STEP 3: Review Your Benefits
IN THIS SECTION WE WILL:
• Introduce you to your Evidence of Coverage( EOC) and the Schedule of Benefits( SOB)
• Where to find your EOC and SOB
• Chapters to Know in the EOC
• Explain common insurance terms
• Provide you with instructions on how to read your Explanation of Benefits( EOB)
• Explain how to use your vision benefit
WHAT IS THE EVIDENCE OF COVERAGE( EOC)?
Your EOC is an important document that explains how your health plan works. It tells you about your benefits, rights, and responsibilities, and what services are covered or not covered. Think of it as a map that shows how decisions about your care and coverage are made. It helps you understand what your plan includes and what steps to take when you need care. The EOC is also a legal document, which means both you and the health plan must follow it. If there is ever a question about your coverage, we use the EOC to decide what the plan can pay for. Keep it in a safe place and use it to learn more about your benefits.
WHERE DO I FIND MY EOC?
Visit HometownHealth. com and click on For Members to view easy-to-follow instructions to access your EOC. You can also Customer Service at 775-982-3232 or 800-336-0123 and ask them to send you a copy. Help in Spanish is available at 775-982-3242.
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