Summary of benefits and coverage

Effective September 23, 2012, all health plans and employers are subject to new Affordable Care Act (ACA) requirements regarding information provided to members through a standardized plan document known as a Summary of Benefits and Coverage (SBC).

To ensure consistency, SBCs are created using a standard template and language provided by the Department of Health and Human Services (HHS). The SBC provides answers to commonly asked questions about coverage offered by Blue KC, including deductible amounts, covered services, and cost-sharing amounts for common medical events.

Electronic copies of plan SBCs are available by clicking the INDIVIDUAL AND FAMILY1-50 EMPLOYEES, or 51-99 EMPLOYEES links above. If you are with a company with 100+ employees, please contact your Human Resources department.

For more information about SBC, click here to view an informational brochure.