What is a Summary of Benefits and Coverage (SBC)?

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What is a Summary of Benefits and Coverage (SBC)?

<lingo>A summary of benefits and coverage (SBC) provides an insured person with detailed and easy-to-understand information about their health care plan. These summaries have to be short and to the point, and they must be written in plain language that is easy for the average person to understand. Job-based health plans and insurance companies both have to provide these SBCs, along with a glossary of the terms used in medical care and the health care plan. Having a summary of benefits and coverage can help people make better comparisons when they are trying to decide which insurance plan to choose.</lingo>

Summary of Benefits and Coverage (SBC) Clearly and Briefly Explained

In addition to providing a standard summary, an SBC also offers examples so anyone considering a particular plan can see how illness or other conditions would be covered. Childbirth and diabetes care are the two examples that a summary of benefits and coverage uses, which allows for anyone looking at the insurance plan to compare it with other plans based on the same kinds of conditions and treatment options. That makes things much clearer, which is the main goal of the summary of benefits and coverage when it comes to helping people choose a health care plan.

 

<twitter>A summary of benefits and coverage (SBC) provides an insured person with detailed and easy-to-understand information about their health care plan.</twitter>

 

 

All job-based and individual health care plans must provide a summary of benefits and coverage. This is also true of grandfathered plans that did not have this information in the past, or that were obtained before this requirement was put into place. Having this summary is a very valuable way for people who are looking for coverage to compare plans. It also helps people who already have a plan see what they are actually getting and whether they would be better served by a plan that offers them something more or something different from what they already have. That can mean stronger and better health care decisions for a lot of people, which is a good way to help them maximize their health care dollars and stay as healthy as possible.

 

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