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Project Details

Evidence of Coverage Project

Screen shot of Table of Contents of Evidence of Coverage Document
Project Summary: 

HRA developed the Sample Evidence of Coverage (EOC) to provide health plans with language, designs, and ideas to create EOCs that their members can easily read, understand, and use. The Sample EOC includes both a Disclosure Form and a Summary of Benefits. It is based on best practices in health literacy, Knox-Keene regulations, and formative research and evaluation. It was developed for large-group and small-group full service Health Care Service Plans licensed by the California Department of Managed Health Care (DMHC).

View Sample Evidence of Coverage:

Project Type: 
Contact Person: 
Kathy Simpson
Contact Person's Email Address:
Health Research for Action, UC Berkeley
California Department of Managed Health Care
Location - States: