Summary of Benefits and Coverage

Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act

List-of-Anchors-Updated-11-2019.xlsx

Summary of Benefits and Coverage

OMB: 1210-0147

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Term Anchor Label Anchor Absolute Path
Link to full page
https://www.healthcare.gov/sbc-glossary/
Allowed Amount allowed-amount https://www.healthcare.gov/sbc-glossary/#allowed-amount
Appeal appeal https://www.healthcare.gov/sbc-glossary/#appeal
Balance Billing balance-billing https://www.healthcare.gov/sbc-glossary/#balance-billing
Claim claim https://www.healthcare.gov/sbc-glossary/#claim
Coinsurance coinsurance https://www.healthcare.gov/sbc-glossary/#coinsurance
Complications of Pregnancy complications-pregnancy https://www.healthcare.gov/sbc-glossary/#complications-pregnancy
Copayment copayment https://www.healthcare.gov/sbc-glossary/#copayment
Cost Sharing cost-sharing https://www.healthcare.gov/sbc-glossary/#cost-sharing
Cost Sharing Reductions cost-sharing-reductions https://www.healthcare.gov/sbc-glossary/#cost-sharing-reductions
Deductible deductible https://www.healthcare.gov/sbc-glossary/#deductible
Diagnostic Test diagnostic-test https://www.healthcare.gov/sbc-glossary/#diagnostic-test
Durable Medical Equipment (DME) durable-medical-equipment https://www.healthcare.gov/sbc-glossary/#durable-medical-equipment
Emergency Medical Condition emergency-medical-condition https://www.healthcare.gov/sbc-glossary/#emergency-medical-condition
Emergency Medical Transportation emergency-medical-transportation https://www.healthcare.gov/sbc-glossary/#emergency-medical-transportation
Emergency Room Care / Emergency Services emergency-room-care-emergency-services https://www.healthcare.gov/sbc-glossary/#emergency-room-care-emergency-services
Excluded Services excluded-services https://www.healthcare.gov/sbc-glossary/#excluded-services
Formulary formulary https://www.healthcare.gov/sbc-glossary/#formulary
Grievance grievance https://www.healthcare.gov/sbc-glossary/#grievance
Habiliation Services habilitation-services https://www.healthcare.gov/sbc-glossary/#habilitation-services
Health Insurance health-insurance https://www.healthcare.gov/sbc-glossary/#health-insurance
Home Health Care home-health-care https://www.healthcare.gov/sbc-glossary/#home-health-care
Hospice Services hospice-services https://www.healthcare.gov/sbc-glossary/#hospice-services
Hospitalization hospitalization https://www.healthcare.gov/sbc-glossary/#hospitalization
Hospital Outpatient Care hospital-outpatient-care https://www.healthcare.gov/sbc-glossary/#hospital-outpatient-care
In-network Coinsurance in-network-coinsurance https://www.healthcare.gov/sbc-glossary/#in-network-coinsurance
In-network Copayment in-network-copayment https://www.healthcare.gov/sbc-glossary/#in-network-copayment
Marketplace marketplace https://www.healthcare.gov/sbc-glossary/#marketplace
Maximum Out-of-Pocket Limit maximum-out-of-pocket-limit https://www.healthcare.gov/sbc-glossary/#maximum-out-of-pocket-limit
Medically Necessary medically-necessary https://www.healthcare.gov/sbc-glossary/#medically-necessary
Minimum Essential Coverage minimum-essential-coverage https://www.healthcare.gov/sbc-glossary/#minimum-essential-coverage
Minimum Value Standard minimum-value-standard https://www.healthcare.gov/sbc-glossary/#minimum-value-standard
Network network https://www.healthcare.gov/sbc-glossary/#network
Network Provider (Preferred Provider) network-provider https://www.healthcare.gov/sbc-glossary/#network-provider
Orthotics and Prosthetics orthotics-prosthetics https://www.healthcare.gov/sbc-glossary/#orthotics-prosthetics
Out-of-network Coinsurance out-of-network-coinsurance https://www.healthcare.gov/sbc-glossary/#out-of-network-coinsurance
Out-of-network Copayment out-of-network-copayment https://www.healthcare.gov/sbc-glossary/#out-of-network-copayment
Out-of-network Provider (Non-Preferred Provider) out-of-network-provider https://www.healthcare.gov/sbc-glossary/#out-of-network-provider
Out-of-pocket Limit out-of-pocket-limit https://www.healthcare.gov/sbc-glossary/#out-of-pocket-limit
Physician Services physician-services https://www.healthcare.gov/sbc-glossary/#physician-services
Plan plan https://www.healthcare.gov/sbc-glossary/#plan
Preauthorization preauthorization https://www.healthcare.gov/sbc-glossary/#preauthorization
Premium premium https://www.healthcare.gov/sbc-glossary/#premium
Premium Tax Credits premium-tax-credits https://www.healthcare.gov/sbc-glossary/#premium-tax-credits
Prescription Drug Coverage prescription-drug-coverage https://www.healthcare.gov/sbc-glossary/#prescription-drug-coverage
Prescription Drugs prescription-drugs https://www.healthcare.gov/sbc-glossary/#prescription-drugs
Preventive Care preventive-care https://www.healthcare.gov/sbc-glossary/#preventive-care
Primary Care Physician primary-care-physician https://www.healthcare.gov/sbc-glossary/#primary-care-physician
Primary Care Provider primary-care-provider https://www.healthcare.gov/sbc-glossary/#primary-care-provider
Provider provider https://www.healthcare.gov/sbc-glossary/#provider
Reconstructive Surgery reconstructive-surgery https://www.healthcare.gov/sbc-glossary/#reconstructive-surgery
Referral referral https://www.healthcare.gov/sbc-glossary/#referral
Rehabilitation Services rehabilitation-services https://www.healthcare.gov/sbc-glossary/#rehabilitation-services
Screening screening https://www.healthcare.gov/sbc-glossary/#screening
Skilled Nursing Care skilled-nursing-care https://www.healthcare.gov/sbc-glossary/#skilled-nursing-care
Specialist specialist https://www.healthcare.gov/sbc-glossary/#specialist
Specialty Drug specialty-drug https://www.healthcare.gov/sbc-glossary/#specialty-drug
UCR (Usual, Customary and Reasonable) ucr https://www.healthcare.gov/sbc-glossary/#ucr
Urgent Care urgent-care https://www.healthcare.gov/sbc-glossary/#urgent-care
How You and Your Insurer Share Costs - Example share-costs-example https://www.healthcare.gov/sbc-glossary/#share-costs-example
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