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Summary of Benefits and Coverage Information

Effective September 23, 2012, federal law will require health insurance providers to give members access to information to help them understand and evaluate their health insurance plans and choices. These materials will contain two key pieces of information:

  • The SBC -- The Summary of Benefits and Coverage is a short, easy-to-understand summary designed to provide consistent and comparable information about health plan benefits.
  • The Uniform Glossary – the Uniform Glossary is a list of definitions that explains terms commonly used in health insurance coverage such as "deductible" and "co-payment".

Accessing the SBCs

Individuals shopping for insuranceBusinesses shopping for insurancePeople with Blue Cross of Idaho health insuranceEmployers with Blue Cross of Idaho group insurance coverageBrokers
View and print an SBC for Blue Cross of Idaho's available individual and family products from the links below Contact your broker or Blue Cross of Idaho account representative to find an affordable health coverage option for you and your employees People with new or renewing coverage with effective dates on or after October 1, 2012 can view the SBC for their current coverage option at bcidaho.com/members. NOTE: you must log in to access your specific account information and view your SBC. If you have not registered on our website, you will need your Blue Cross of Idaho ID card to complete the registration process Employers with new or renewing coverage with effective dates on or after October 1, 2012 can view the SBC for their current coverage option(s) at bcidaho.com/employers. NOTE: you must log in to access your specific account information and view your SBC. If you have not registered on our website, you will need your Blue Cross of Idaho ID card to complete the registration process View and print an SBC for Blue Cross of Idaho’s available individual and family products from the links below

To access an SBC for any of the Blue Cross of Idaho individual products, simply select the coverage option from the list below (please be patient as it may take up to a minute to retrieve the SBC).

