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 |
|---|---|---|---|---|---|---|
| AFFORDABLUE $10 000 DEDUCTIBLE PBM5269A-202701-SBC-CHO3 | AFFORDABLUE $10,000 DEDUCTIBLE (PBM5269A) | Preferred-Care Blue | $10,000 | Individual | 1/1/2027 | MO |
| 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 PBM5268A -202701-SBC-CHO2 | AFFORDABLUE $5,000 DEDUCTIBLE (PBM5268A) | Preferred-Care Blue | $5,000 | Individual | 1/1/2027 | MO |
| AFFORDABLUE PCB $2 500 DEDUCTIBLE PBM3-202701-SBC-CHO0 | AFFORDABLUE PCB $2,500 DEDUCTIBLE (PBM3999A) | Preferred-Care Blue | $2,500 | Individual | 1/1/2027 | MO |
| Blue KC Basic Bronze with $0 Spira Care -202701-SBC-CHJ4 | Blue KC Basic Bronze with $0 Spira Care BlueSelect | BlueSelect | $12,000 | Individual | 1/1/2027 | KS |
| Blue KC Basic Bronze with $0 Spira Care -202701-SBC-CHJ5 | Blue KC Basic Bronze with $0 Spira Care BlueSelect | BlueSelect | $12,000 | Individual | 1/1/2027 | MO |
| Blue KC Basic Bronze with $0 Spira Care -202701-SBC-CHJC | Blue KC Basic Bronze with $0 Spira Care BlueSelect | BlueSelect | $12,000 | Individual | 1/1/2027 | KS |
| Blue KC Basic Bronze with $0 Spira Care -202701-SBC-CHJD | Blue KC Basic Bronze with $0 Spira Care BlueSelect - $0 AI/AN | BlueSelect | $0 | Individual | 1/1/2027 | KS |
| Blue KC Basic Bronze with $0 Spira Care -202701-SBC-CHJE | Blue KC Basic Bronze with $0 Spira Care BlueSelect - Ltd AI/AN | BlueSelect | $0 | Individual | 1/1/2027 | KS |