Summary of Benefits Coverage

The Summary of Benefits and Coverage (SBC) is required by the Affordable Care Act (ACA) and provides information on certain health plan benefits and costs. We make the SBC available to help you understand and evaluate your health plan choices.

Individual Plans

HMSA has a variety of individual plans to meet your needs. For more information on prescription drug plans, please refer to the Guide to Benefits.

Through Your Employer

HMSA has a variety of health plans for employers to offer their employees. HMSA provides an SBC for these plans. For a copy, call HMSA at 1 (800) 776-4672 toll-free.

Limited prescription drug benefits are available in most HMSA medical plans. HMSA also offers prescription drug plans based on the employer’s needs. Check with your employer on the type of prescription drug benefits available to you.

If you have your SBC, you can use the code(s) in the upper left corner to view your Guide to Benefits.

Health Plan Glossary

Need help understanding your health plan? This glossary contains some common terms used in explaining your health plan benefits.

Language Assistance

HMSA provides language translation assistance at no charge. Please call us at 1 (800) 776-4672 toll-free if you need help translating the Summary of Benefits and Coverage or glossary in languages such as:

  • Chinese
  • Navajo
  • Spanish
  • Tagalog


HMSA’s Customer Relations representatives are ready to help if you have questions about the Summary of Benefits and Coverage or glossary. Please call us at 1 (800) 776-4672 toll-free.

This information is based on HMSA’s review of the Affordable Care Act (ACA). This overview is intended for educational purposes only and should not be used as tax, legal, or compliance advice.