Medicare Prescription Drug Plans
What is an Explanation of Benefits statement (EOB), and why do you get one? Get to know your EOB so you can get more out of it.
Explanation of Benefits Statement
We will send you an Explanation of Benefits (EOB) statement for each month you purchase prescription drugs. The EOB helps you keep track of your monthly prescription drug costs and manage your budget. It includes helpful definitions, drug list updates, phone numbers to call for assistance and other useful information. See below for descriptions of each section of the EOB.
- Section 1: Your prescription drugs during the past month.
This section lists the covered Part D prescription drugs you filled for the past month and gives a breakdown of drug payment amounts (what the plan paid, what you paid and any other payments made for the drug). Please look over this information to be sure it's correct.
- Section 2: Your drug payment stage.
This section shows you which drug payment stage you are in. How much you pay for your prescriptions depends on which payment stage you are in when you fill each prescription. You move from one stage to the next based on how much is spent for your drugs. Sign in or register to easily track which payment stage you're in.
- Section 3: Your out-of-pocket costs and total drug costs.
This section defines and tracks your out-of-pocket costs and total drug costs. These costs determine which drug payment stage you are in.
- Section 4: Updates to the plan's Drug List for drugs you take.
This section details changes to the coverage or cost of any plan-covered drugs you take.
- Section 5: What to do if you see mistakes on your EOB or if you have questions.
If something doesn't look right on your monthly EOB, or if you don't understand how your drug plan coverage works, use the contact information in this section to get answers.
- Section 6: Important things to know about your drug coverage and your rights.
Your Evidence of Coverage includes details about your drug coverage and costs. It also explains the rules you need to follow when you are using your drug coverage.
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