From the CMS press release: "Changes have also been made to the SBC to improve readability for consumers. The new templates include more information about cost sharing, such as enhanced language to explain deductibles and a requirement that plans address individual and overall out-of-pocket limits in the SBC. These improvements reflect input from consumer groups, the National Association of Insurance Commissioners, and other stakeholders. Health plans and issuers will use this final SBC template beginning on the first day of the first open enrollment period that begins on or after April 1, 2017."

Includes:

• Summary of Benefits and Coverage (SBC) Template [PDF] [MS Word]
• Sample Completed SBC [PDF] [MS Word]
• Instructions for Completing the SBC: Group Health Plan Coverage
• Instructions for Completing the SBC: Individual Health Insurance Coverage
• Why This Matters language for "Yes" Answers
• Why This Matters language for "No" Answers
• Guide for Coverage Examples Calculations:
  • Maternity Scenario [PDF] [XLSX]
  • Diabetes Scenario [PDF] [XLSX]
  • Foot Fracture Scenario [PDF] [XLSX]
• Coverage Examples Narrative:
  • Maternity Scenario
  • Diabetes Scenario
  • Simple Foot Fracture Scenario
• Uniform Glossary of Coverage and Medical Terms
• List of Anchors for SBC Uniform Glossary Terms
• Coverage Examples Calculator Instructions
• Coverage Examples Calculator [XLSM] (updated April 2016)

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