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Understanding your Explanation of Benefits (EOB)

What is an explanation of benefits (EOB)?

An Explanation of Benefits (EOB) gives you details about health care services you recently received.

What your EOB can tell you

It lets you know how much you have already paid or may still owe for your health care services. It is not a bill.

We know the EOB can be confusing. That’s why we’ve updated our EOBs to make them easier to understand. Watch the video below and see our quick guide quick guide to learn about your new EOB.

Where can I find my EOB?

You can access these documents anytime through the UPMC Health Plan app or your secure member website, MyHealth OnLine.

View my EOBs View my EOBs

Don’t have an account yet? If you’re a first-time user, creating a UPMC Health Plan Login is fast, easy, and secure!

Once you have an account, you can access these documents anytime through the UPMC Health Plan app or your secure member website, MyHealth OnLine.

Go paperless by updating your preferences today!

Get your EOBs electronically with the UPMC Health Plan app and MyHealth OnLine. We will email you a link so you can see your EOBs electronically. Changing your preferences will replace getting your EOBs in the mail.

Ready to go paperless? Learn more about how to go paperless.

Ready to go paperless? Learn more about how to go paperless.

This information is not a complete description of benefits. Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/Noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services. Other physicians/providers are available in the UPMC for Life network.

This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 (TTY: 711).

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., UPMC Health Benefits Inc., and UPMC Health Coverage Inc.

SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2021 Tivity Health Inc. All rights reserved.
UPMC for Life Members
Call us toll-free: 1-877-539-3080
TTY: 711

Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.

April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 8 a.m. to 3 p.m.

UPMC for Life Prospective Members
Call us toll-free: 1-866-400-5077
TTY: 711

Oct. 1 – Dec. 7:
Seven days a week from 7 a.m. to 9 p.m.

Dec. 8 – Dec. 31:
Seven days a week from 8 a.m. to 8 p.m.

Jan. 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 9 a.m. to 3 p.m.

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Last Updated: 10/01/2021