For Members
Evidence of Coverage

An Evidence of Coverage (EOC) document describes in detail the health care benefits covered by each of our health plans, how the plans work, and associated costs.

Our members can access an EOC anytime on this website; members can request a physical copy using this form.

Evidence of Coverage

If you would like us to mail you an Evidence of Coverage, please fill out and submit this form:

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If you would like to speak with a representative from Jefferson Health Plans Medicare Advantage to discuss plan options, please provide your phone number.

By providing my phone number, I agree to allow Jefferson Health Plans to contact me with information related to its health plans, products, benefits, services and/or educational information related to health care.

Page last updated: 10/2/2024 - Y0170_MCE‐220S05‐4991_M