STEP 3: Review Your Benefits
IN THIS SECTION WE WILL:
• Introduce you to your Evidence of Coverage( EOC)
• Where to find your EOC
• Instruct you on how to use your EOC • Explain common insurance terms • Provide you with instructions on how to ready your EOC
• Explain how to use your supplemental benefits( dental, vision, healthy rewards, etc.)
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, costs, 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 SeniorCarePlus. com / Documents.
Find the current year’ s plan documents: Scroll down to the section with your plan year( for example, 2026 Senior Care Plus Plan Documents).
Check your plan name: Your plan name can be found on your member ID card( for example, Renown Preferred Plan, Essential Plan, etc.).
Match your plan name on the website: On the Documents page, find the heading that matches your plan name. Under that heading, you’ ll see links to important plan materials.
View your EOC: Once you find your plan section, click the link labeled Evidence of Coverage to open or download the document.
Save or print your EOC: You can read it online, save a copy to your device or print it out so you can refer to it later.
Need a printed copy? If you’ d like a paper copy mailed to you, click the link on the page that says Request Plan Document and fill out the short form.
– 25 –