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Plan coverage resources include helpful documents such as:
Summary of Benefits
Your Summary of Benefits is a snapshot of your health plan's costs, benefits, covered health care services and other important features. It also explains unique features like cost-sharing rules and includes significant limits and exceptions to coverage in easy-to-understand terms.
Evidence of Coverage
Your Evidence of Coverage (EOC) is a document that details everything about your health plan from benefits to costs. Think of it as your Medicare plan encyclopedia. Learn more about how to use your EOC here:
Formulary
The formulary is a list of covered prescription drugs within your Medicare plan. This list will help you make informed decisions for your physical and financial health and avoid surprise prescription costs. Learn more here:
Over-the-counter (OTC) benefits catalog
This booklet has a list of health and wellness items that are available with your OTC benefit. You can use this catalog to quickly understand what items are included. It also has instructions on how to order the OTC products.
Ready to learn more about your coverage?
If you need help knowing what these documents mean for you, just call the toll-free number on your ID card. We’re here to help.
Need help?
Just call the toll-free number on your member ID card.