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Medical Plan:
Summary of Benefits and Coverage

EZ Summary
Blue Shield of California is pleased to provide you with the following Medical Plan documents:
  • Evidence of Coverage (EOC) 
    This pdf contains a complete coverage description of the Medical Plan, in an easy to understand format.
  • Summary of Benefits and Coverage (SBC) 
    An easy to read, plain English summary of the CCPOA Medical Plan.
  • Summary of Benefits (SOB)
    Which shows the amount you will pay for Covered Services

Documentation for all Trust plans and programs is available on our FORMS page. Go To Top