Summary of Benefits and Coverage

This document is about a Summary of Benefits and Coverage (SBC) for a health insurance plan offered by Insurance Company 1. It outlines the key details of the plan, including the overall deductible, services covered before the deductible, other deductibles, the out-of-pocket limit, and whether a network provider is required. The SBC is designed to help the user choose a health plan and understand how they and the plan will share the costs for covered health care services.