Get How To Read Your Explanation Of Benefits (eob) - Tufts Health Plan

Understanding your Explanation of Benefits (EOB) is essential for managing your healthcare costs. This guide provides comprehensive steps on how to read and interpret your EOB from Tufts Health Plan, ensuring you have a clear understanding of your healthcare expenses and coverage.

Follow the steps to understand your EOB sections

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Review the summary of charges. This section outlines the total amount billed by your healthcare providers for services rendered. Ensure it matches your understanding of the services you received.
3. Examine the plan accumulations. This part details how much you have paid towards healthcare services, including personal contributions and any remaining balance to meet your annual limit.
4. Study the claim detail for specific entries. Each claim will have details about the date of service, procedures performed, charges, and how Tufts Health Plan processed each claim.
5. Identify any amounts you owe. This indicates any outstanding balances to your healthcare provider, which you may have paid partially at the time of service.
6. Familiarize yourself with the glossary of terms. Understanding terms like ‘allowed’, ‘deductible’, and ‘coinsurance’ will help you better comprehend your EOB.
7. If you notice discrepancies or have questions, note the request a review section, which guides you through the appeals process if a claim is not fully paid.
8. Once you have reviewed everything, save your changes, and consider downloading or printing the EOB for your records.

Gain better control over your healthcare expenses by reviewing your EOB online today.