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Plan Documents

Individual & Family Plan Documents

Additional riders and/or amendments may apply.

Evidence of Coverage (EOC)

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.

2026 EOCs:

HMO Individual OFF
HMO Individual ON

To view Schedules of Benefits (SOBs), click here

Questions?  We are here to help.

By Phone

Member Services:
330.996.8671

Toll-Free:
833.443.0818 (TTY 711)

Hours

Monday - Friday
8:30 a.m. - 5:30 p.m. 

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