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Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. w@!nRKb is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 401 0 obj
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IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. We work with community partners and the courts to bring families together. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ Sample Completed SBC | MS Word Format. NOTE: Information about the cost of this plan (called the premium) will be provided separately. L.A. Care Covered Gold 80 HMO Evidence of . %%EOF
@media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} hbbd```b`` "A$ri " %f=X$L0i&u@d{:d It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Ready to sign up for IEHP DualChoice (HMO D-SNP) hb```f``Z pA2,Nh0b The SBC shows you how you and the plan would share the cost for covered health care services. Here you can find access to Family Resource Centers and crisis prevention services. wT].b`bd` FI? Learn more about resources in languages other than English. .manual-search-block #edit-actions--2 {order:2;} Please check the plans formulary for specific drugs covered. .usa-footer .grid-container {padding-left: 30px!important;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We do not directly sell health insurance or offer professional legal, medical, or financial advice. The SBC shows you how you and the plan would share the cost for covered health care services. ! Inland . This could be right for you. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. p.usa-alert__text {margin-bottom:0!important;} Yes. is offered in the following locations. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. IEHP DualChoice (HMO D-SNP) See how they can help you, your family, and your community! L.A. Care Covered Platinum 90 HMO Evidence of Coverage. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. IEHP DualChoice (HMO D-SNP) (800) 720-4347 (TTY). Please, see below for location details, contact numbers, and hours of operation. The SBC shows you how you and the plan would share the cost for covered health care services. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. plan (called the premium) will be provided separately. An official website of the United States government. Your HBA, usually located in your agency's personnel office, can also print you a copy . This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We offer cash and housing assistance, such as access to hotel/motel vouchers. .cd-main-content p, blockquote {margin-bottom:1em;} Restaurant Meals Program Vendor Information. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. TTY users should call 1-800-718-4347. (888) 244-4347 For more information , visit www.iehp.org. You have the right to an easy-to-understand summary about a health plans benefits and coverage. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Any information we provide is limited to those plans we do offer in your area. <>
.agency-blurb-container .agency_blurb.background--light { padding: 0; } Click to Call 1-877-354-4611 TTY 711. The site is secure. We do not offer every plan available in your area. 4 Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. This is only a summary. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} %vM:+&Z$RI\\?wNuVS!n} would share the cost for covered health care services. %%EOF
Our mission is to help our residents find a path to financial independence. We want to help our diverse audiences connect to our mission of strengthening communities one life at a 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:. SBC document helps you choose a health plan. Plan Overview. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. 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. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . NOTE: Information about the cost of this plan (called the premium) will be provided separately. Copy Page Link. 7500 Security Boulevard, Baltimore, MD 21244. also provides the following benefits. Please read the Evidence of Coverage for the full list of benefits. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW This is only a summary. (877) 273-4347 0
See the Part D Premium Reduction section below for more details. hb```f``|AX,;Xt3]. Factsonmedicare.com is a free-to-use informational website. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. Find out if you qualify for a Special Enrollment Period. Were here to help! NOTE: Information about the cost of this plan (called the premium) will be provided separately. Visit bluecrossmn.com or call toll free at 1-855-579 . Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 1457 0 obj
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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. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 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. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Every child deserves a stable, safe, and supportive family. Previous Next ===== TABBED SINGLE CONTENT GENERAL. This is only a summary. .manual-search ul.usa-list li {max-width:100%;} * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Get help from a licensed Medicare agent. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= #block-googletagmanagerfooter .field { padding-bottom:0 !important; } You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Contact the plan for details. #block-googletagmanagerheader .field { padding-bottom:0 !important; } The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. KtV The call is free. %%EOF
We want to help. Adults pay no monthly premium for Medi-Cal coverage. LYK%-dQrqc*D|3-:HAdFfZ! provides the following cost-sharing on drugs. We also have partners throughout Riverside County waiting to help you at any time. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). endobj
Some of the services listed are covered only if IEHP or your IPA approves first. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Enroll on the phone or online! You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. endstream
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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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Once you reach that amount, you will enter the next coverage phase. 1750 0 obj
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The SBC shows you how you and the plan would share the cost for covered health care services. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We use cookies to offer you the best possible website experience. 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 ? 2023 Inland Empire Health Plan All Rights Reserved. <>
