Schedule of Benefits or Summary of Benefits (SOB)
The Schedule of Benefits is a brief list of benefits, with applicable copayment, coinsurance and deductible information for the member's health plan. It does not list the exclusions and limitations or other important legal and contractual terms applicable to the plan; these are described in the EOC or COI.
The Schedule of Benefits is called the Summary of Benefits for certain Medicare Advantage plans, including
C-SNP and D-SNP. The Summary of Benefits has the same information as the Schedule of Benefits but in a slightly different format.
The Schedule of Benefits and Summary of Benefits are available to members on the member portal at www.healthnet.com, or in hard copy on request. Providers may access members’ Schedule of Benefits on the provider portal. Once you log in, select Patients > the applicable member from the list > Schedule of Benefits.
Schedule of Benefits are available for all Health Net plans (except California Medi-Cal plans)