Evidence of Coverage

An Evidence of Coverage (EOC) is a comprehensive guide to your health care coverage. It details covered medical care and services, prescription drug coverage (if applicable) and information about your rights and responsibilities. To view the EOC for your plan, click on one of the links below.

2025 EOCs

2024 EOCs


For Medicare Advantage members who get their coverage through their employer or former employer (Employer Group Waiver Plan), EOCs will be available after November 15. You can request a hard copy of your EOC by filling out the form below or by calling Member Services at (877) 443-3314.


Last Updated 10/1/24