Certificate Of Coverage

What Does Certificate Of Coverage Mean?

A certificate of coverage is an official document that details what an insured individual is entitled to, as well as what is not covered, under a health insurance policy.

Insuranceopedia Explains Certificate Of Coverage

The certificate of coverage outlines all the benefits that a health insurance policyholder can access, as well as any exclusions or exemptions from the policy. A similar kind of benefits documentation appears in other types of coverage, including workers compensation, where injured employees receive paperwork that explains which medical treatments are paid for and which are not.

It also explains how the insured can utilize those benefits, specifying details such as which treatments or procedures require a deductible or copayment.

The insured can request this document at no charge. It is recommended that anyone with health insurance obtain a copy to fully understand the extent of their coverage.