Does highmark provide an explanation of benefits online

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Our Benefits Less stress means more life. Explore our jobs. The benefits you can get. Total Rewards Program. Medical Coverage Medical and prescription drug, dental and vision coverages for your and your eligible dependents.

Retirement Package Employer-sponsored k plan. Vacation Paid time off, including paid holidays. Education Support Tuition reimbursement. Community Support Volunteer Opportunities. Voluntary Support Voluntary Benefits. Supporting you Employee Discounts. Learn more about us. View Our Benefits. Introduce yourself and we'll get in touch monthly to share career insights and company news. Join Our Talent Community. If you're receiving ongoing medical treatment, this can help you plan ahead and determine when you're likely to hit your out-of-pocket maximum.

At that point, your health plan will pay for any covered in-network services you need for the remainder of the plan year. He is enrolled in a Medicare Advantage Plan and sees his doctor every three months for a follow-up of his diabetes. Six weeks after his last visit, Frank received an EOB with the following information:.

Some math: Dr. David T. Such mistakes can have annoying and potentially serious, long-term financial consequences. Your EOB should have a customer service phone number. Do not hesitate to call that number if you have any questions or concerns about the information on the EOB. Your EOB is a window into your medical billing history. Review it carefully to make sure you actually received the service being billed, that the amount your healthcare provider received and your share are correct, and that your diagnosis and procedure are correctly listed and coded.

It's also important to make sure that your records reflect the same numbers that the EOB show, in terms of your progress toward your deductible and out-of-pocket maximum for the year. Once you've met your deductible, your health plan will start paying for more of your care. So it's important to make sure that these amounts are accurately reflected on each EOB. Insurers generally send EOBs to the primary insured, even if the medical services were for a spouse or dependent.

This can result in confidentiality problems, especially in situations where young adults are covered under a parent's health plan, which can be the case until they turn To address this, some states have taken action to protect the medical privacy of people who are covered as dependents on someone else's health plan.

But it's important to understand that as a general rule, states cannot regulate self-insured health plans , and these account for the majority of employer-sponsored health plans. An explanation of benefits EOB is a document that a health plan sends to a member after a medical claim is processed.

The EOB will show a variety of information, including details about the medical treatment, the amount that was billed, the amount that the health plan allows for that service, the amount the health plan paid if any , and the amount that the patient owes.

The EOB will also generally show how much the member has accumulated toward their deductible and out-of-pocket maximum so far that year. It may be tempting to just ignore EOBs, especially if you have substantial claims and numerous EOBs arriving in your mailbox. But it's important to at least scan each EOB to make sure that the details make sense. This will give you a good idea of what to expect in terms of medical bills from providers, since they use their own version of that same EOB in order to process billing statements.

And it will also help you know what to expect in terms of your potential future medical bills for the remainder of the year. Centers for Medicare and Medicaid Services. Reading Your Explanation of Benefits. Guttmacher Institute. Protecting Confidentiality for Individuals Insured as Dependents. Health Insurance. Michael Bihari, MD, is a board-certified pediatrician, health educator, and medical writer, and president emeritus of the Community Health Center of Cape Cod.

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