Summary of Benefits and Coverage

This document is about a Summary of Benefits and Coverage (SBC) for a health insurance plan offered by Insurance Company 1. The SBC provides an overview of the plan's coverage, including the deductible, copayments, coinsurance, and out-of-pocket limits. It also explains the plan's network requirements and the need for referrals to see specialists. The document is designed to help the user choose a health plan that best fits their needs and budget.