Summary of Benefits

Resumen de Beneficios

In 9 languages

LanguageTerm
EnglishSummary of Benefits
Spanish (Español) Resumen de Beneficios
Chinese (中文) 保险福利摘要
Korean (한국어) 혜택 요약
Vietnamese (Tiếng Việt) Tóm tắt Quyền lợi
Filipino (Tagalog) Buod ng mga Benepisyo
Portuguese (Português) Resumo de Benefícios
Thai (ภาษาไทย) สรุปสิทธิประโยชน์
Japanese (日本語) 給付概要

What it means

A summary of benefits is a brief overview document explaining what a health insurance plan covers, what you pay in premiums, deductibles, copays, and coinsurance, and which services are included or excluded. Medicare Advantage and Part D plans must send enrollees an Annual Notice of Change each fall that includes a summary of benefits for the upcoming year. While similar in name to the ACA-required Summary of Benefits and Coverage (SBC), the Medicare summary follows separate CMS formatting rules. Review your summary of benefits each year during open enrollment to check for changes in costs or covered services before deciding whether to stay in your plan.

How to say it

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

SUM-uh-ree uv BEN-ih-fits

resumen de beneficios

Often called the 'SOB' or 'benefits summary'

A menudo llamado 'resumen de beneficios'

Ask the insurer: 'Can you send me the summary of benefits for my plan?'

'¿Puede enviarme el resumen de beneficios de mi plan?'

Where you'll see it

Medicare Advantage Annual Notice of ChangePart D plan documentsMedicare & You handbookHealth plan member portal

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026