The Summary of Benefits and Coverage (SBC) document below will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, contact CDPHP at 518-641-3100 for medical benefits and OptumRx at 866-863-1408 for prescription drugs. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary atwww.cdphp.com/contracts or call 1-800- 269-2134 to request a copy.