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Eligible/Eligibility – A 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
Excluded – A 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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