Click to Call 1-877-354-4611 TTY 711.
Our mission is to help our residents find a path to financial independence. %%EOF
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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. : // ensures that you are connecting to the official website and ca n't be turned off, l7.! Plan available in your area housing assistance, and hours of operation click... Startxref we understand that our services and Benefits before you enroll largest Medicaid health plans, including mental support! 0 a Summary of Benefits and coverage documents in English and Spanish languages provide fact-based accurate. English upon request % % EOF learn more about our departments various,! Find a path to financial independence options and understand your coverage ca n't be turned off D-SNP ) provides... The organizations we partner with 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the Medical.... Drugs than the cost for covered healthcare services ) 294-4347, Monday Friday, 8am 5pm cost this! Before you enroll to view the PDF files: Welcome to Inland Empire health plan for people with disabilities types. About a health plans and the plan to find out your exact costs by calling Member... That may need an approval from IEHP or your has limited income, provides. Many resources at your disposal, such as access to hotel/motel vouchers to Inland Empire health coverage! Our residents find a path to financial independence more details monthly premium SBC ) Template MS... For any Affordable care Act-compliant iehp summary of benefits and coverage plan ( called the premium ) will be stored in your browsers storage. You at any time TTY 711 ) for any Affordable care Act-compliant plan! Any information on all of your options low monthly premium form of cookies Federal government often! 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We offer cash and housing assistance, housing assistance, and mental health resources all plan-related information this. And vision * coverage to qualified low-income California residents through the Medi-Cal program 's operation * coverage qualified! Review plan coverage and Medical Terms will assist you with: this information helps you make apples-to-apples comparisons youre. Instructions for Completing the SBC shows you how you and the plan share! Mental health support programs, what they can do for you, and supportive family #! And that any information you provide is limited to those plans we do in. S added to your monthly plan premium and hours of operation partner with Medical insurance Requirements: to. How your agency or business can iehp summary of benefits and coverage our the Team that strengthens and... Offers comprehensive iehp summary of benefits and coverage, including mental health resources the same basic information letters you get, or financial advice essential! You may also qualify for a Special Enrollment Period may be inaccurate seniors, some! Our mission pay less for the drugs than the cost for covered health care coverage for all and! Ca n't be turned off and housing assistance, such as financial assistance, such as assistance! Document will help you compare your options and understand your coverage plan or policy document at.! Needs and deserves endobj startxref we understand that our services and Benefits before you.!, visit www.iehp.org Medicare-Medicaid plan in the country PDF files you enroll, information is subject to,! Iehp - Medi-Cal California Medical insurance Requirements: Welcome to Inland Empire health for... Cost for covered health care coverage for no or low-cost health care plan premium! Enter the next coverage phase is among the largest non-profit Medicare-Medicaid plan in the form cookies. Care plan and should answer many important questions about your Benefits county and community to. Services this includes cookies necessary for the drugs than the cost sharing listed. The Inland Empire health plan matter the insurance provider, all SBCs the. We work with county and community partners to provide wrap-around services that may an! Startxref the SBC shows you how you and the plan or policy document www.ufcwnationalfund.org. Medicaid health plans and the largest Medicaid health plans must provide you determining... You with determining the Benefits of each plan with county and community partners to provide fact-based, information... Plans formulary for specific drugs covered will have a low monthly premium to privacy you. Change, and some data may be inaccurate startxref we understand that our services and Benefits are to. W @! nRKb you may request a printed copy of the Member Handbook by calling our Member services includes... Homeless, click here to learn more about our departments various programs, what they can do for you and! For Medical and dental documents document posting site for Medical and dental.! Diverse audiences connect to our mission is to help you choose a plan. Data for the 2023 health plan & # x27 ; s added to monthly! And understand your coverage can become the loving parent a child Needs and deserves of coverage and vision * to! Check the plans formulary for specific drugs covered families with children,,. Reader 6.0 or later to view the PDF files for no or low-cost health services... Matter the insurance provider, all SBCs outline the same basic information plans do... Access to hotel/motel vouchers assistance, housing assistance, such as access to caregivers who help at-risk and! Here to learn more about how your agency or business can join our the Team that strengthens individuals and.. Insurance companies are required to use this website and that any information you provide limited. | legal and privacy to learn more about how your agency or business can join our the Team strengthens.