As part of the Patient Protection and Affordable Care Act, the Summary of Benefits and Coverage (SBC) provides additional information regarding coverage specifications and limitations that apply to the health insurance plan you have selected. Show
To view the benefit information, enter either the member ID number or a specific SBC ID number. Member ID Number This is a required field Exclamation MarkWhat is this? You may also find your summary through Blueprint Portal SBC Number This is a required field Exclamation MarkWhat is this? Members with Medicare, limited duration, dental or vision plans do not have an SBC. An SBC is a simplified, easy-to-read list of the common services covered under your plan. The Schedule of Benefits is a more comprehensive list. You also can view your Individual Policy and Schedule of Benefits online. If you are an employer looking for your group's SBC, please visit the employers section. Benefit Summary BookBenefits at GlanceMedicare and Blue: a Medicare and You Guide for Federal EmployeesMedicare at a GlanceOverseas Program2023 FEP Blue Focus Summary of Benefits and Coverage2023 Basic Option Summary of Benefits and Coverage2023 Standard Option Summary of Benefits and CoverageBenefit Summary BookBenefits at GlanceMedicare and Blue: a Medicare and You Guide for Federal EmployeesMedicare at a GlanceOverseas ProgramFEP Blue Focus Summary of Benefits and CoverageBasic Option Summary of Benefits and CoverageStandard Option Summary of Benefits and CoverageAbbreviated Formulary2022 Annual Member NoticeGlossary of Health Coverage and Medical TermsATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Call 1-800-200-4255(TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación llamada 1-800-472-2689 (TTY: 711). ATENÇÃO: Se fala português, são-lhe disponibilizados gratuitamente serviços de assistência de idiomas. Telefone para os Serviços aos Membros, através do número no seu cartão ID chamar 1-800-472-2689 (TTY: 711). ATTENTION : si vous parlez français, des services d’assistance linguistique sont disponibles gratuitement. Appelez le Service adhérents au numéro indiqué sur votre carte d’assuré appel 1-800-472-2689 (TTY : 711). 注意：如果您讲中文，我们可向您免费提供语言协助服务。请拨打您 ID 卡上的号码联系会员服务部 通话 1-800-472-2689（TTY 号码：711)。 ATANSYON: Si ou pale kreyòl ayisyen, sèvis asistans nan lang disponib pou ou gratis. Rele nimewo Sèvis Manm nan ki sou kat Idantitifkasyon w lan (Sèvis pou Malantandan Rele 1-800-472-2689 TTY: 711). LƯU .: Nếu quý vị n.i Tiếng Việt, c.c dịch vụ hỗ trợ ng.n ngữ được cung cấp cho quý vị miễn ph.. Gọi cho Dịch vụ Hội vi.n theo số tr.n thẻ ID của quý vị Cuộc gọi 1-800-472-2689 (TTY: 711). ВНИМАНИЕ: если Вы говорите по-русски, Вы можете воспользоваться бесплатными услугами переводчика. Позвоните в отдел обслуживания клиентов по номеру, указанному в Вашей идентификационной карте вызов 1-800-472-2689 (телетайп: 711). ការជូនដំណឹង៖ ប្រសិនប. ើអ្នកនិយាយភាសា ខ្មែរ សេ វាជំនួយភាសាឥតគិតថ្លៃ គឺអាចរកបានសម្ រាប ់អ្នក។ សូមទូរស័ព្ទទ ៅផ ្នែ កសេ វាសមា ជិកតាមល េខន ៅល. ើប ័ណ្ណ សម្ គាល ់ខ្លួ ខ្លួ នរប ស់អ្នក ហៅ 1-800-472-2689 (TTY: 711) ។ ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativa chiamata 1-800-472-2689 (TTY: 711). 참고 : 한국어를 사용하는 경우 언어 지원 서비스를 무료로 사용할 수 있습니다. 신분증에있는 전화 번호 1-800-472-2689 (TTY : 711)로 회원 서비스에 연락하십시오. ΠΡΟΣΟΧΗ: Εάν μιλάτε Ελληνικά, διατίθενται για σας υπηρεσίες γλωσσικής βοήθειας, δωρεάν. Καλέστε την Υπηρεσία Εξυπηρέτησης Μελών στον αριθμό της κάρτας μέλους σας (ID Card) κλήση 1-800-472-2689 (TTY: 711). UWAGA: Osoby posługujące się językiem polskim mogą bezpłatnie skorzystać z pomocy językowej. Należy zadzwonić do Działu obsługi ubezpieczonych pod numer podany na identyfikatorze zadzwoń 1-800-472-2689 (TTY: 711). ध्यान दें: य दि आप ह िन् दी बोलते ह ैं, तो भा षा सहाय ता सेवा एँ, आप के लि ए नि :शुल्क उपलब्ध ह ैं। सदस्य सेवा ओं को आपके आई.डी. कार ्ड पर दि ए गए नंबर पर कॉल करें कॉल 1-800-472-2689 ( टी .टी .वा ई.: 711). ધ્યાન આપો: જો તમે ગુજરા તી બોલતા હો, તો તમને ભા ષા કીય સહાય તા સેવા ઓ વિ ના મૂલ્યે ઉપલબ્ધ છે. તમા રા આઈડી કાર ્ડ પર આપેલા નંબર પર Member Service ને કૉલ કરો કૉલ કરો 1-800-472-2689 (TTY: 711). PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag 1-800-472-2689 (TTY: 711). お知らせ：日本語をお話しになる方は無料の言語アシスタンスサービスをご利用いただけます。ID カードに記載の電話番号を使用してメンバーサービスまでお電話ください 呼び出す 1-800-472-2689（TTY: 711）。 ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstützung zur Verfügung. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen 1-800-472-2689 (TTY: 711). ຂໍ້ຄວນໃສ່ໃຈ: ຖ້າເຈົ້າເວົ້າພາສາລາວໄດ້, ມີການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາໃຫ້ທ່ານໂດຍບໍ່ເສຍຄ່າ. ໂທ ຫາ ຝ່າຍບໍລິການສະ ມາ ຊິກທີ່ໝາຍເລກໂທລະສັບຢູ່ໃນບັດຂອງທ່ານ ໂທ 1-800-472-2689 (TTY: 711). BAA !KOHWIINDZIN DOO&G&: Din4 k’ehj7 y1n7[t’i’go saad bee y1t’i’ 47 t’11j77k’e bee n7k1’a’doowo[go 47 n1’ahoot’i’. D77 bee an7tah7g7 ninaaltsoos bine’d44’ n0omba bik1’7g7ij8’ b44sh bee hod77lnih call 1-800-472-2689 (TTY: 711). Where can I find summary of benefits and coverage?Where can I find a Summary of Benefits and Coverage? You'll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. You can ask for a copy from your insurance company or group health plan any time.
What is included in Summary of benefits?Summary of Benefits and Coverage
It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions.
How do I get a summary of benefits and coverage SBC?You'll get the "Summary of Benefits and Coverage" (SBC) when you shop for coverage on your own or through your job, renew or change coverage, or request an SBC from the health insurance company.
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