Evidence of Coverage
Medical
Click the applicable plan below to view corresponding Evidence of Coverages.
Anthem Blue Cross
California HMO (For Member Residing in California only)
2022 Anthem HMO Member under age 65 or 65+ with only Medicare Part B and no Part D
2022 Anthem HMO Member 65+ with only Medicare Part B and Part D
California PPO (For Member Residing in California only)
2022 Anthem PPO for Member under age 65
2022 Anthem California Member age 65+ with only Medicare Part B and Part D
Medicare
2022 Anthem Medicare Preferred (PPO) with Senior Rx Plus - Part A and B MAPD
2022 Anthem MedicareRx (PDP) with Senior Rx Plus - Part B PDP
Kaiser Permanente
2022 Kaiser Senior Advantage HMO with Part D Southern CA
2022 Kaiser Senior Advantage HMO with Part D Northern CA
2022 Kaiser Traditional HMO Southern CA
2022 Kaiser Traditional HMO Northern CA
SCAN Health Plan
UnitedHealthcare
Dental
Click the applicable plan below to view corresponding Evidence of Coverages.
DeltaCare USA
Delta Dental PPO
Vision
(for Anthem Blue Cross, UnitedHealthcare, & SCAN members)*
*Kaiser Permanente members obtain their vision benefits from Kaiser; please see the above Medical section for Kaiser’s medical EOC.