Summary of Benefits. (“SBC”) means a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage. The SBC helps consumers better understand the coverage they have and allow them to easily compare different coverage options. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions and coverage limitations and exceptions. Members will receive the summary when shopping for coverage, enrolling in coverage, at each new plan year and within seven business days of requesting a copy from their insurance issuer or group health plan.
Summary of Benefits means the Member document that contains a list of the most commonly used Covered Benefits and applicable Cost Shares for the specific benefit plan(s) purchased by Employer Group. The Summary of Benefits may also be referred to as a Health Plan Benefits and Coverage Matrix and is included as Attachment B to this Agreement.
Summary of Benefits means a written document available during each FEHB open season that describes the flexible spending arrangement benefits under the Plan.
Examples of Summary of Benefits in a sentence
Refer to the EOC for an explanation of the terms used in this Summary of Benefits.
Please review the EOC for more details of coverage outlined in this Summary of Benefits.
All terms and conditions outlined in the Summary of Benefits apply.
Coverage details are provided in the Advantage Summary of Benefits.
Please review the Benefit Booklet for more details of coverage outlined in this Summary of Benefits.
More Definitions of Summary of Benefits
Summary of Benefits. (12-month benefit period) IN-NETWORK YOU PAY EYE EXAMINATIONS Routine Eye Examination with dilation $10 FRAMES1 Priced up to $70 retail $40 Priced above $70 retail $40, plus 90% of the amount over $70 SPECTACLE LENSES2 Single Vision $35 Bifocal $55 Trifocal $65 Lenticular $110 Standard Progressive Addition Lenses $75 CONTACT LENSES1 Contact Lens Evaluation and Fitting 85% of retail price Conventional 80% of retail price Disposable/Planned Replacement 90% of retail price Lens 1-2-3® Mail Order Contact Lens Replacement Program Up to 40% off retail prices LASER VISION CORRECTION1 Up to 25% off allowed amount or 95% of advertised special2 1 CareFirst BlueChoice does not underwrite lenses, frames and contact lenses in this program. This portion of the Plan is not an insurance product.
Summary of Benefits means any and all summary of benefits or coverage, schedule of benefits or coverage, explanation of benefits or coverage, subscriber certificates, or any other summary of benefits available to You with respect to any Plan Agreement or Group Insurance Policy Agreement. The term “Summary of Benefits” shall include any amendments thereto.
Summary of Benefits. (“SBC”) means a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage. The SBC helps consumers better understand the coverage they have and allow them to easily compare different coverage options. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions and coverage limitations and exceptions. Members will receive the summary when shopping for coverage, enrolling in coverage, at each new plan year and within seven business days of requesting a copy from their insurance issuer or group health plan. “Telemedicine” means certain Covered Services for diagnosis and treatment of low acuity medical conditions delivered to HPN Members through the use of interactive audio, video, or other telecommunications or electronic technology by a contracted HPN Telemedicine Provider listed as such in the HPN Provider Directory at a site other than the site at which the patient is located. Telemedicine is available in all states where HPN contracted Telemedicine Providers offer telemedicine services. Telemedicine does not include the use of standard telephone calls, facsimile transactions or e-mail messaging and is only available through designated providers listed as Telemedicine Providers in the HPN Provider Directory.
Summary of Benefits. (“SBC”) means a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage. The SBC helps consumers better understand the coverage they have and allow them to easily compare different coverage options. It will summarize the key features of the plan or coverage, such as the covered benefits, cost- sharing provisions and coverage limitations and exceptions. Insureds will receive the summary when shopping for coverage, Agreement of Coverage enrolling in coverage, at each new plan year and within seven business days of requesting a copy from their insurance issuer or group health plan.
Summary of Benefits means a summary of the benefits and exclusions, required to be given prior to or at the time of enrollment to a prospective subscriber by the health care insurer or group contract holder.
Summary of Benefits sheet is enclosed for your review.
Summary of Benefits means a summary of the benefits and exclusions required to be given prior to or at the time of enrollment to a prospective subscriber or covered person by the health insurance carrier.