How to Read your Explanation of Benefits

Reading your benefits can be a challenge, so we've broken it down with explanations of what each part you'll see means

Health insurance is complicated enough as it is. Don't make it more difficult for your employees. Make sure you provide clear and accessible information so they can stay informed and healthy.

Although open enrollment is a pivotal time to highlight benefits to employees, employers also have opportunities to educate them throughout the year. Ongoing communication after open enrollment can help encourage employees to understand and utilize their available benefits.

The final section explores the Claim Level Adjustment Details, specifically the Coordination of Benefits (COB). COB breaks down how primary, secondary, etc. insurances cover the medical expenses in the case that you have multiple plans

This is an example of what your Explanation of Benefits (EOB) will look like.

Being able to understand your benefits is the first step to successfully using them to your advantage. Make sure your wording is straightforward and ask how you can better support your employees in their understanding.

This section separates the deductibles and Out-of-pocket by how much has been accrued vs the year’s requirements.

Both In-Network and Out-of-Network costs are shown.