Summary of Benefits Coverage

The Summary of Benefits and Coverage required by the Affordable Care Act (ACA) provides information on certain health plan benefits and costs. HMSA is making it available to help you understand and evaluate your health plan choices.

Individual Plans

HMSA has a variety of Individual Plans to meet your situation. For more information regarding applicable prescription drug coverage, please refer to the Guide to Benefits.

Through Your Employer

HMSA has a variety of health plans for employers to offer their employees. HMSA provides a Summary of Benefits and Coverage for employer-sponsored plans that are renewing on or after September 23, 2012. To request a copy, call HMSA at 1 (800) 776-4672 toll-free.

Limited prescription drug coverage is available in most HMSA medical plans. HMSA also offers prescription drug riders based on the employer’s needs. Confirm with your employer on the type of prescription drug coverage available to you.

Health Plan Glossary

Need help understanding your health plan? This glossary contains some common terms used in explaining your health plan benefits.

Language Assistance

HMSA provides language translation assistance at no charge. Please call us at 1 (800) 776-4672 toll-free if you need help translating the Summary of Benefits and Coverage or glossary in languages such as:

  • Chinese
  • Navajo
  • Spanish
  • Tagalog


HMSA’s Customer Relations representatives are ready to help if you have questions about the Summary of Benefits and Coverage or glossary. Please call us at 1 (800) 776-4672 toll-free.

This information is based on HMSA’s review of the Affordable Care Act (ACA). This overview is intended for educational purposes only and should not be used as tax, legal, or compliance advice.