Summary of Benefits and Coverage

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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