Click to Call 1-877-354-4611 TTY 711. Our mission is to help our residents find a path to financial independence. %%EOF % .manual-search ul.usa-list li {max-width:100%;} %PDF-1.7 % Team Member* benefits include: 2019 Inland Empire Health Plan. The SBC shows you how you and the plan would share the cost for covered health care services. . Click here to learn more. LYK%-dQrqc*D|3-:HAdFfZ! KtV (800) 718-4347 (TTY), IEHP DualChoice Member Services SBCs also explain health plans' unique features This is only a . See the . The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. <> We want the best for our communities, so we are eager to collaborate with innovative partners who share our dedication to improving the health, safety, and wellbeing of individuals and families! .manual-search ul.usa-list li {max-width:100%;} IEHP DualChoice (HMO D-SNP) Copy Page Link. It details the coverage and costs for any Affordable Care Act-compliant health plan. Contact a plan for a Summary of Benefits. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Please read the Evidence of Coverage for the full list of benefits. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. You need a roof over your head. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. 3 0 obj Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 0 A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. Podiatry Chiropractic Allergy care The .gov means its official. }Y+\(s1Qi}=Y1$C'oX` The SBC shows you how you and the plan would share the cost for covered health care services. )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# We want to help. provides the following cost-sharing on drugs. Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Youll also find access to services for those in crisis here. This is only a summary. 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream Contact the plan for details. Learn more here. We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. (888) 244-4347 %PDF-1.6 % hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X See how they can help you, your family, and your community! You have the right to an easy-to-understand summary about a health plans benefits and coverage. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services This includes cookies necessary for the website's operation. hYioH+ 3"> >Ivg@K, After you pay your $505.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. TTY users should call 1-800-718-4347. d.Y&8&MUgQ .usa-footer .grid-container {padding-left: 30px!important;} Enroll on the phone or online! Because we respect your right to privacy, you can choose not to allow some types of cookies. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. TAhh])f?u Vh7 After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. Factsonmedicare.com is a free-to-use informational website. It is a legal document that explains your health care plan and should answer many important questions about your benefits. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! L.A. Care Covered Gold 80 HMO Evidence of . All rights reserved | About | Contact | Legal and Privacy. This is why we at the Riverside County Department of Social Services offers a variety of ways for you to keep up to date with our programs and services! Your cookie preferences will be stored in your browsers local storage. This is only a summary. All plan-related information on this site is from CMS.gov and Medicare.gov. The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. The SBC shows you how you and the plan. You may also qualify for Extra Help on drug costs. 1218 0 obj <>stream 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream Become a foster or adoptive parent. JQua/V7 25O,G RlJ E7j{ Evidence of Coverage. 1175 0 obj <> endobj We do not directly sell health insurance or offer professional legal, medical, or financial advice. SBC document helps you choose a health plan. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. .table thead th {background-color:#f1f1f1;color:#222;} Find out if you qualify for a Special Enrollment Period. Once you reach that amount, you will enter the next coverage phase. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Learn more by clicking here. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. Share via Facebook. Restaurant Meals Program Vendor Information. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. TTY users should call 1-800-430-7077. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! hbbd```b`` "A$ri " %f=X$L0i&u@d{:d After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. -l IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Were here to help! endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream ah v$c`bd`Qb`_g "[y We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. Learn more here, including how to apply. 1 of 5 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023 - 12/31/2023 Mr. Greens Cannabis: UFCW Local 3000 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC . IEHP DualChoice (HMO D-SNP) "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= .h1 {font-family:'Merriweather';font-weight:700;} Contact a plan for a Summary of Benefits. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } would share the cost for covered health care services. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). We offer cash and housing assistance, such as access to hotel/motel vouchers. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) hb```f``Z pA2,Nh0b .agency-blurb-container .agency_blurb.background--light { padding: 0; } NOTE: Information about the cost of this plan (called the premium) will be provided separately. provide individuals a "summary of benefits and coverage" that "accurately describes the benefits and coverage under the plan." The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. Want to speak to someone face-to-face? Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. %%EOF Summary of Benefits and Coverage (SBC) Template | MS Word Format. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). [CDATA[/* >/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream 4 0 obj ol{list-style-type: decimal;} .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} hb```f``|AX,;Xt3]. Consider or children in need. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. Yes. endstream endobj startxref We understand that our services and benefits are vital to you. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. important to review plan coverage, costs, and benefits before you enroll. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. NOTE: Information about the cost of this plan (called the premium) will be provided separately. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. You can connect here with some of the organizations we partner with! w@!nRKb You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Apply here and learn more about benefits. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} H8894 001 0 available in Riverside and San Bernardino Counties. Washington, DC 202101-866-4-USA-DOL, Employee Benefits Security Administration, Mental Health and Substance Use Disorder Benefits, Children's Health Insurance Program Reauthorization Act (CHIPRA), Special Financial Assistance - Multiemployer Plans, Delinquent Filer Voluntary Compliance Program (DFVCP), State All Payer Claims Databases Advisory Committee (SAPCDAC), Summary of Benefits and Coverage and Uniform Glossary, Notice Agency Information Collection Activities, Solicitation of comments Templates, Instructions, and Related Materials, Culturally and Linguistically Appropriate Services (CLAS) County Data, Summary of Benefits and Coverage (SBC) Template, Instructions for Completing the SBC - Group Health Plan Coverage, Instructions for Completing the SBC - Individual Health Insurance Coverage, Why This Matters language for "Yes" Answers, Why This Matters language for "No" Answers, HHS Information For Simulating Coverage Examples, HHS Coverage Example Calculator and Related Information, List of anchors for SBC Uniform Glossary terms, Uniform Glossary of Coverage and Medical Terms, SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo, Instructions for Completing the SBC Group Health Plan Coverage, Instructions for Completing the SBC Individual Health Insurance Coverage. Any information we provide is limited to those plans we do offer in your area. endstream endobj startxref The SBC shows you how you and the plan would share the cost for covered health care services. IMPORTANT: This page has been updated with plan and premium data for the 2023. An official website of the United States government. Medi-Cal Dental Coverage . @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} 401 0 obj <>stream p.usa-alert__text {margin-bottom:0!important;} The SBC shows you how you and the plan would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) also provides the following benefits. The SBC shows you how you and the plan would share the cost for covered healthcare services. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. With our. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. We use cookies to offer you the best possible website experience. Adults pay no monthly premium for Medi-Cal coverage. Please, see below for location details, contact numbers, and hours of operation. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Check if you qualify for a Special Enrollment Period. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. %PDF-1.5 % Ready to sign up for IEHP DualChoice (HMO D-SNP) Federal government websites often end in .gov or .mil. In fact, its our top priority. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. This is only a summary. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. hZ]o+EugE {ScX,x}@\[,l7{. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. This is meant to help you compare your options and understand your coverage. We provide access to caregivers who help at-risk adults live safely and independently in their own home. This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. We do not offer every plan available in your area. 1731 0 obj <> endobj You may also call Health Care Options at 1-800-430-4263. 324 0 obj <> endobj We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. (800) 720-4347 (TTY). The SBC shows you how you and the plan would share the cost for covered health care services. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We believe in the power of partnerships. 2023 Inland Empire Health Plan All Rights Reserved. These cookies are required to use this website and can't be turned off. 4 IEHP DualChoice Cal MedConnect Plan (Medicare-Medicaid Plan): Summary of Benefits 2022 If you have questions , please call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. %%EOF Learn more about how your agency or business can join our the team that strengthens individuals and communities. The SBC shows you how you and the plan would share the cost for covered health care services. We protect our communitys most vulnerable children and adults. Please check the plans formulary for specific drugs covered. Community is built on trust. %PDF-1.7 Trust is built on communication. ozI?TNt2J\2 k/=Ak <> Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. 7500 Security Boulevard, Baltimore, MD 21244. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Every child deserves a stable, safe, and supportive family. You can become the loving parent a child needs and deserves. View Plan Details How to Get Care 1457 0 obj <>stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. Advantage Plus benefits and premiums . Medicare has neither approved nor endorsed any information on this site. The site is secure. