Summary of Benefits and Coverages
Review your SBCs, and filter by Plan Name, Market Segment and more.
| SBC Name | Plan Name | Network | Individual Deductible | Market Segment | Effective Date | State |
|---|---|---|---|---|---|---|
| BSP EPO Spira Care Copay $5000 $10000 KS-202601-SBC-CFG7 | BSP EPO Spira Care Copay $5000/$10000 KS | BlueSelect Plus | $0 | MidMarket (51-99 Emp) | 1/1/2026 | KS |
| 94248KS0560015-03 On-Exchange AI AN Ltd -202501-SBC-CEHQ | 94248KS0560015-03 On-Exchange AI AN Ltd Plan | $0 | Individual | 1/1/2025 | KS | |
| AFFORDABLUE $10 000 DEDUCTIBLE PBK5266A-202501-SBC-CEAU | AFFORDABLUE $10,000 DEDUCTIBLE (PBK5266A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2025 | KS |
| AFFORDABLUE $10 000 DEDUCTIBLE PBK7010A-202501-SBC-CEAV | AFFORDABLUE $10,000 DEDUCTIBLE (PBK7010A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2025 | KS |
| AFFORDABLUE $10 000 DEDUCTIBLE PBM5269A-202501-SBC-CE78 | AFFORDABLUE $10,000 DEDUCTIBLE (PBM5269A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2025 | MO |
| AFFORDABLUE $10 000 DEDUCTIBLE PBM7013A-202501-SBC-CEAI | AFFORDABLUE $10,000 DEDUCTIBLE (PBM7013A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2025 | MO |
| AFFORDABLUE $2 500 DEDUCTIBLE PBM5267A-202501-SBC-CE76 | AFFORDABLUE $2,500 DEDUCTIBLE (PBM5267A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2025 | MO |
| AFFORDABLUE $2 500 DEDUCTIBLE PBK5264A -202501-SBC-CEAP | AFFORDABLUE $2,500 DEDUCTIBLE (PBK5264A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2025 | KS |
| AFFORDABLUE $2 500 DEDUCTIBLE PBK7008A -202501-SBC-CEAQ | AFFORDABLUE $2,500 DEDUCTIBLE (PBK7008A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2025 | KS |
| AFFORDABLUE $2 500 DEDUCTIBLE PBM7011A -202501-SBC-CE8B | AFFORDABLUE $2,500 DEDUCTIBLE (PBM7011A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2025 | MO |