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Starting on or after Nov. 30, 2016, customers will receive a revised Summary of Benefits Coverage template due to new, federal mandates. In April, the federal government announced key enhancements to the SBC template and Uniform Glossary. Some improvements include:
- An additional coverage example
- Language and terms to improve readability and consumers’ understanding of their health coverage
The following table shows the key changes:
Who is responsible for preparing and delivering the SBCs? Issuers and groups have the same requirements to prepare and deliver the SBCs.
To view sample SBCs, visit CMS.gov or click here. If you liked this post, you might also enjoy:
- Changes to Important Documents for Receiving and Understanding Health Benefits
- Top 4 Changes You Need to Know About the ACA
- Panel: In Health Care, Change is Biggest Constant
Photo Credit: Roger H. Goun