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Welcome to Summit Health

Your plan materials


Get your Evidence of Coverage (EOC), Summary of Benefits (SB), Plan Annual Notice of Changes (ANOC), Summary of Benefits (SB), and Formulary and Pharmacy Directory

Addendums

Addendum to your Summary of Benefits (SB), Evidence of Coverage (EOC), and Plan Annual Notice of Changes (ANOC)

Evidence of Coverage (EOC)

Use your Evidence of Coverage to find out what is covered in your plan and how your plan works. All of the details about your plan are included in the EOC.

2023

2022

Summary of Benefits (SB)

Your Summary of Benefits includes highlights of your plan such as your monthly premium, annual out-of-pocket maximum, and copays for medical services.

2023

Annual Notice of Changes (ANOC)

Each fall, we will send you an Annual Notice of Changes. Review the Annual Notice of Changes to see any changes in costs, coverage and service area. These changes will take place in January.

2023

Star Rating

Pharmacy Benefit Information

All the information you need regarding your pharmacy coverage, including our list of covered drugs (Formulary) and the Pharmacy Directory.

Last updated Oct. 1, 2022
H2765_4006

Contact us

Call 844-827-2355 (TTY users, please call 711).
Our customer service team is available from 7 a.m. to 8 p.m., Pacific Time, seven days a week from Oct. 1 to March 31, with the exception of Thanksgiving Day and Christmas Day.
After March 31, your call will be handled by our automated phone system on weekends and holidays.

Get more contact details

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