Summary of Benefits and Coverage

Posted on behalf of Sheryl Gordon

Q&A

WHAT DO YOU CALL AN EASY-TO-UNDERSTAND AND CONCISE SUMMARY OF YOUR HEALTH BENEFITS?

You call it your Summary of Benefits and Coverage!

Need to know what’s covered under your health plan and what services may not be, what’s included in your plan’s “out-of-pocket” limit, or what your overall deductible is?

You can find all that and more in your plan’s Summary of Benefits and Coverage. Summaries of Benefits and Coverage (SBC’s) are required under the federal Affordable Care Act to help plan members understand plan benefits and medical terms.

The PEBB Program and/or medical plans provide SBCs, or notice of how to get one, at different times throughout the year (like when you apply for coverage, renew your plan, or request an SBC). SBCs are available (upon request) in English, Spanish, Tagalog, Chinese, and Navajo.

You can find your Plan’s Summary of Benefits and Coverage here:

Summaries of Benefits and Coverage

Summaries of Benefits and Coverage aren’t the only useful tool when comparing plans; PEBB also offers a handy side-by-side Medical benefits comparison tool for researching your plan options.

OPEN ENROLLMENT IS COMING SOONER THAN YOU THINK —NOVEMBER 1 THROUGH NOVEMBER 30!

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