Your plan materials

Get your Summary of Benefits (SB), Plan Annual Notice of Change (ANOC), Evidence of Coverage (EOC) and annual Enrollment Kit

Summary of Benefits (SB)

You can see all of the details about your Summit Health Medicare plan in your Summary of Benefits. Your Summary of Benefits includes:

Your monthly premium
Annual out-of-pocket maximum
Annual medical deductible
Copays for medical services

Summary of Benefits

2022

2021

Evidence of Coverage

Use your Evidence of Coverage to find out what is covered in your plan and how your plan works

2022 Evidence of Coverage

2021 Evidence of Coverage

Plan 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.

2022 Annual Notice of Changes

Enrollment Kit

2022

2021

Summit Health Enrollment Kit

Last updated Oct. 1, 2021
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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 exceptions of Christmas Day and Thanksgiving Day.
After March 31, your call will be handled by our automated phone system on weekends and holidays.

Get more contact details