Evidence of coverage and annual notice of change

Download the evidence of coverage (EOC) or annual notice of change (ANOC) for your 2021 Providence Medicare Advantage Plan below. 

You can also request to have a printed EOC mailed to your home.

Providence Medicare Choice + Rx 001 (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Choice + Rx 002 (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Compass + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Dual Plus (HMO D-SNP)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Enrich + Rx (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Extra + Rx 001 (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Extra + Rx 002 (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Focus Medical (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Harbor + Rx (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Latitude + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Prime + Rx (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Select Medical (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Summit + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Timber + Rx (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Bridge 1 + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Bridge 2 + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Cottonwood + Rx (HMO-POS)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

Providence Medicare Pine + Rx (HMO)

• Evidence of coverage (PDF)
• Annual notice of change (PDF)

For members who receive their coverage through a group or employer plan only:

• Group/employer evidence of coverage and annual notice of change materials

To view PDF files, download free Adobe Acrobat Reader

Webpage is current as of 10/14/2020