What information must health insurers provide in the policy summary?

The policy summary plays a crucial role in helping consumers understand their health insurance options. It is required to include key details about coverage and exclusions because these elements inform policyholders about what medical services and treatments are covered under the plan, as well as specific situations or conditions that may be excluded from coverage. This transparency allows consumers to make informed decisions about whether a particular policy meets their healthcare needs.

While details about premiums and individual deductibles are important, they may be included in other documentation such as the policy itself or endorsement letters, rather than in the summary. Provider directories and treatment options, on the other hand, are typically found in separate materials that accompany a health insurance plan. Lastly, customer service contact information is useful, but it does not provide insight into the policy's coverage specifics, which is the primary focus of the policy summary. By highlighting coverage and exclusions, the policy summary ensures that individuals are aware of their rights and responsibilities when navigating their health insurance.