Your plan materials

Summary of Benefits (SB)

You can see all of the details about your Moda 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

Get your SB for:

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.

Get your ANOC for:

Evidence of Coverage (EOC)

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

Get your EOC for:

Last updated Sep. 26, 2018

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