Medical Plans

Summary of Benefits and Coverage

Under the Affordable Care Act, group health plans provide a Summary of Benefits and Coverage (SBC). The SBC is an easy to understand summary to help you compare health plans and coverage, regardless if coverage is purchased privately or through your employer. The SBC includes an illustrated coverage example for three benefits scenarios: having a baby, managing type 2 diabetes, and a simple fracture. Each policy or plan uses the same illustration to help you compare plans. You should not use this information to estimate the cost of your own care. The information is comparative only. Also available to you is a Uniform Glossary of terms commonly used in health insurance coverage.