Summary of Benefits and Coverage (SBC)

This document is a template for a Summary of Benefits and Coverage (SBC), which is a standardized document that helps consumers compare and understand the key features of a health insurance plan, including the covered services, costs, and limitations. It provides an overview of the plan's deductibles, copayments, coinsurance, and out-of-pocket limits, as well as information on prescription drug coverage, preventive care, and other important details about the plan.