SBC :
See Summary of Benefits and Coverage
Glossary
Healthcare and health insurance definitions.
S
Service area :
The geographic area in which a health insurance plan’s benefits are available. Some health insurance plans will not provide coverage outside of the plan’s service area.
Skilled nursing care :
Services or care from nurses, therapists, or technicians in your home or in a nursing home. See ACA Uniform Glossary
Skilled nursing facility (SNF) :
A facility, either freestanding or part of a hospital, that accepts patients in need of rehabilitation and/or medical care that is of a lesser intensity than that received in a hospital.
SNF :
See skilled nursing facility.
Special enrollment :
A time outside of the open enrollment period during which you and your family have a right to sign up for health insurance if you experienced certain life events that involve a change in family status (for example, marriage, or birth of a child) or loss of other health coverage.
Specialist :
A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent, or treat certain types of symptoms and conditions. A non-physician specialist is a provider who has more training in a specific area of healthcare. See ACA Uniform Glossary
Subrogation :
When healthcare costs of enrollees are the responsibility of an entity other than the insurer, such as workers’ compensation, automobile coverage, or a third party.
Subscriber :
The person responsible for payment of premiums to the insurance company, or whose employment or other status, except for family dependency, makes them eligible for enrollment in a health plan.
Summary of Benefits and Coverage (SBC) :
A summary of the costs and coverage of a health plan. The SBC must be used by all insurance companies to make it easier for people to compare plans based on price, benefits, or other features.