Summary of Benefits and Coverage

Explore plans and compare benefits

As part of the Affordable Care Act of 2010, all health plans must provide a Summary of Benefits and Coverage (SBC) in a standard four-page format. These summaries help you understand how a plan works and makes comparing plans easier.

La versión en español se encuentra en la segunda mitad de cada Resumen de beneficios y cobertura en Exchange. (Spanish version can be found on the second half of each Summary of Benefits and Coverage document on the Exchange.)

Coverage glossary and medical terms

Sign in to get your plan documents or select the plan you’re interested in.

2024 plans

Exchange

For plans purchased on WAHealthplanfinder.org

EPO Essential plans

Gold plans
Summary PDF
Benefit Booklet
Essential Gold
Essential Gold American Indian plan less than 300%
Essential Gold American Indian plan more than 300%
Silver Low Deductible plans
Summary PDF
Benefit Booklet
Essential Silver Low Deductible
Essential Silver Low Deductible American Indian plan less than 300%
Essential Silver Low Deductible American Indian plan more than 300%
Essential Silver Low Deductible cost share reduction 1
Essential Silver Low Deductible cost share reduction 2
Essential Silver Low Deductible cost share reduction 3
Bronze plans
Summary PDF
Benefit Booklet
Essential Bronze
Essential Bronze American Indian plan less than 300%
Essential Bronze American Indian plan more than 300%

EPO HSA Essential plans

Bronze plans
Summary PDF
Benefit Booklet
Essential Bronze HSA
Essential Bronze HSA American Indian plan less than 300%
Essential Bronze HSA American Indian plan more than 300%

Cascade plans

Gold plans
Summary PDF
Benefit Booklet
Cascade Gold
Cascade Gold American Indian plan less than 300%
Cascade Gold American Indian plan more than 300%
Silver plans
Summary PDF
Benefit Booklet
Cascade Silver
Cascade Silver American Indian plan less than 300%
Cascade Silver American Indian plan more than 300%
Cascade Silver cost share reduction 1
Cascade Silver cost share reduction 2
Cascade Silver cost share reduction 3
Bronze plans
Summary PDF
Benefit Booklet
Cascade Bronze
Cascade Bronze American Indian plan less than 300%
Cascade Bronze American Indian plan more than 300%

Cascade Select plans

Cascade Select Gold plans
Summary PDF
Benefit Booklet
Cascade Select Gold
Cascade Select Gold American Indian plan less than 300%
Cascade Select Gold American Indian plan more than 300%
Cascade Select Silver plans
Summary PDF
Benefit Booklet
Cascade Select Silver
Cascade Select Silver American Indian plan less than 300%
Cascade Select Silver American Indian plan more than 300%
Cascade Select Silver cost share reduction 1
Cascade Select Silver cost share reduction 2
Cascade Select Silver cost share reduction 3
Cascade Select Bronze plans
Summary PDF
Benefit Booklet
Cascade Select Bronze
Cascade Select Bronze American Indian plan less than 300%
Cascade Select Bronze American Indian plan more than 300%

Dental plans

Dental plans
Summary PDF
Benefit Booklet
Individual Pediatric Dental Plan
Family Dental Plan

Plans no longer for sale

Grandfathered plans

Grandfathered plans
Summary PDF
Benefit Booklet
WiseChoices 20 $0
WiseChoices 20 $1000
WiseEssentials $2970 ($1750)
WiseEssentials $2970 ($2500)
WiseEssentials $3500
WiseSavings 20 $2970
WiseSavings 20 $3000
WiseSimplicity $10000

2023 plans

Exchange

For plans purchased on WAHealthplanfinder.org

EPO Essential plans

Gold plans
Summary PDF
Benefit Booklet
Essential Gold
Essential Gold American Indian plan less than 300%
Essential Gold American Indian plan more than 300%
Silver Low Deductible plans
Summary PDF
Benefit Booklet
Essential Silver Low Deductible
Essential Silver Low Deductible American Indian plan less than 300%
Essential Silver Low Deductible American Indian plan more than 300%
Essential Silver Low Deductible cost share reduction 1
Essential Silver Low Deductible cost share reduction 2
Essential Silver Low Deductible cost share reduction 3
Bronze plans
Summary PDF
Benefit Booklet
Essential Bronze
Essential Bronze American Indian plan less than 300%
Essential Bronze American Indian plan more than 300%

EPO HSA Essential plans

Bronze plans
Summary PDF
Benefit Booklet
Essential Bronze HSA
Essential Bronze HSA American Indian plan less than 300%
Essential Bronze HSA American Indian plan more than 300%

Cascade plans

Gold plans
Summary PDF
Benefit Booklet
Cascade Gold
Cascade Gold American Indian plan less than 300%
Cascade Gold American Indian plan more than 300%
Silver plans
Summary PDF
Benefit Booklet
Cascade Silver
Cascade Silver American Indian plan less than 300%
Cascade Silver American Indian plan more than 300%
Cascade Silver cost share reduction 1
Cascade Silver cost share reduction 2
Cascade Silver cost share reduction 3
Bronze plans
Summary PDF
Benefit Booklet
Cascade Bronze
Cascade Bronze American Indian plan less than 300%
Cascade Bronze American Indian plan more than 300%

Cascade Select plans

Cascade Select Gold plans
Summary PDF
Benefit Booklet
Cascade Select Gold
Cascade Select Gold American Indian plan less than 300%
Cascade Select Gold American Indian plan more than 300%
Cascade Select Silver plans
Summary PDF
Benefit Booklet
Cascade Select Silver
Cascade Select Silver American Indian plan less than 300%
Cascade Select Silver American Indian plan more than 300%
Cascade Select Silver cost share reduction 1
Cascade Select Silver cost share reduction 2
Cascade Select Silver cost share reduction 3
Cascade Select Bronze plans
Summary PDF
Benefit Booklet
Cascade Select Bronze
Cascade Select Bronze American Indian plan less than 300%
Cascade Select Bronze American Indian plan more than 300%

Dental plans

Dental plans
Summary PDF
Benefit Booklet
Individual Pediatric Dental Plan
Family Dental Plan

Plans no longer for sale

Grandfathered plans

Covid-19 Vaccine Endorsement for Grandfathered plans

Grandfathered plans
Summary PDF
Benefit Booklet
WiseChoices 20 $0
WiseChoices 20 $1000
WiseEssentials $2870 ($1750)
WiseEssentials $2870 ($2500)
WiseEssentials $3500
WiseSavings 20 $2870
WiseSavings 20 $3000
WiseSimplicity $10000