Health Benefit Summary - California

Health Benefit Summary is a legal document that was released by the California Public Employees' Retirement System - a government authority operating within California.

FAQ

Q: What is the Health Benefit Summary?
A: The Health Benefit Summary is a document that provides a summary of the health benefits offered under the California health insurance plans.

Q: What information does the Health Benefit Summary include?
A: The Health Benefit Summary includes information about covered services, copayments, deductibles, and out-of-pocket maximums for different health insurance plans in California.

Q: What are covered services?
A: Covered services are medical services and treatments that are included in the health insurance plan and are paid for by the insurance provider.

Q: What are copayments?
A: Copayments are fixed fees that you pay for certain covered services at the time of service. They are typically lower than the total cost of the service.

Q: What is a deductible?
A: A deductible is the amount of money you have to pay out of pocket for covered services before your insurance coverage starts.

Q: What is an out-of-pocket maximum?
A: An out-of-pocket maximum is the total amount of money you have to pay for covered services in a year. Once you reach this amount, your insurance will cover 100% of the cost for the rest of the year.

Q: Why is the Health Benefit Summary important?
A: The Health Benefit Summary is important because it helps you understand the coverage and costs associated with different health insurance plans, allowing you to make informed decisions about your healthcare.

Q: Can the Health Benefit Summary change?
A: Yes, the Health Benefit Summary can change from year to year as health insurance plans are updated or modified.