Common Contracts

Subscriber Agreement and Combined Evidence of Coverage and Disclosure Form [Oscar Minimum Coverage/Bronze/Silver/Gold/Platinum EPO][PLAN NAME TBD] 2016

Subscriber Agreement • October 21st, 2015

• Contract Type
  Subscriber Agreement
• Filed
  October 21st, 2015

This Subscriber Agreement and Combined Evidence of Coverage and Disclosure Form (also called the Agreement) explains the rights and duties between You and Us. It also describes how to get health care, what services are covered, and what part of the costs You will need to pay. Many parts of this Agreement are related. Therefore, reading just one or two sections may not give You a full understanding of Your coverage. You should read the whole Agreement to know the terms of Your coverage. Please read the Agreement completely and carefully. Individuals with special health care needs should carefully read those sections that apply to them.