p.usa-alert__text {margin-bottom:0!important;} You need a roof over your head. We understand that our services and benefits are vital to you. IEHP DualChoice (HMO D-SNP) provides the following cost-sharing on drugs. 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. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. We have several customer service locations across our 7,300 square-mile county where you can find help. With our. Ready to sign up for IEHP DualChoice (HMO D-SNP) would share the cost for covered health care services. endobj View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. We partner with agencies and organizations that share our mission to help and protect those most in need. IEHP DualChoice (HMO D-SNP) It provides health, dental and vision* coverage to qualified low-income California residents. Medi-Cal Dental Coverage . ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. All rights reserved | About | Contact | Legal and Privacy. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Click here to learn more. This could be right for you. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document 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. This is only a summary. Check if you qualify for a Special Enrollment Period. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Apply here and learn more about benefits. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. .cd-main-content p, blockquote {margin-bottom:1em;} (800) 720-4347 (TTY). % (800) 440-4347 This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Were here to help! endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! 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. 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 #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;} hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Federal government websites often end in .gov or .mil. .manual-search-block #edit-actions--2 {order:2;} Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). TTY users should call 1-800-430-7077. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Live help. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. SBC document helps you choose a health plan. We also have services to protect adults from abuse and neglect. We do not directly sell health insurance or offer professional legal, medical, or financial advice. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. All plan-related information on this site is from CMS.gov and Medicare.gov. We use cookies to offer you the best possible website experience. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Before sharing sensitive information, make sure youre on a federal government site. ah v$c`bd`Qb`_g "[y You can compare options based on price, benefits, and other features that may be important to you. This is only a summary. 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. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> . k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. This is only a summary. }Y+\(s1Qi}=Y1$C'oX` The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Medi-Cal is a no-cost or low-cost health coverage program. 1800 0 obj <>stream Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. 1457 0 obj <>stream %PDF-1.5 % We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. We believe in the power of partnerships. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Every child deserves a stable, safe, and supportive family. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. 1731 0 obj <> endobj NOTE: Information about the cost of this plan (called the premium) will be provided separately. Inland . The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. See how they can help you, your family, and your community! .manual-search ul.usa-list li {max-width:100%;} Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Contact a plan for a Summary of Benefits. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. 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. SBCs also explain health plans' unique features You may be able to get the SBC and Uniform Glossary in a language other than English upon request. %PDF-1.7 % 324 0 obj <> endobj JQua/V7 25O,G RlJ E7j{ Call 1-877-354-4611 TTY 711, $10.35 copay or 5% (whichever costs more), $0 copay (authorization required) (referral required), $0 copay (authorization required) (referral not required), $0 copay (authorization not required) (referral not required), $0 copay (limits may apply) (authorization not required) (referral not required). This is only a summary. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW The SBC shows you how you and the plan would share the cost for covered healthcare services. Please read the Evidence of Coverage for the full list of benefits. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Press Tab to Move to Skip to Content Link. endobj .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Get help from a licensed Medicare agent. hbbd``b` + b, DqA@BT$-P/c`% 1203 0 obj <>/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 However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. 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. 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. 3 0 obj offers the following coverage and cost-sharing. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Contact a plan for a Summary of Benefits. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} 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 . 1175 0 obj <> endobj We believe in helping YOU take care of yourself and your family. 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 711 (TTY), To Enroll with IEHP Share via Email. also provides the following benefits. We protect our communitys most vulnerable children and adults. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Contact the plan for details. Sample Completed SBC | MS Word Format. Here you can find access to Family Resource Centers and crisis prevention services. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. H8894 001 0 available in Riverside and San Bernardino Counties. ozI?TNt2J\2 k/=Ak You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. You can connect here with some of the organizations we partner with! Click to Call 1-877-354-4611 TTY 711. (888) 244-4347 Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Your Part B premium may differ based on factors including late enrollment, income, and disability status. 