Get answers to frequently asked questions about billing for your Omada program below.
- Why was my insurance charged?
- Omada partners with employers and health plans to provide you with our healthcare services. Just like a doctor’s office, Omada submits medical claims for payment for your participation in the program.
- What was my insurance charged?
- The claim was filed as part of Omada’s agreement with your health plan. Our billing is based on activity and outcomes, such as blood glucose values recorded, lessons completed, weight loss, and more. Billing is health plan-specific, but all charges billed are covered at 100% with no cost to you.
- What is an EOB?
- EOB stands for an Explanation of Benefits. This is a statement sent by your health plan explaining what services were paid for on your behalf. An EOB is not a bill; it is simply a receipt of the medical services you received.
- Why did I receive an EOB from my insurance?
- An EOB is generated when your health plan processes and pays a claim on your behalf; think of an EOB as a receipt from your health plan. This is completely normal and simply to let you know that your health plan has made payments to cover your health care costs - in this case your participation in the Omada program. It is not a bill and does not mean you owe any amount.
- Why is my insurance requesting other insurance information?
- Your health plan is trying to identify if another payer should be responsible for the charges for Omada. Please complete and submit any paperwork received from your plan. The Omada billing team will take care of any additional steps needed to ensure outstanding claims have been processed.
- If my insurance shows I owe something, what should I do?
- If an EOB shows that there is a copay, coinsurance, or deductible amount owed, please note this is an error as your health plan is expected to cover your participation in Omada. Omada’s claims team will reach out to your health plan to request the claim be reprocessed and paid in full. You will receive an updated EOB once the claim has been reprocessed, or you may check your patient portal. Please note this can take up to 90 days.