After a year-long initiative to improve our Explanation of Benefits (EOB) statement to be more consumer-focused and in response to member feedback, we’ve redesigned our EOBs! For members with claims activity, the new Member Health Statement provides a comprehensive monthly view of explanation of benefits for all members covered under the policy. The Member Health Statement incorporates the same claim related information already included in the current EOB claims information—providers, procedures and costs—as well as health tips and offers.

Currently, members receive an average of three to five separate EOBs a month. The new Member Health Statement is a consolidated statement detailing the member’s health and pharmacy claims activity from the previous month. Designed to simplify member communications, and provide clear and meaningful messages to our members, the statements will serve as a tool to track health care costs, reduce their out-of-pocket expenses and reconcile provider balances. This statement replaces the per-service EOB and will result in the generation of a 2008 Personal Health Report. We’ll also be able to provide informative member messaging for better health care decision making.

Here’s a look at some of the Member Health Statement new features:

• Pictorial icons help easily identify the type of health plan service
• Easy reference of member ID information, plan name and statement date
• Easy-to-understand column headings for services processed within the last 28 days
• A breakdown of out-of-pocket costs for easier budgeting, and a helpful tool for tax purposes
• Online access 24/7 or telephone customer service (December timeframe)
• Documentation for Flexible Spending Accounts, Health Reimbursement and Health Saving Accounts

The Member Health Statement paper statements are expected to begin mailing in the November-December timeframe. The online version is anticipated for rollout in December.

For more information, check out our FAQs.