Medicare Advantage plan documents
For your convenience, below are important forms and documents to help you easily manage your health coverage.
Summary of Benefits
2025 Summary of Benefits — updated 11/25/2024
Evidence of Coverage and Outline of Coverage
The Evidence of Coverage (EOC) is a complete description of your Medicare Advantage plan coverage and your rights as a member. It explains your benefits, premiums, and cost-sharing; conditions and limitations of coverage; and plan rules.
After you've joined the plan, you will receive the Evidence of Coverage in the mail. This is a legal document that should be kept in a safe place.
2025 Evidence of Coverage — updated 5/20/2025
AmeriHealth Medigap Outline of Coverage
- AmeriHealth Medigap Outline of Coverage — effective 4/1/2025
Annual Notice of Changes
2025 Annual Notice of Changes (ANOC) — updated 10/1/2024
- AmeriHealth Medicare Core PPO
- AmeriHealth Medicare Enhanced PPO
- AmeriHealth Medicare Secure PPO
- AmeriHealth Medicare Ultimate PPO
Y0041_H5361_AH_118448_M_2025
Website last updated: 7/2/2025