Don’t Get Overcharged! How to Lower Your Medical Bills Like a Pro

Getting hit with a massive medical bill you weren’t expecting? You’re not alone—and you don’t have to just accept it. The truth is, medical billing errors are way more common than most people think, and if you know how to spot them(and use your Explanation of Benefits the right way), you can often reduce your out-of-pocket costs big time.

Let’s break it down.

Understanding the Explanation of Benefits (EOB) in Health Insurance

First things first: the Explanation of Benefits (EOB) is not a bill. It’s a summary from your health insurance provider that explains:

• What was billed by your provider
• What your insurance covered
• What you might still owe (if anything)

Compare this carefully to any medical bills you receive. Discrepancies = opportunities to negotiate.

Pro Tip: Match the CPT codes

The CPT (Current Procedural Terminology) codes listed on your EOB and bill should match. If they don’t, that’s a red flag. Wrong codes can lead to overcharges or outright billing errors.

Top Reasons People Overpay for Medical Bills in 2025

1. Incorrect Billing Codes

One wrong code could mean you’re being charged for a procedure you didn’t even receive—or charged more than what’s fair.

2. NotChecking Network Status

Seeing an out-of-network provider (even accidentally) can lead to HUGE markups. Always confirm network status before appointments.

3. Lack of Price Transparency

Even in 2025, price transparency in healthcare is hit or miss. Don’t be afraid to ask for a cost estimate before your visit.

How to Reduce Medical Costs with the Right Health Insurance Plan

Not all health insurance plans are created equal. Choosing the right plan upfront can save you thousands down the line. Here’s what to look for:

• ‍Low out-of-pocket maximums
• High network availability (so you don’t accidentally go out-of-network)‍
• Coverage for preventive care
• Clear EOBs and claim transparency

Working with a trusted advisor (hey, that’s us!) can help you pick the best health insurance plan for your needs and budget.

For more on long-term health insurance planning and how early decisions can impact financial freedom, check out Set Your Child Up for Success: How a Whole Life Policy Provides Lifetime Financial Benefits.

Step-by-Step: How to Dispute a Medical Bill

Step 1: Request an Itemized Bill

You have the right to ask for a breakdown of every charge.

Step 2: Compare It to Your EOB

Check for mismatched codes, duplicate charges, or anything that doesn’t make sense.

Step 3: Call the Billing Department

Use this script:

“Hi, I’m reviewing my bill and noticed a few items that don’t line up with my insurance explanation of benefits. Can we go over these together and make sure everything is correct?”

Step 4: Ask for a Discount or Payment Plan

Even if the charges are correct, most billing departments will offer cash discounts or set up interest-free payment plans if you ask.

Health Insurance Tips for Managing Medical Bills

• Always review your EOB before paying a medical bill
• Double-check provider network status before appointments
• Keep copies of bills, EOBs, and communications
• Use online tools to compare procedure costs (like Healthcare Bluebook)
• Ask your insurance rep to explain confusing charges—don’t be shy!

Still Confused? We’ve Got You.

Navigating the world of health insurance and medical billing isn’t easy—but that’s why we’re here. At Insurance Elevated, we help people understand their health insurance plans, cut through the noise, and avoid overpaying.

Got a confusing bill or not sure if you’re on the right plan? Let’s talk.