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You have the right to an easy-to-understand summary about a health plan’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 “apples-to-apples” comparisons when you’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.
Yes. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including grandfathered plans.