What Is a Certificate of Coverage?

A Certificate of Coverage is the official legal document that details the terms of your health insurance plan. It's the rulebook for your policy, explaining your covered benefits, costs, exclusions, and rights as a member, including how to file an appeal.

Why It Matters

This document is your proof of insurance and the ultimate reference for what your plan covers. It outlines your cost-sharing responsibilities, such as deductibles, copayments, and your annual out-of-pocket maximum.

How Mira Mace Can Help

Insurance documents are dense and confusing. Your advocate can interpret your Certificate of Coverage for you, use it as evidence to fight claim denials, and ensure you understand all the benefits and protections you are entitled to under your plan.