Summary of Benefits and Coverage. (SBC) means a federally required document in a specified template with information on applicable copays, access fees, coinsurance percentages, deductible amounts, other cost-sharing amounts, benefits, exclusions, limitations; and other important information. BCBSAZ generally sends SBCs with member ID cards. Please keep your current SBC with your benefit book.
Summary of Benefits and Coverage or “SBC” means the federally mandated document in a uniform template that summarizes plan benefits, cost-share, exclusions and limitations, and which contains certain coverage examples.
Summary of Benefits and Coverage provision has been added to the “Miscellaneous Provisions” section of the Group Agreement, explaining when Group and Company are required to provide summaries of benefits and coverage. The “Medicare” section of the Group Agreement that was previously titled “Medicare Eligible and Members Age 65 or Over” has been modified. We have consolidated the bulleted lists for improved readability, and added text to explain that Group must pay the applicable Premiums listed in the “Monthly Premium Amounts” section for certain Medicare-eligible Members who do not enroll in Xxxxxx Permanente Senior Advantage (HMO). We have clarified when Medicare is primary payer. The definition of “Dependent Limiting Age” has been clarified to explain that Spouses are not subject to the Dependent Limiting Age. The “Grievances, Claims, Appeals, and External Review” EOC section has been changed in accordance with the ACA and state requirements.
Examples of Summary of Benefits and Coverage in a sentence
When you look at the Summary of Benefits and Coverage for other plans, you’ll find the same Coverage Examples.
Refer to your Summary of Benefits and Coverage for your Cost Sharing amount.
Refer to your Summary of Benefits and Coverage for your visit limitations.
Refer to the rehabilitation and habilitation section of your Summary of Benefits and Coverage for your Cost Sharing amount.
You should keep this Agreement, your Summary of Benefits and Coverage, and any other attachments or Endorsements you may receive for future reference.
More Definitions of Summary of Benefits and Coverage
Summary of Benefits and Coverage or “SBC” means, for the purposes of this regulation, the form required by the Affordable Care Act as described in the final rule published on February 14, 2012 in Volume 77, No. 30 of the Federal Register (77 FR 8668, Summary of Benefits and Coverage and Uniform Glossary).
Summary of Benefits and Coverage means the document, required by law under the Affordable Care Act, that insurance companies and group health plans provide to consumers comparing benefits and coverage for different plans. The information provided must be concise, in plain language, and must be consistent with the health plans benefits and coverage information for consumers to easily compare different coverage options to select their health plan.
Summary of Benefits and Coverage or “SBC” is a concise document, detailing simple and consistent information about the Plan benefits and coverage.
Summary of Benefits and Coverage. What this Plan Covers & What You Pay For Covered Services UMR: CITY OF XXXXXXX: 0000-00-000000 002 Core Plan: 07/01/2019 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, visit xxx.xxx.xxx or by calling 0-000-000-0000. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary at xxx.xxx.xxx or call 0-000-000-0000 to request a copy.
Summary of Benefits and Coverage means the summary of benefits and coverage within the meaning of section 2715 of the Public Health Service Act, 42 U.S.C. §300gg-15.
Summary of Benefits and Coverage or "SBC" means a standard format, created in accordance with 42 U.S.C. 300gg-15, for providing information to consumers about a health plan’s coverage and benefits.
Summary of Benefits and Coverage. What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2019 - 06/30/2020 Simsbury, Board of Education - SEA: Open Access Plus (PPO) Coverage for: Individual/Individual + Family | Plan Type: OAP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, go online at xxx.xxxxx.xxx/xx. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary at xxxxx://xxx.xxxxxxxxxx.xxx/sbc-glossary or call 1-800-Cigna24 to request a copy.