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Eligible/EligibilityA medical cost that an insurance plan pays for or covers. This can also refer to meeting the criteria set forth by an assistance program.1,7

ExcludedA medical cost that an insurance plan does not cover.1

Explanation of Benefits (EOB)Details about the costs of a medical treatment or service that you have received. The insurance company sends these details after you have received the service. The EOB is a summary of benefits that usually includes details about the cost of the service and how much your insurance plan will pay for the procedure. It is not considered a bill.20

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