What is a Summary of Benefits and Coverage (SBC)?

A Summary of Benefits and Coverage (SBC) is a document created by health insurance companies in the state of Florida that outlines their services, coverage, and costs for insurance plans. The document includes a summary of what the plan covers, such as doctor visits, prescription drugs, and hospital stays. It also outlines the cost-sharing structure, such as deductibles, copayments, coinsurance, and any out-of-pocket maximums. Finally, the document provides a summary of any additional services that the plan may provide, such as vision, dental, and mental health coverage. This document helps individuals compare different plans and make an informed decision about which plan is right for them. The SBC is also intended to help individuals understand their rights and the appeals process in the event of a denial of care or payment. The SBC is required to be issued to all Florida insurance applicants and must be made available upon request. The document is updated annually to reflect any changes in the insurance plan.

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What is a Summary of Benefits and Coverage (SBC)?

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