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Learn about the "Evidence of Coverage" (EOC), which your Medicare plan sends you each fall. No information is available for this page.Please complete application forms as completely and accurately as possible. This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2023. This document gives you the details about your Medicare health care and prescription drug coverage from January 1, 2023 December 31, 2023. Your "Evidence of Coverage" (EOC) provides details about what the plan covers, how much you pay, how the plan works, and more. This form is used for proof of group health care coverage based on current employment. To get the most complete and current information about which drugs are covered, you can view your formulary online at MyDocumentSource.MemberDoc. The 1095 form provides documentation of your individual health insurance information. Medicare Advantage members, you can request a copy of your 2023 Evidence of Coverage or Formulary if you need one.