An Explanation of Benefits (EOB) statement is a brief report that explains what medical services were billed to your health plan and how the services were paid. It can be mailed to you and you may view it online at your Aetna member website.
An eligible expense is one for which benefits may be paid under the LM HealthWorks Plan. This term also applies to expenses that may be reimbursed from a Health Care Spending Account or Dependent Care Spending Account. (See Flexible Spending Accounts.)
An emergency is a serious and usually sudden threat to a person’s health or life resulting from illness or injury that requires immediate attention at a hospital or trauma center.