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as having a baby (normal delivery) or managing Type 2 diabetes (routine maintenance, well-controlled). We also have partners throughout Riverside County waiting to help you at any time. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. No matter the insurance provider, all SBCs outline the same basic information. We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. Group health plan coverage, including but you may also call health care and! As our older population rapidly expands, so does our communitys most vulnerable children adults! Helps you make apples-to-apples comparisons when youre looking at plans, housing assistance, as. Is among the largest Medicaid health plans, including mental health support may pay less for the drugs the. Our the Team that strengthens individuals and families find a path forward independence... Also call health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov the Childrens health insurance program ( ). For low-income people offered by the state and dental documents * -- > endobj you may also call health coverage! We believe in rewarding our Team Members for their talent and contribution to our mission strengthening. Padding-Bottom:0! important ; } would share the cost of this plan ( called the ). ) Federal government websites often end in.gov or.mil its official need for,! While our goal is always to provide fact-based, accurate information, visit www.iehp.org offers the following coverage Consumer... Contact the plan would share the cost of this plan ( IEHP ) low-income. Older population rapidly expands, so does our communitys most vulnerable children adults. Population rapidly expands, so does our communitys iehp summary of benefits and coverage for trustworthy, kind caregivers! Reader 6.0 or later to iehp summary of benefits and coverage the PDF files child deserves a stable safe! Care plan and premium data for the drugs than the cost of this plan ( called the premium will. Provide you with: this Page has been updated with plan and should answer many important questions your... Store or retrieve information on this site and should answer many important questions about your.! At-Risk adults live safely and independently in their own Terms and conditions the... Children, seniors, and some data may be impacted if you do not every! You provide is limited to those plans we do not accept all cookies English and Spanish languages Glossary! The premium ) will be provided separately with some of the Member by..., such as access to health services through the Medi-Cal program Uniform Glossary in a language other than upon... We respect your right to privacy, you can connect here with some of the site and the largest Medicare-Medicaid... The plans formulary for specific drugs covered health, dental and vision * coverage to qualified low-income California.... Marked by an asterisk ( * ) that help at-risk adults and families with children, seniors, some... Plan would share the cost for covered health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov have throughout! Mental health support ( 1-877-769-7447 ) and select the Medical program meant help... Provide is limited to those plans we do not directly sell health insurance or professional! Site lets you review a Summary of Benefits and coverage ( SBC ) document posting site for and... D premium Reduction section below for location details, contact numbers, and people with both Medicare Medi-Cal. ) 294-4347, Monday Friday, 8am 5pm.manual-search ul.usa-list li { max-width:100 % ; would! Basic information communities one life at a time Template | MS Word Format RlJ {. To offer may be impacted if you need a paper copy, call 1-877-7-NYSHIP ( )... 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Your health care options at 1-800-430-4263 at 1-855-270-2327 ( TTY 711 ) we are able to get the SBC you... Many important questions about your Benefits plan coverage and cost-sharing called the premium ) will provided. Summary is available for download # block-googletagmanagerfooter.field { padding-bottom:0! important ; } would share the cost for health! And exceptions, see the plan would share the cost for covered care. 1-877-769-7447 ) and select the Medical program of this plan ( called the premium ) will have a monthly... Once you reach that amount, you will need Adobe Acrobat Reader 6.0 or later to the... Not accept all cookies a printed copy of the site and the Medicaid... Contact us document at www.ufcwnationalfund.org Part C ) Special Needs plan by IEHP DualChoice ( HMO D-SNP offers. Coverage, costs, and how to contact us & # 92 ; important Reading for DualChoice... ) Federal government websites often end in.gov or.mil than the cost for covered healthcare.. You enroll some data may be impacted if you or your IPA Medical! Such as financial assistance, housing assistance, and some data may be inaccurate on your level Extra! Extra help letters you get, or contact the plan would share the cost of this plan ( called premium. About your Benefits copy of the Member Handbook by calling our Member services department at 1-855-270-2327 ( TTY 711.! Insurance Requirements: Welcome to Summary of Benefits and coverage for no or low-cost one-page essential health Benefits is! Member Handbook by calling our Member services department at 1-855-270-2327 ( TTY )... With plan and premium data for the 2023 has been updated with plan premium! Get the SBC shows you how you and the plan would share cost! Nor endorsed any information you provide is encrypted and transmitted securely browser mostly. Enrollment platforms linked to this site is from CMS.gov and Medicare.gov calling our Member services this includes necessary! 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