Specimen Policy – Platinum


Specimen Platinum EOC – Evidence of Coverage – The FULL Policy

Here’s a specimen EOC for:

Individuals & Families,

Employer Group PPO  *  Gold Select HMO

Medicare Advantage Co Ordination Plan – Medicare & Medi-Cal


So many questions are answered right here.  A couple of  easy ways to find stuff in the policy is of course the bookmarks, table of contents and the search feature.

Email us if you are in CA and have any questions.

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Related Pages in the FAQ’s » Definitions – Glossary Section

Mental Health as an essential benefit

2 comments on “EOC – Platinum – Evidence of Coverage – Specimen

  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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