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Summary of Benefits and Coverage (SBC) and Coverage Manuals

A Summary of Benefits and Coverage (SBC) is required by the Affordable Care Act and outlines your plan’s benefits and coverage, plus other unique features like cost-sharing information and coverage limits or exceptions.

A Coverage Manual contains information about your specific medical and prescription benefits. This includes health benefits, costs, limitations and exceptions and network provider information.

Learn more about your plan today.

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Additional health care products

We know well-rounded health care coverage is important for the well-being of you and your family. That’s why our Blue Dental and Avēsis vision plans* make preventive care a priority.

If you are a grandfathered or grandmothered member and have a Blue Dental or Avēsis vision plan, you can view your benefits by logging in to your myWellmark® account.

*Wellmark is not currently selling dental or vision products in the individual market.

Blue Dental PlansSM

Our cost-effective Blue Dental Plans deliver high-quality care with low out-of-pocket costs. Each plan covers preventive care like biannual check-ups, X-rays and routine exams. Plans may also cover some costs for root canals, braces, cavity repair and dentures.

With our dental plans, you also get:

  • 2,600 in-network dentists
  • Access to our 216,000-dentist national network
  • No waiting period for routine exams, cleanings and X-rays

Avēsis vision plans

As with other areas of your health care, preventive care is a priority in our vision plans. Keeping costs manageable is, too. Copays and coverage vary for annual eye exams, and glasses and lenses are available at discounted rates.

Avēsis is an independent company. Avēsis provides network and claim administration services for Wellmark pediatric vision benefits. Avēsis also offers adult vision plans which are not Blue Cross Blue Shield products or services, and for which Avēsis is solely responsible.