A closer look at some of your health care costs and payments

It’s not always easy to understand how health care costs work when you have a health plan. We hope this information offers a little more clarity.

Out-of-network liability, balance billing, and enrollee claim submission
Grace period for monthly payments.
Retroactive denial
Getting money back if you pay us more than you owe
Medical necessity and prior authorization
When you need a prescription drug that's not on your plan's drug list
Explicación de beneficios (EOB)
Coordinación de Beneficios (COB)
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