Evidence of Coverage (EOC)

An Evidence of Coverage (EOC) is a document provided to individuals enrolled in a health insurance plan that outlines the terms, conditions, and benefits of the coverage. The EOC typically includes information about covered services, costs, exclusions, and limitations, as well as details on how to access care and file claims. It serves as a contract between the insurer and the insured, providing essential information to help individuals understand and utilize their health insurance benefits effectively.