How to Read Insurance Card?

Find the member name

Find the member ID or policy number

Find the group number, if listed

Find the insurance company name and logo

Find the plan type, such as HMO, PPO, EPO, or POS

Find the effective date or coverage start date

Find the primary care provider name, if listed

Find the copay amounts for office visits, urgent care, and emergency care

Find the deductible amount, if listed

Find the out-of-pocket maximum, if listed

Find the prescription drug information or Rx BIN, PCN, and group numbers

Find the claims mailing address or claims website

Find the customer service phone number

Find the pharmacy help phone number, if listed

Find the emergency or after-hours contact information, if listed

Check the front and back of the card for additional details

Match the card information with the name and date of birth of the person receiving care

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