What additional information is typically part of the summary of benefits?

The summary of benefits is designed to provide clear and concise information about a health plan’s coverage, including its key features and benefits. The inclusion of lists of special features is crucial in helping members understand what unique aspects their plan may offer, such as wellness programs, telehealth services, or discounts on health-related services. These special features can significantly influence a member's satisfaction with their plan and help them make informed decisions about utilizing their benefits.

Though local provider directories, enrollment timelines, and claims filing procedures are important elements of a health plan, they typically fall under different sections or documents rather than being part of the summary of benefits. Provider directories help members locate healthcare providers, enrollment timelines inform them of sign-up phases, and claims filing procedures provide guidance on how to claim reimbursement for services. While valuable, these details do not reside within the summary of benefits itself, which primarily focuses on what benefits and features are directly available to the member.