A schedule of benefits is a list of the various services covered under a health insurance plan, along with the associated fees. Policyholders receive these schedules so that they know which services and treatments are covered and which are not. Some treatments and services may require a co-pay.
A schedule of benefits would list various preventative, hospital, diagnostic, therapeutic, and urgent care services, among others. For example, under preventative services, the schedule may list "Adult physical examination (1 exam per calendar year)," "Vision exam (1 every 12 months)," and "Hearing exam (2 per calendar year)," alongside the co-pay costs for each service.
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