Summary of Benefits and Coverage

Resumen de Beneficios y Cobertura

In 9 languages

LanguageTerm
EnglishSummary of Benefits and Coverage
Spanish (Español) Resumen de Beneficios y Cobertura
Chinese (中文) 福利和保障摘要
Korean (한국어) 혜택 및 보장 요약
Vietnamese (Tiếng Việt) Tóm tắt Quyền lợi và Phạm vi Bảo hiểm
Filipino (Tagalog) Buod ng mga Benepisyo at Saklaw
Portuguese (Português) Resumo de Benefícios e Cobertura
Thai (ภาษาไทย) สรุปสิทธิประโยชน์และความคุ้มครอง
Japanese (日本語) 給付・保障概要(SBC)

What it means

The Summary of Benefits and Coverage (SBC) is a standardized, plain-language document the ACA requires all health insurers to provide when you apply for, enroll in, or renew a health plan. The SBC uses a uniform template enabling side-by-side plan comparison. It includes the plan's deductible, out-of-pocket maximum, covered services, cost-sharing amounts, and two coverage examples showing how the plan handles a typical pregnancy and a simple fracture. A uniform glossary of insurance terms accompanies the SBC. By law you must receive the SBC before enrolling, and insurers must provide it within seven business days of your request.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

SUM-uh-ree uv BEN-ih-fits and KUV-er-ij

resumen de beneficios y cobertura

Abbreviated as SBC

Abreviado como SBC

You can ask: 'Can I get the SBC for this plan before I enroll?'

'¿Puedo obtener el SBC de este plan antes de inscribirme?'

Where you'll see it

Health insurance enrollment packetsEmployer open enrollment materialsHealthCare.gov plan comparison pagesInsurer member portals

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026