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Combined Evidence of Coverage and Disclosure Form (EOC/OF) Effective January 1, 2020Western Health Advantage Health Maintenance Organization (HMO) Basic Plan Western HealthAdvantage,,,,... Contracted
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The evidence of coverage (EOC) is a document that provides details about a person's healthcare coverage, including benefits, cost-sharing, and coverage limitations.
Insurance providers and employers offering healthcare coverage are required to provide the evidence of coverage to plan participants.
The evidence of coverage can usually be filled out online or by contacting the insurance provider or employer directly.
The purpose of the evidence of coverage is to inform plan participants about their healthcare coverage details and rights.
The evidence of coverage must include information about benefits, cost-sharing, coverage limitations, contact information, and rights of plan participants.
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