by you). We must request them from you.

What if I have not received an EOB?

If you have not received an EOB from your health plan, call them and request it. They are necessary tools in navigating your health insurance. Usually, EOBs are available on your insurance carrier’s website.

Questions? Contact Member Services: 888-278-2555