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Summary of Benefits & Coverage

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Important information to help you compare across options.


2025 ACA Summary of Benefits & Coverage (SBC)

The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, this plan makes available a Summary of Benefits and Coverage (SBC) about each of its health coverage options. The SBC summarizes important information in a standard format to help you compare across options. This plan’s SBC is available below. A paper copy is also available, free of charge, by calling 1-800-537-9384 (TTY: 711). To find out more information about plans available under the FEHB Program please visit www.Opm.Gov/Insure.


Open Access® HMO & Aetna Saver plans:

Washington, DC Metro Area - DC, MD, Northern VA

Open Access® HMO plans:

Northeast - DE, NJ, NY, PA (southeastern)

Southern CA (PDF)

Other (PDF) - AZ, GA, PA (western), TN


Plans with PPO Networks:


Altius Health Plans:

HMO - UT, ID (Southwest & Eastern), WY (Uinta County) HDHP (PDF) - UT, ID (Southwest & Eastern), WY (Uinta County)

Uniform Glossary:

A Glossary of Health Coverage and Medical Terms (Uniform Glossary PDF) that explains terms commonly used in health insurance coverage.
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