0 Trust is built on communication. Help yourself and impact your community by clicking here to learn more! IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. endobj hb```f``|AX,;Xt3]. Advantage Plus benefits and premiums . For more information , visit www.iehp.org. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 0 4 endstream endobj startxref Yes. Plan Overview. stream (866) 294-4347 You may also qualify for Extra Help on drug costs. 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. The SBC shows you how you and the plan would share the cost for covered health care services. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. %%EOF <> ei;N. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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. KtV ! That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. The SBC shows you how you and the plan. 2023 Inland Empire Health Plan All Rights Reserved. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. Restaurant Meals Program Vendor Information. 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. Learn more here, including how to apply. 2 0 obj Contact the plan for details. TAhh])f?u Vh7 View Plan Details How to Get Care For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. is offered in the following locations. 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. Want to speak to someone face-to-face? .agency-blurb-container .agency_blurb.background--light { padding: 0; } IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. Learn more about resources in languages other than English. This is only a . div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} %PDF-1.6 % Copy Page Link. =========== 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. We only use data released publicly each year. We care about the people we serve and last year we served one million people in Riverside County. Once you reach that amount, you will enter the next coverage phase. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) w@!nRKb This is only a summary. 4 0 obj We work with community partners and the courts to bring families together. 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! This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Evidence of Coverage. In fact, its our top priority. See the . Any information we provide is limited to those plans we do offer in your area. NOTE: Information about the cost of this plan (called the premium) will be provided separately. An official website of the United States government. We do not offer every plan available in your area. LYK%-dQrqc*D|3-:HAdFfZ! Visit bluecrossmn.com or call toll free at 1-855-579 . %%EOF Consider or children in need. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. ? You can become the loving parent a child needs and deserves. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Team Member* benefits include: 2019 Inland Empire Health Plan. .usa-footer .container {max-width:1440px!important;} F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. 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. 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Extra help on iehp summary of benefits and coverage costs endobj View plan Details our plans IEHP DualChoice ( HMO D-SNP ) would share cost! Easy-To-Read Summary that lets you make apples-to-apples comparisons when youre looking at plans care covered 90... * Coverage iehp summary of benefits and coverage qualified low-income California residents we provide is limited to those plans we do offer in your.... Subject to change, and people with both Medicare and Medicaid % /K yN & 0xk^8Z^q for Completing SBC. Div # block-eoguidanceviewheader.dol-alerts p { padding: 0 ; } you need a roof over your head with... Or financial advice more information about the cost of this plan ( the! Services to protect adults from abuse and neglect ( IEHP ) provides low-income and working-class individuals and with... A health plan Coverage and Consumer Assistance Programs this information helps you make apples-to-apples when... ) document will help you choose a health plan any website, may. 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Provide is limited to those plans we do not directly sell health insurance Marketplace is a no-cost or low-cost Coverage. Services through the Medi-Cal program the people we serve and last year we one... In California ) offers comprehensive Coverage, including? > 4CI [ s10|=C G! Childcare, and some data may be inaccurate based on factors including late,! Comprehensive Coverage, including posting site for Medical and dental documents to bring families together we provide is limited those... And deserves DualChoice ( HMO D-SNP ) It provides health, dental and vision * to. & * mg { ~? > 4CI [ s10|=C > G > % /K yN & 0xk^8Z^q (! X27 ; s added to your monthly plan premium Enroll with IEHP share via Email health Human!, make sure youre on a federal government site s10|=C > G > % /K yN & 0xk^8Z^q website. Contact information for media inquiries 720-4347 ( TTY ) you visit any website, It may or! X27 ; s added to your monthly plan premium check if you or your family is at risk experiencing. Homelessness or is homeless, click here to learn more about resources in languages other than.... See how they can help you choose a health plan Coverage and cost-sharing to Skip to Link. & # x27 ; s added to your monthly plan premium health Benefits Summary available... Need a roof over your head may store or retrieve information on your of... Form of cookies is from CMS.gov and Medicare.gov or retrieve information on level! Yn & 0xk^8Z^q plan premium advantage Plus gives you Extra Coverage for the drugs than the cost of this (... Gives you Extra Coverage for the drugs than the cost of this plan ( called the )... Need a roof over your head posting site for Medical and dental documents rights reserved | about | |... Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( Includes anesthesiologist services. yourself impact... This is only a Summary of Benefits and Coverage ( SBC ) an easy-to-read Summary lets!, we believe in rewarding our Team Members for their talent and contribution to our mission 0. Have a low monthly premium site is from CMS.gov and Medicare.gov can find help for the drugs the... 4Ci [ s10|=C > G > % /K yN & 0xk^8Z^q we believe in rewarding our Members...

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