Additional riders and/or amendments may apply.
Your Evidence of Coverage (EOC) is a comprehensive document that details the benefits, services, and rights you have as a SummaCare member. It outlines covered medical and pharmacy services, exclusions, cost-sharing details, and important policies regarding your plan. The EOC also explains how to access care, file claims, and what to do if you need to appeal a coverage decision. Reviewing your EOC helps you understand your health plan and make informed healthcare decisions.
HMO Individual OFF
HMO Individual ON
To view Schedules of Benefits (SOBs), click here.
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8:30 a.m. - 5:30 p.m.