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A Standard Summary of Benefits and Coverage

For Basic, PLUS and Community Choice members

Under federal health care reform, health plans are required to provide non-Medicare members with a new document. Itís called a Summary of Benefits and Coverage, or SBC. The SBC gives you an easy-to-understand breakdown of your coverage. Health care reform requires health plans to have this ready for members. And every health plan has to follow the same format, so you can compare plans.

Whatís in the Summary of Benefits and Coverage?

Each SBC follows the same format, so theyíre easy to compare from health plan to health plan. The SBC:

Is my premium amount in my SBC?

No, your premium amount (what you pay for coverage) is not in the SBC. Keep in mind, the SBC doesnít take the place of other information about your health plan, such as a member handbook or benefit summary. To find your premium amount for the new plan year beginning July 1, 2018, check the GICís website.

How can I get a copy of my SBC?

View SBCs for each of UniCareís non-Medicare plans for the new and current plan years in the chart below.

Not sure which plan youíre in? Youíll find your plan name on the front of your ID card, under your member ID number.

SBCs for Active Employees and Non-Medicare Retirees
Community Choice


To request a printed copy of an SBC, call UniCare Member Services at 833-663-4176.

Youíll also find SBCs for all of the GICís non-Medicare plans on the Group Insurance Commissionís (GIC) website.

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