New Health Care Summary to Replace EOB Forms

On January 1, 2021, Anthem will move to a new system to process medical claims. As a result of this change, members who have health insurance with the Health Trust will begin to receive a new Health Care Summary, instead of the current Explanation of Benefits (EOB) forms. These new Summaries will be in color, will include graphics, and will help members to better understand their costs and make future healthcare decisions. They will include claim details with balance/accumulator information, as well as some new enhancements such as information on savings opportunities, preventive care reminders, and health condition messages.

Each Health Care Summary includes information on all claims processed over a 14 day period of time. The subscriber (employee or retiree) will receive a consolidated Summary, showing claims for themselves and any covered dependent children under age 18. Adult dependents (spouse, domestic partner, or dependent child age 18 and over) will each receive their own Summaries.

Since the new Health Care Summaries will include claims processed over a two-week period, you may find that you are receiving fewer Health Care Summaries, compared to the Explanations of Benefits.  This will help to save on paper, and will reduce mailing costs as well.

You will also be able to view your Health Care Summaries online, at www.anthem.com. If you choose, Anthem will send an email notification to the email address noted on your online account when a new Health Care Summary is available. This way, you can log in to view your new Summaries as soon as they are available.

If you have any questions about the new Health Care Summary, please contact the Health Trust at 1-800-852-8300. Member Service Representatives are available Monday through Friday from 8:00 am – 4:30 pm. You may also reach Member Service Representatives via email, at HTMemberServices@memun.org.

 

Sample of New Anthem Health Care Summary

Search

+