About Your Summary of Benefits and Coverage (SBC)

On this web site you will find your Summary of Benefits and Coverage, or SBC. You’ll get these when you apply for coverage or buy your policy, when you change or renew your coverage — or simply when you ask for it.

You can use the SBC to help you understand a health plan’s coverage. SBCs will have coverage examples using a format like the Nutrition Facts labels you see on packaged foods. This will help you use the SBC to compare health plans.

The SBC is a summary of a health plan’s key features. It does not give you full details about the plan. Please note that the claim examples are simple examples that do not take into consideration network discounts or whether you have other claims impacting deductibles or annual maximums. The SBC is not the same thing as your Plan Document or Certificate. Please refer to those documents should you have questions about your specific benefits and coverage levels.

Please note: Plans types, that are exempt from the Patient Protection and Affordable Care Act (PPACA) such as indemnity plans for specified coverage, will not display an SBC.