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Summary of Benefits & Coverage

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Important information in a standard format to help you compare across options.


2019 ACA Summary of Benefits & Coverage (SBC)

The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, this plan makes available a Summary of Benefits and Coverage (SBC) about each of its health coverage options. The SBC summarizes important information in a standard format to help you compare across options. This plan’s SBC is available below. A paper copy is also available, free of charge, by calling 1-800-537-9384. To find out more information about plans available under the FEHB Program please visit www.opm.gov/insure.

Open Access® HMO plans:

Washington, DC Metro Area - DC, MD, Northern VA Northeast - DE, NJ, NY, PA (southeastern)

Southern CA (PDF)

Other (PDF) - AZ, GA, PA (western), TN
Kansas - Kansas City (KS, MO)

Plans with PPO Networks:

  • Aetna HealthFund® HDHP with HSA (PDF)
  • Aetna HealthFund® CDHP (PDF)
  • Aetna Value Plan (PDF)
  • Aetna Direct (PDF)

  • Altius Health Plans:

    HMO - UT, ID (Southwest & Eastern), WY (Uinta County) HDHP (PDF) - UT, ID (Southwest & Eastern), WY (Uinta County)

    Uniform Glossary:

    A Glossary of Health Coverage and Medical Terms (Uniform Glossary PDF) that explains terms commonly used in health insurance coverage.
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