 SBC NAME
SelectLarge Group PPO SAMPLE | Grp nQHP | Large Group PPO | 2000 | 01/01/16 | PPO | 2014B | AHCR |
SelectHSA Large Group PPO SAMPLE | Grp nQHP | HSA Family Large Group PPO | 3000 | 01/01/16 | PPO | 2014B | AHCR |
SelectHSA POS Large Group SAMPLE | Grp nQHP | HSA Family POS Large Group | 3000 | 01/01/16 | POS | 2014B | AHCR |
SelectBlue Value Large SAMPLE | Grp nQHP | Blue Value Large | 2000 | 01/01/16 | POS | 2014B | AHCR |
SelectBronze Choice | 6850 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1600001-00_01
SelectBronze Choice 4000 | Grp QHP | Bronze Choice | 4000 | 01/01/16 | PPO | 2016 | AQHP | 61589ID1980001-00_01
SelectBronze Connect | 6850 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1780001-00_01
SelectBronze Connect | 6850 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1640001-00_01
SelectBronze Connect 4000 SW | Grp QHP | Bronze Connect | 4000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2030001-00_01
SelectBronze Connect 4000 E | Grp QHP | Bronze Connect | 4000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2080001-00_01
SelectBronze HSA Saver | Grp QHP | Bronze HSA Saver | 6500 | 01/01/16 | PPO | 2016 | AQHP | 61589ID2100001-00_01
SelectBronze Point 4000 | Grp QHP | Bronze Point | 4000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2150001-00_01
SelectBronze Saver | 6200 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1690001-00_01
SelectConnected Care SW SAMPLE | Grp nQHP | Connected Care | 3000 | 01/01/16 | POS | 2014B | AHCR |
SelectConnected Care E SAMPLE | Grp nQHP | Connected Care | 3000 | 01/01/16 | POS | 2014B | AHCR |
SelectCovered Choice | 6850 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1700001-00_01
SelectCovered Connect | 6850 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1910001-00_01
SelectCovered Connect | 6850 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1900001-00_01
SelectGold Choice | 1000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1630001-00_01
SelectGold Choice 2000 | Grp QHP | Gold Choice | 2000 | 01/01/16 | PPO | 2016 | AQHP | 61589ID1960001-00_01
SelectGold Choice 1000 | Grp QHP | Gold Choice | 1000 | 01/01/16 | PPO | 2016 | AQHP | 61589ID1950001-00_01
SelectGold Choice 500 | Grp QHP | Gold Choice | 500 | 01/01/16 | PPO | 2016 | AQHP | 61589ID1940001-00_01
SelectGold Connect | 1000 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1810001-00_01
SelectGold Connect | 1000 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1670001-00_01
SelectGold Connect 2000 SW | Grp QHP | Gold Connect | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2010001-00_01
SelectGold Connect 2000 E | Grp QHP | Gold Connect | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2060001-00_01
SelectGold Connect 1000 SW | Grp QHP | Gold Connect | 1000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2000001-00_01
SelectGold Connect 1000 E | Grp QHP | Gold Connect | 1000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2050001-00_01
SelectGold Connect 500 SW | Grp QHP | Gold Connect | 500 | 01/01/16 | POS | 2016 | AQHP | 61589ID1990001-00_01
SelectGold Connect 500 E | Grp QHP | Gold Connect | 500 | 01/01/16 | POS | 2016 | AQHP | 61589ID2040001-00_01
SelectGold Point 2000 | Grp QHP | Gold Point | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2130001-00_01
SelectGold Point 500 | Grp QHP | Gold Point | 500 | 01/01/16 | POS | 2016 | AQHP | 61589ID2110001-00_01
SelectGold Point 1000 | Grp QHP | Gold Point | 1000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2120001-00_01
SelectSilver CarePoint $4000 | 4000 | Base | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2310001-00_01
SelectSilver CarePoint $4000 | 2900 | 73% | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2310001-04
SelectSilver CarePoint $4000 | 200 | 87% | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2310001-05
SelectSilver CarePoint $4000 | 0 | 94% | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2310001-06
SelectSilver Choice 3000 | Grp QHP | Silver Choice | 3000 | 01/01/16 | PPO | 2016 | AQHP | 61589ID2220001-00_01
SelectSilver Choice 2000 | Grp QHP | Silver Choice | 2000 | 01/01/16 | PPO | 2016 | AQHP | 61589ID1970001-00_01
SelectSilver Choice $2000 | 2000 | Base | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2190001-00_01
SelectSilver Choice $2000 | 2000 | 73% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2190001-04
SelectSilver Choice $2000 | 150 | 87% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2190001-05
SelectSilver Choice $2000 | 0 | 94% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2190001-06
SelectSilver Choice $3000 | 2500 | 73% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2160001-04
SelectSilver Choice $3000 | 300 | 87% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2160001-05
SelectSilver Choice $3000 | 3000 | Base | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2160001-00_01
SelectSilver Choice $3000 | 0 | 94% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2160001-06
SelectSilver Choice $4000 | 2900 | 73% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1610001-04
SelectSilver Choice $4000 | 200 | 87% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1610001-05
SelectSilver Choice $4000 | 4000 | Base | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1610001-00_01
SelectSilver Choice $4000 | 0 | 94% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1610001-06
SelectSilver Choice $500 | 500 | Base | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1620001-00_01
SelectSilver Choice $500 | 500 | 73% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1620001-04
SelectSilver Choice $500 | 500 | 87% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1620001-05
SelectSilver Choice $500 | 300 | 94% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1620001-06
SelectSilver Connect 3000 SW | Grp QHP | Silver Connect | 3000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2240001-00_01
SelectSilver Connect 3000 E | Grp QHP | Silver Connect | 3000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2230001-00_01
SelectSilver Connect 2000 SW | Grp QHP | Silver Connect | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2020001-00_01
SelectSilver Connect 2000 E | Grp QHP | Silver Connect | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2070001-00_01
SelectSilver Connect $2000 | 2000 | Base | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2200001-00_01
SelectSilver Connect $2000 | 2000 | 73% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2200001-04
SelectSilver Connect $2000 | 2000 | 73% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2210001-04
