Specimen Platinum EOC

Evidence of Coverage

The FULL Policy

So many questions are answered right in the evidence of coverage – EOC, in PLAIN English, as mandated by law.   Sure beats reading the law and then trying to see for sure if the law applies to you.   When you have your actual EOC, A couple of  easy ways to find stuff in the policy is the bookmarks, table of contents and the search feature.

Here’s a specimen EOC Evidence of Coverage for:

Individuals & Families,

Employer Group PPO  *  Gold Select HMO

Medicare Advantage Co Ordination Plan – Medicare & Medi-Cal

We have EOC’s available all over our website Individual & FamilyEmployer Group for the companies that we represent.  Use the search feature in the right hand corner above  or Email us if you are in CA and have any questions.

Find YOUR EOC Evidence of Coverage


Individual & Family Plans

Employer Group Plans  


HMO – Managed Care Providers


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2 comments on “EOC Evidence of Coverage Value and how to find

  1. Hello Steve,

    Under our current plan, the co-pay is separated into two categories for the benefits:

    1) Facility $50/visit
    2) Professional $25/visit

    Can you pls [please] advise/explain what is considered facility & professional?
    We’ve called Anthem direct, however, all the reps seem to have different understandings for both.

    Best Regards,

    Justine H

    • This type of technical question is the very reason we’ve posted a sample copy of the full EOC – Evidence of Coverage. It’s the full contract between the insurance company and you. In addition to the bookmarks, use the search feature, to look for your keywords, like facility, professional & visit.

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