You can find all of your plan documents by logging into MyChart.

These documents include:

  • Evidence of Coverage
  • Explanation of Benefits (EOB) statements
  • Low Income Subsidy documents
  • Notice of Privacy Practices
  • Star Rating Sheet
  • Supplemental Benefit Packet
  • Other documents, plus the Online Pharmacy Benefit Tool where you can view all of your prescriptions

Don't Have MyChart?

Quickly access your plan documents without logging into MyChart account. Simply enter your member ID number in our Document Lookup tool.

Summary of Benefits

If you would like to view your Summary of Benefits, please select a document below.

This document provides a brief summary to compare the benefits for all plan options.

If you have questions, please contact Customer Service.

This web page was updated on October 1, 2019.