To help you better understand your health plan, the Affordable Care Act (ACA) requires insurers and group health plans to provide a new way to show benefits and define healthcare industry terms. These new required documents are called the Summary of Benefits and Coverage, or SBC, and the Uniform Glossary.
The goal of the SBC is to help you more easily compare health plans so you can choose the one that’s right for you. SBCs are provided in a standard format, which may only be different based on the specific benefits offered by each plan. Take a look at a sample SBC.
The other part of the new requirement is the Uniform Glossary. This is simply a list of commonly used healthcare terms and definitions and is designed for use with the SBC. Please note that terms and definitions may differ from those used in other plan documents describing your coverage.
Looking for more information?
Are you shopping for individual coverage?
Please visit the Department of Health and Human Services’ website, www.Healthcare.gov, to view our individual health plan information.
Are you currently a member?
Log in to My Health Plan to see your SBC. You can also view your policy or plan document for more details about your coverage. If you don’t have a My Health Plan account, please take a moment to register. You’ll need your ID card handy.
You can also request a copy of your SBC by calling our Customer Care Specialists at the toll-free number on your ID card.
For more information, check out our Frequently Asked Questions page for members.
Are you an employer?
Log in to EmployerLink to see your plan’s (or plans') SBC(s). You can also contact your Sales representative to request a copy.
If you do not currently have a group health plan administered or insured by Medical Mutual, please contact your broker.
For more information, check out our Frequently Asked Questions page for employers.
Are you a broker?
Log in to MyBrokerLink to view SBCs for our standard health plans. You can also view SBCs specific to your enrolled groups.
For more information, check out our Frequently Asked Questions page for brokers.