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Health insurance rights & protections

Summary of Benefits and Coverage

You have the right to an easy-to-understand summary about a health planโ€™s benefits and coverage.
Insurance companies and job-based health plans must provide you with:
  • A short, plain-language Summary of Benefits and Coverage (SBC)
  • A Uniform Glossary of terms used in health coverage and medical care
This information helps you make โ€œapples-to-applesโ€ comparisons when youโ€™re looking at plans.
The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth.

Does this apply to my plan?

Yes. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including grandfathered plans.

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