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Know the Details 2025

Know the Details 2025

Forms and Notices

Understanding the details of your health plan is important. Get better acquainted with your benefits here. If you still have any questions, we are just a phone call away.

 Definition of Terms

  • Evidence of Coverage (EOC): The EOC documents in detail the health care benefits covered by a plan. It also provides information on plan requirements and cost-sharing for certain benefits.
  • Summary of Benefit and Coverage (SBC): The SBC is an easy-to-read summary document that allows comparison between health plans. This document lists important information about the plan such as cost-sharing, coverage limitations, exceptions and benefits scenarios.
  • Formulary: A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a drug list.

Questions?

Our hours of operation are
8 a.m. – 5 p.m.

Call Us:
Local: 713.295.6704
Toll-Free 1.855.315.5386

Important Plan Documents​

Community Bronze Plans

Community Silver Plans

Community Gold Plans

Off exchange

View Quick Reference Guide

Summary of Benefits:

Formulary and Other Documents

Utra Select Plans

Important Plan Documents

Community Ultra Select Bronze Plans

Community Ultra Select Silver Plans

Community Ultra Select Gold Plans

Off exchange

Formulary and Other Documents

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”

– Cecily
Member of Community Health Choice