Summary of Benefits and Coverages
Review your SBCs, and filter by Plan Name, Market Segment and more.
Review your SBCs, and filter by Plan Name, Market Segment and more.
| SBC Name | Plan Name | Network | Individual Deductible | Market Segment | Effective Date | State |
|---|---|---|---|---|---|---|
| AFFORDABLUE $10 000 DEDUCTIBLE PBK5266A-202701-SBC-CHPL | AFFORDABLUE $10,000 DEDUCTIBLE (PBK5266A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2027 | KS |
| AFFORDABLUE $10 000 DEDUCTIBLE PBK7010A-202701-SBC-CHPM | AFFORDABLUE $10,000 DEDUCTIBLE (PBK7010A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2027 | KS |
| AFFORDABLUE $10 000 DEDUCTIBLE PBM5269A-202701-SBC-CHO3 | AFFORDABLUE $10,000 DEDUCTIBLE (PBM5269A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2027 | MO |
| AFFORDABLUE $10 000 DEDUCTIBLE PBM7013A-202701-SBC-CHOG | AFFORDABLUE $10,000 DEDUCTIBLE (PBM7013A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2027 | MO |
| AFFORDABLUE $2 500 DEDUCTIBLE PBK5264A -202701-SBC-CHPH | AFFORDABLUE $2,500 DEDUCTIBLE (PBK5264A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2027 | KS |
| AFFORDABLUE $2 500 DEDUCTIBLE PBM5267A -202701-SBC-CHO1 | AFFORDABLUE $2,500 DEDUCTIBLE (PBM5267A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2027 | MO |
| AFFORDABLUE $2 500 DEDUCTIBLE PBM7011A -202701-SBC-CHOA | AFFORDABLUE $2,500 DEDUCTIBLE (PBM7011A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2027 | MO |
| AFFORDABLUE $5 000 DEDUCTIBLE PBK5265A -202701-SBC-CHPI | AFFORDABLUE $5,000 DEDUCTIBLE (PBK5265A) | Preferred-Care Blue | $5,000 | Individual | 1/1/2027 | KS |
| AFFORDABLUE $5 000 DEDUCTIBLE PBK7009A -202701-SBC-CHPJ | AFFORDABLUE $5,000 DEDUCTIBLE (PBK7009A) | Preferred-Care Blue | $5,000 | Individual | 1/1/2027 | KS |
| AFFORDABLUE $5 000 DEDUCTIBLE PBM5268A -202701-SBC-CHO2 | AFFORDABLUE $5,000 DEDUCTIBLE (PBM5268A) | Preferred-Care Blue | $5,000 | Individual | 1/1/2027 | MO |