Evidence of Coverage


Below you will find our Evidence of Coverage for 2020. If you need a printed copy mailed to you, please call Member Services toll free at 1-833-742-3125 (TTY 1-855-532-3740). We are available October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily; and, April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.

The documents below are in PDF format. Click on picture to download a document. You need Adobe Acrobat to read a PDF. If you don’t have Adobe Acrobat you can download it for free here.

2020 Evidence of Coverage (Last updated 12/13/2019)

2020 Evidence of Coverage Versión en Español (Last updated 12/13/2019)


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