• October 2019

Explanation of Benefits (EOB) Answers

We’re often asked what we do with EOBs. Here are answers to clarify:

Zero Dollar EOBs (this is when the insured has no financial liability)

  • We only create a digital copy, which is stored in the member portal and available to the member
  • We do not mail out a paper copy of this type of EOB

All Other EOBs

  • We mail a paper copy to show claims processed
  • Members can switch to paperless EOBs via the member portal so they no longer receive paper or email EOBs
  • Prescription EOBs are viewable only in the member portal
    • We no longer mail paper copies of quarterly Rx summaries

To get EOBs without portal access, members may contact Member Services.