All group health insurance plans are required to have an easy-to-understand summary of benefits and coverage. [ Ссылка ]
This requirement applies to all health plans whether through an employer or through the health insurance marketplace. The Affordable Care Act requires that all health insurance plans use the same summary form provided by the federal government. This includes a uniform glossary of terms commonly used in health insurance coverage and coverage examples. These are a comparison tool that allow you to see what the plan would generally cover in common medical situations.
The Summary of Benefits and Coverage (SBC) must be provided at key times, such as during open enrollment. And, anyone can request an SBC when shopping or enrolling for coverage.
