Services Covered and Summary of Benefits Covered (SBC)

Healthcare.gov published an article on "Services Covered and Summary of Benefits Covered (SBC)" In the article, they highlighted the following bullets:

What services are covered under my insurance?

• Coverage for Preventive Care
• Coverage for Pre-Existing Conditions
• Children's Pre-Existing Conditions
• Pre-Existing Conditions for anyone
• Temporary Exclusions in job-based plans
• Coverage for Pregnancy under Job-Based Plans
• Coverage under Small Employer Policies

How can i find out what is covered in my insurance plan?

• Health Plan Summaries
• Summary plan descriptions
• Questions on job-based insurance?
• More Information on What's Covered

What does my health insurance company or job-based plan have to disclose to me about my health coverage?

• They must give you a SBC (Summary of Benefits and Coverage)

What's in a Summary of Benefits and Coverage (SBC)? 

• Summary of benefits plan covers with cost-sharing associated with coverage.  The article lists the information it all covers.

When can I get an SBC?

• You can get an SBC when you make a request, apply for coverage and more listed in the article

What other information may i need to make a decision about coverage?

• Check the premium what access to doctors and prescription drug plans

Can I get the SBC in languages other than English?

• Yes, if 10% of people speak another language you may request it in the other language.

Additional questions answered in the article were:
Will this SBC change throughout the year?
What if I have more questions?

To download the full article, please click the following link: Services Covered and Summary of Benefits Covered (SBC)

For additional billing, coding, and reimbursement resources, please click the following link: Medical Reimbursement Resources Page