SelectSilver Connect $2000 | 150 | 87% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2200001-05
SelectSilver Connect $2000 | 150 | 87% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2210001-05
SelectSilver Connect $2000 | 2000 | Base | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2210001-00_01
SelectSilver Connect $2000 | 0 | 94% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2200001-06
SelectSilver Connect $2000 | 0 | 94% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2210001-06
SelectSilver Connect $3000 | 3000 | Base | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2180001-00_01
SelectSilver Connect $3000 | 2500 | 73% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2170001-04
SelectSilver Connect $3000 | 2500 | 73% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2180001-04
SelectSilver Connect $3000 | 300 | 87% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2180001-05
SelectSilver Connect $3000 | 300 | 87% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2170001-05
SelectSilver Connect $3000 | 3000 | Base | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2170001-00_01
SelectSilver Connect $3000 | 0 | 94% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2170001-06
SelectSilver Connect $3000 | 0 | 94% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2180001-06
SelectSilver Connect $4000 | 4000 | Base | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1790001-00_01
SelectSilver Connect $4000 | 4000 | Base | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1650001-00_01
SelectSilver Connect $4000 | 2900 | 73% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1790001-04
SelectSilver Connect $4000 | 2900 | 73% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1650001-04
SelectSilver Connect $4000 | 200 | 87% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1790001-05
SelectSilver Connect $4000 | 200 | 87% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1650001-05
SelectSilver Connect $4000 | 0 | 94% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1790001-06
SelectSilver Connect $4000 | 0 | 94% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1650001-06
SelectSilver Connect $500 | 500 | Base | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1800001-00_01
SelectSilver Connect $500 | 500 | Base | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1660001-00_01
SelectSilver Connect $500 | 500 | 73% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1660001-04
SelectSilver Connect $500 | 500 | 87% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1800001-05
SelectSilver Connect $500 | 500 | 87% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1660001-05
SelectSilver Connect $500 | 300 | 94% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1800001-06
SelectSilver Connect $500 | 300 | 94% | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1660001-06
SelectSilver Connect $500 | 500 | 73% | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1800001-04
SelectSilver HSA Saver | Grp QHP | Silver HSA Saver | 2750 | 01/01/16 | PPO | 2016 | AQHP | 61589ID2090001-00_01
SelectSilver Point 3000 | Grp QHP | Silver Point | 3000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2250001-00_01
SelectSilver Point 2000 | Grp QHP | Silver Point | 2000 | 01/01/16 | POS | 2016 | AQHP | 61589ID2140001-00_01
SelectSilver Saver | 3000 | Base | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2260001-00_01
SelectSilver Saver | 2000 | 73% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2260001-04
SelectSilver Saver | 500 | 87% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2260001-05
SelectSilver Saver | 500 | 94% | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2260001-06
SelectTribal Bronze Choice | 6850 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1600001-03
SelectTribal Bronze Connect | 6850 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1780001-03
SelectTribal Bronze Connect | 6850 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1640001-03
SelectTribal Bronze Saver | 6200 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1690001-03
SelectTribal CarePoint | 0 | | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 02_CarePoint_Tribal_Zero
SelectTribal Choice | 0 | | | 01/01/16 | 2016 | 10090016 | AQHP | 02_Choice_Tribal_Zero
SelectTribal Connect | 0 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 02_Connect_East_Tribal_Zero
SelectTribal Connect | 0 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 02_Connect_Southwest_Tribal_Zero
SelectTribal Gold Choice | 1000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1630001-03
SelectTribal Gold Connect | 1000 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1810001-03
SelectTribal Gold Connect | 1000 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1670001-03
SelectTribal Silver CarePoint | 4000 | | CarePoint | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2310001-03
SelectTribal Silver Choice | 4000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1610001-03
SelectTribal Silver Choice | 3000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2160001-03
SelectTribal Silver Choice | 2000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2190001-03
SelectTribal Silver Choice | 500 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1620001-03
SelectTribal Silver Connect | 4000 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1790001-03
SelectTribal Silver Connect | 4000 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1650001-03
SelectTribal Silver Connect | 3000 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2170001-03
SelectTribal Silver Connect | 3000 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2180001-03
SelectTribal Silver Connect | 2000 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2200001-03
SelectTribal Silver Connect | 2000 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2210001-03
SelectTribal Silver Connect | 500 | | East | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1800001-03
SelectTribal Silver Connect | 500 | | Southwest | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID1660001-03
SelectTribal Silver Saver | 3000 | | | 01/01/16 | 2016 | 10090016 | AQHP | 61589ID2260001-03

If you have questions about the SBC, need language assistance or would like a paper copy free of charge, please refer to the Customer Service number on the back of your Blue Cross of Idaho ID card or call 1-800-627-1188.

If you need to register for a login to the Blue Cross of Idaho Member, Employer or Broker portals please click on the link below and follow the instructions.

Members Registration

Employer Registration

Broker Registration

Additional SBC information: