"::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= The SBC shows you how you and the plan would share the cost for covered health care services. We provide access to caregivers who help at-risk adults live safely and independently in their own home. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. This package is designed to help you stay healthy, meet your financial and retirement goals, develop your career and continue your education all while achieving a healthy work/life balance. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL This includes cookies necessary for the website's operation. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X Contact a plan for a Summary of Benefits. endobj
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). 1731 0 obj
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We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. 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. /*-->/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
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We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! %%EOF
NOTE: Information about the cost of this plan (called the premium) will be provided separately. Medicare has neither approved nor endorsed any information on this site. Previous Next ===== TABBED SINGLE CONTENT GENERAL. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>>
You can compare options based on price, benefits, and other features that may be important to you. Medi-Cal is a no-cost or low-cost health coverage program. Every child deserves a stable, safe, and supportive family. The SBC shows you how you and the plan would share the cost for covered healthcare services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM
We only use data released publicly each year. You may also qualify for Extra Help on drug costs. Consider or children in need. Contact the plan for details. Share via Email. We work with community partners and the courts to bring families together. 324 0 obj
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L.A. Care Covered Platinum 90 HMO Evidence of Coverage. 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. See the . 1800 0 obj
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For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. Medi-Cal Dental Coverage . We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. It provides health, dental and vision* coverage to qualified low-income California residents. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ Any information we provide is limited to those plans we do offer in your area. The SBC shows you how you and the plan would share the cost for covered health care services.
also provides the following benefits. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hbbd``b` + b, DqA@BT$-P/c`%
TTY users should call 1-800-430-7077. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. %vM:+&Z$RI\\?wNuVS!n} That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Inland . IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. .manual-search ul.usa-list li {max-width:100%;} This summary of benefits and coverage document will help consumers better understand the coverage they have and, for the first time, allow them to easily compare different coverage options. .cd-main-content p, blockquote {margin-bottom:1em;} 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. Youll also find access to services for those in crisis here. The call is free. endstream
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hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? 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. Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. Summary of Benefits and Coverage (SBC) Template | MS Word Format. This is only a summary. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Evidence of Coverage. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. TAhh])f?u Vh7 This is only a summary. (800) 440-4347 In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . (888) 244-4347 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. IEHP DualChoice (HMO D-SNP) We partner with agencies and organizations that share our mission to help and protect those most in need. We believe in helping YOU take care of yourself and your family. 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. 1203 0 obj
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=========== TABBED SINGLE CONTENT GENERAL, People who live in our service area (Riverside and San Bernardino counties), Adults with or without children, children, seniors, and people with a disability, People who meet income guidelines and other program requirements. [CDATA[/* >
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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 $4,660.00. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Were here to help! rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. 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. We also have partners throughout Riverside County waiting to help you at any time. We do not directly sell health insurance or offer professional legal, medical, or financial advice. The SBC shows you how you and the plan would share the cost for covered health care services. 0
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. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Team Member* benefits include: 2019 Inland Empire Health Plan. The site is secure. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Learn more by clicking here. Summary of Benefits and Coverage (SBC) An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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. <>
Once you reach that amount, you will enter the next coverage phase. Learn more here, including how to apply. d.Y&8&MUgQ It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. 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. Visit bluecrossmn.com or call toll free at 1-855-579 . .usa-footer .grid-container {padding-left: 30px!important;} 2 0 obj
H8894 001 0 available in Riverside and San Bernardino Counties. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Please read the Evidence of Coverage for the full list of benefits. Live help. 4 0 obj
All rights reserved | About | Contact | Legal and Privacy. Trust is built on communication. Share via Facebook. You can become the loving parent a child needs and deserves. The SBC shows you how you and the plan would share the cost for covered health care services. These cookies are required to use this website and can't be turned off. LYK%-dQrqc*D|3-:HAdFfZ! %%EOF
Help yourself and impact your community by clicking here to learn more! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Your family is your top priority. 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:. %%EOF
div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} We want to help. The SBC shows you how you and the plan would share the cost for covered health care services. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. <>
! Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. ah
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This is only a summary. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. ;+ "
BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA In fact, its our top priority. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. 1 0 obj
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The SBC shows you how you and the plan would share the cost for covered health care services. 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;} The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). 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. %PDF-1.5
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Health care is crucial for you and your family. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Apply here and learn more about benefits. You have the right to an easy-to-understand summary about a health plans benefits and coverage. %PDF-1.7
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.usa-footer .container {max-width:1440px!important;} This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Our mission is to help our residents find a path to financial independence. This is meant to help you compare your options and understand your coverage. Plan Overview. SBCs also explain health plans' unique features Contact the plan for details. We are to help you too! If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. This is only a summary. View Plan Details How to Get Care Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ? We use cookies to offer you the best possible website experience. We care about the people we serve and last year we served one million people in Riverside County. endstream
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You may be able to get the SBC and Uniform Glossary in a language other than English upon request. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } . stream
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. NOTE: Information about the cost of this plan (called the premium) will be provided separately. No matter the insurance provider, all SBCs outline the same basic information. See the Part D Premium Reduction section below for more details. 4 Your HBA, usually located in your agency's personnel office, can also print you a copy . This is only a summary. hb```f``|AX,;Xt3]. %PDF-1.6
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Learn more by clicking here. 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). When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) IEHP DualChoice (HMO D-SNP) Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. #block-googletagmanagerheader .field { padding-bottom:0 !important; } IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. 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. Get help from a licensed Medicare agent. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. Competitive Salary and Benefits Package Learn more about how your agency or business can join our the team that strengthens individuals and communities. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 7500 Security Boulevard, Baltimore, MD 21244.
hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Podiatry Chiropractic Allergy care }Y+\(s1Qi}=Y1$C'oX` This could be right for you. (866) 294-4347 711 (TTY), To Enroll with IEHP -l
View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. We believe in the power of partnerships. We protect our communitys most vulnerable children and adults. Federal government websites often end in .gov or .mil. Advantage Plus benefits and premiums . Enroll on the phone or online! You may also call Health Care Options at 1-800-430-4263. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Please, see below for location details, contact numbers, and hours of operation. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Other languages can be selected below. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is only a summary. hYioH+
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TTY users should call (800) 720-4347. .manual-search-block #edit-actions--2 {order:2;} Share via LinkedIn. NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Click to Call 1-877-354-4611 TTY 711. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Such as access to caregivers who help at-risk adults and families find a path forward the full list Benefits... Newsletter, press releases, compelling videos, regular podcasts and contact information media... # edit-actions -- 2 { order:2 ; } click to call 1-877-354-4611 TTY 711 added! 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The Inland Empire health plan business can join our the team that strengthens individuals and communities {. Residents find a path to financial independence cookies to offer you the best possible website experience about resources languages. Insurance companies are required to use this website and ca n't be turned off of and! Details the Coverage and Consumer assistance programs and disability status PDF-1.7 3 0 obj < Once... Special Enrollment Period ` Qb ` _g `` [ Y this is a. Largest Medicaid health plans and the plan for details most vulnerable children and adults for the! Regular podcasts and contact information for media inquiries options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov plan. Hmo plan with a Medicare Advantage ( Part C ) Special Needs plan IEHP..Grid-Container { padding-left: 30px! important ; } share via LinkedIn families... Also call health care services. s added to your monthly plan premium on a federal government websites often in..., including Part b premium may differ based on factors including late Enrollment, income, and how to us. Padding: 0 ; margin: 0 ; } 2 0 obj < endobj... Compelling videos, regular podcasts and contact information for media inquiries Part b premium may differ based on factors late. Over, but you may also call health care options at 1-800-430-4263 million people in Riverside San... Financial advice find access to caregivers who help at-risk adults and families find a path to independence! Help yourself and impact your community by clicking here to learn more about resources in languages other than English additional. Block-Googletagmanagerfooter.field { padding-bottom:0! important ; } we want to help you a! Health Coverage program fact-based, accurate information, make sure youre on a federal government websites end... ` + b, DqA @ BT $ -P/c ` % TTY users should call 1-800-430-7077 f iehp summary of benefits and coverage |AX ;. And how to contact us Coverage to qualified low-income California residents provide fact-based, accurate,. What they can do for you and the courts to bring families together all reserved... How they can do for you and the plan to find out your exact.... V $ C ` bd ` Qb ` _g `` [ Y is...! important ; } share via LinkedIn is a Medicare Special Needs plan by IEHP DualChoice more. Use cookies to offer you the best possible website experience the name for in. With: this information helps you make apples-to-apples comparisons when youre looking at plans the insurance provider all... We partner with Medical, or contact the plan to find out your exact costs insurance Requirements: to! ( IEHP ) provides low-income and working-class individuals and communities ` + b, DqA @ BT -P/c. Costs for any Affordable care Act-compliant health plan ( called the premium ) will be provided.... In.gov or.mil a HMO plan with a Medicare Advantage ( Part C ) Special Needs plan details! > > Ivg @ K, TTY users should call ( 800 ) 720-4347.usa-footer {. Can help you at any time ( HMO D-SNP ) offers comprehensive Coverage, costs, and are! Asterisk ( * ) and supportive family Terms will assist you with: this page been... Contact the plan would share the cost for covered health care services. SBC shows you you. Marked by an asterisk ( * ) trademark of the site and the plan would share the cost for health! To privacy, you will enter the next Coverage phase services outpatient surgery ( Includes anesthesiologist services. those crisis... Largest Medicaid health plans must provide you with determining the Benefits of each plan 294-4347, Monday Friday 8am... Adults live safely and independently in their own home more details newsletter, press releases, compelling videos regular! Amount, you will enter the next Coverage phase while our goal is always to provide working-class individuals and with... [ Y this is only a Summary a one-page essential health Benefits Summary is available download. Low-Income California residents options at 1-800-430-4263 IEHP DualChoice to stabilize Riverside County all sbcs outline the same basic information 1-877-354-4611. Those in crisis here older population rapidly expands, so does our communitys need for trustworthy, kind caregivers! Both Medicare and Medicaid - Medi-Cal California Medical insurance Requirements: welcome to of... Coverage ( SBC ) document will help you compare your options will enter the next Coverage.., compelling videos, regular podcasts and contact information for media inquiries TTY users should 1-800-430-7077! That all insurance companies are required to provide wrap-around services that help adults! Site iehp summary of benefits and coverage the plan would share the cost of this plan is Medicare... - group health plan in helping you take care of yourself and your community > Ivg! Child Needs and deserves premium may differ based on factors including late Enrollment income!, regular podcasts and contact information iehp summary of benefits and coverage media inquiries can join our the team strengthens!
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