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Explanation of Benefits

  • Writer: Aura Insure
    Aura Insure
  • Nov 21, 2024
  • 1 min read

Decoding Your Explanation of Benefits (EOB) | Aura Insure Glossary


Explanation of Benefits (EOB) sample showing insurance claim breakdown, charges, and payments
Understanding Your Explanation of Benefits (EOB) Statement


An Explanation of Benefits (EOB) is a statement from your health insurance company that details what portion of a medical service they paid for and what you may owe. It's not a bill, but rather a breakdown of the costs associated with your healthcare.


Key Points:

• Shows the total cost of service, what your insurance paid, and what you may owe.

• Includes important information like service date, provider, and claim number.

• Helps you track your deductible and out-of-pocket maximum.

Example: After a doctor's visit, you might receive an EOB showing a $150 charge. If your plan covers 80% after deductible, and you've met your deductible, the EOB would show your insurer paid $120 and you're responsible for $30.


At Aura Insure, we’re here to help you understand all aspects of your health plan, including how out-of-pocket maximums impact your coverage. Contact us today to learn more about finding the right plan for your needs and budget.

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Aura Insure is a licensed health insurance agency. National Producer Number (NPN): 21175181. Licensed to operate in: Texas, Florida, Ohio, Michigan, South Carolina, Iowa, and Nebraska. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program. Plan availability varies by state and individual circumstances. Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period. Savings and benefits are based on eligibility and carrier participation.

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