Understanding your Explanation of Benefits

At LifeWise Assurance Company, we strive to make healthcare work better for you.
To help you understand your healthcare costs, we break down how the Explanation of Benefits (EOB) works. You will get an EOB with every claim.

What is an EOB?

An EOB (or explanation of benefits) is the statement (not a bill) we send you after your claim is processed. It lists the services provided, the amount that’s covered by your plan, and any balance you’re responsible for paying the provider.

How to read an Explanation of Benefits (EOB)

NOTE: The EOB shown is for illustrative purposes only. Your EOBs may look slightly different depending on your benefit plan.

Do you like trees?
Go paperless.

Go to Manage My Account
Then navigate to Go Paperless in your web account

Common questions about EOBs

Who can get an Explanation of Benefits?

All members receive an Explanation of Benefits per claim.

Any member who is automatically enrolled or opts in to paperless EOBs can access them through their LifeWise account. If members opt out of paperless and choose to receive printed EOBs by mail, they will still receive an EOB for each claim.

Members have the right to request a paper EOB anytime free of charge. There is no charge to receive either paper or paperless EOBs.

Why is an EOB important?

Explanation of Benefits (EOBs) are documents that help you understand your healthcare costs and responsibilities. They outline how and when a claim is paid and who pays for what part of the cost. Your health plan benefits and coverage are outlined in the EOBs.

The EOB is not a bill. It simply explains how your plan benefits apply to that claim. It includes:

Date you received the service
Amount billed
Amount covered
Amount LifeWise paid
Any balance you’re responsible for
How much has been credited toward your deductible

You will receive a separate bill from your healthcare provider for any payment owed. We recommend comparing that bill to your EOB, and then paying the provider directly.

Who can get paperless EOBs?

Who can sign up? Anyone included on your plan who has created their own account on students.lifewiseac.com.

Plan subscribers
Other adults on that plan
Dependents at least 13 years old

Who can’t sign up?

Dependents 12 and under. Their EOBs can be viewed by the plan subscriber.
Members whose coverage has ended. They receive any further EOBs by mail.

How do I sign up for paperless EOBs?

Go to Manage My Account
Then navigate to Go Paperless in your web account

How do I access my EOBs?

Your Explanation of Benefits are attached to each claim in the web portal.

Find Explanation of Benefits attached to each claim when they are ready to view.

You will be notified by email when new EOBs are ready to view. To update your email address, go to account settings.

How long before an EOB is created?

An Explanation of Benefits (EOB) is generated as part of your claim being processed. While times may vary, usually EOBs are processed within a couple of weeks of a claim received from a provider or member.

Why does the EOB I received in the mail not match the digital copy?