US Medical Term · insurance
Summary of Benefits and Coverage
Resumen de beneficios y cobertura
In 9 languages
| Language | Term |
|---|---|
| English | Summary of Benefits and Coverage |
| Spanish (Español) | Resumen de beneficios y cobertura |
| Chinese (中文) | 福利與保障摘要 |
| Korean (한국어) | 혜택 및 보장 요약서 |
| Vietnamese (Tiếng Việt) | Tóm tắt lợi ích và 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・保障概要書 |
What it means
The Summary of Benefits and Coverage (SBC) is a standardized, plain-language document that health insurers must provide to help you compare plans. It uses a uniform format required by the ACA and covers key information including deductibles, out-of-pocket maximums, copays, coinsurance, and what the plan covers or excludes. It also includes a coverage example showing estimated costs for common medical scenarios like having a baby or managing a chronic condition. You should receive an SBC when you enroll, at renewal, and upon request. Comparing SBCs across plans makes it easier to understand your total potential costs.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
Can you send me the Summary of Benefits and Coverage for my plan?
¿Pueden enviarme el Resumen de Beneficios y Cobertura de mi plan?
I want to compare the SBC for two different plans before I enroll.
Quiero comparar el Resumen de Beneficios y Cobertura de dos planes diferentes antes de inscribirme.
The SBC does not clearly explain my cost-sharing for specialist visits — can you clarify?
El Resumen de Beneficios y Cobertura no explica claramente mi costo compartido para visitas a especialistas — ¿pueden aclarar?
Where you'll see it
Related terms
Sources
Last reviewed: September 2026