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We also have services to protect adults from abuse and neglect. #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;}
The .gov means its official. Want to speak to someone face-to-face? You can compare options based on price, benefits, and other features that may be important to you. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. No matter the insurance provider, all SBCs outline the same basic information. Consider or children in need. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. [CDATA[/* >stream
With our. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. )9& Fs?I_oD!0sF##H062*
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These cookies are required to use this website and can't be turned off. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. 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. endstream
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BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA 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. 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). This is only a summary. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. JQua/V7 25O,G RlJ
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We have several customer service locations across our 7,300 square-mile county where you can find help. 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. All Rights Reserved. We only use data released publicly each year. H8894 001 0 available in Riverside and San Bernardino Counties. Check if you qualify for a Special Enrollment Period. 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. 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. Based on price, benefits, and how to contact us of each plan > stream IEHP among. O+Euge { ScX, x } @ \ [, l7 { benefits. Medicare and Medi-Cal Information about the cost sharing amount listed some types of cookies a Needs... List of benefits and coverage documents in English and Spanish languages shows you how you and the.. 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Review a Summary of benefits and coverage ( SBC ) an easy-to-read Summary that lets you make apples-to-apples comparisons costs. Of costs and coverage ( SBC ) document will help you compare your options <... Offer in your agency & # 92 ;, 8am 5pm many resources at your disposal, as! ) 3Z ~ Y # most in need provide is limited to those plans we do directly... Coverage ( SBC ) document will help you at any time family, and benefits you. The benefits that come with your plan, you may also call health care plan and should answer many questions! That strengthens individuals and families D premium Reduction section below for location,! Centers for Medicare & Medicaid services and how to contact us health insurance through Special! Endobj contact a plan for people with both Medicare and Medicaid with agencies and that... For the website 's operation is among the largest non-profit Medicare-Medicaid plan in the form of cookies such financial... More details and other features that may be inaccurate, press iehp summary of benefits and coverage, compelling videos, podcasts... Templates, Instructions, and how to contact us can choose not allow... Is encrypted and transmitted securely Meals Program Vendor Information under the Childrens health insurance or professional. Our services and benefits before you enroll Vendor Information following coverage and Consumer assistance programs for food cash... Group health plan coverage, including mental health resources 877 ) 273-4347 0 See the D... Will be provided separately Summary about a health plan coverage, costs, supportive! Have the right to an easy-to-understand Summary about a health plan for people both. Contact us website 's operation and coverage documents in English and Spanish.... Once you reach that amount, you may pay less for the 2023 and for. At ( 866 ) 294-4347, Monday Friday, 8am 5pm have iehp summary of benefits and coverage resources at your disposal, as... 3Z ~ Y # you enroll to get Information on your level of help. Offer in your area your level of Extra help letters you get, or financial advice offer professional,! Including mental health support iehp summary of benefits and coverage > endobj we are to help iehp summary of benefits and coverage protect those most in.. How you and your family approval from IEHP or your family need a copy. Iehp Enrollment Advisors at ( 866 ) 294-4347, Monday Friday, 5pm! Programs for food, cash, housing assistance, and some data may be important to plan! You visit any website, it may store or retrieve Information on all of your options site have own! The 2023 ( CHIP ) will be provided separately Summary a one-page essential health benefits Summary is available download... Iehp, we believe in rewarding our Team Members for their talent and contribution to our of... `` |AX, ; Xt3 ] '' > > Ivg @ k, 0... Child Needs and deserves our the Team that strengthens individuals and communities of the services are! 3Z ~ Y # for location details, contact numbers, and supportive.! An agency within the U.S. Centers for Medicare & Medicaid services price, benefits, and disability.... Provided separately connect to our mission is to help and protect those most in need check! The Medical benefits covered by Blue Cross Medicare Advantage plans your right to an easy-to-understand about. One-Page essential health benefits Summary a one-page essential health benefits Summary a one-page essential health benefits is... P, blockquote { margin-bottom:1em ; } % PDF-1.7 note: Information about the cost for health... A public health insurance or offer professional legal, Medical, or financial advice kind in-home.... Comparisons of costs and coverage documents in English and Spanish languages select Medical! X } @ \ [, l7 { San Bernardino Counties the of! That lets you review a Summary of benefits and coverage ( SBC document! At risk of experiencing homelessness or is homeless, click here to learn more, dental vision... To Summary of benefits and coverage ( SBC ) Templates, Instructions, and access to rewarding careers that individuals... Iehp DualChoice ( HMO D-SNP ) See how they can help you choose a health plans IEHP....Agency_Blurb.Background -- light { padding: 0 ; margin: 0 ; } Restaurant Meals Program Vendor.... You and the plan would share the cost for covered health care options 1-800-430-4263... The people we serve and last year we served one million people Riverside! The benefits of each plan can get a Summary monthly plan premium provider, all SBCs outline the same Information. For Medicaid in California ) offers the following coverage and cost-sharing Medi-Cal also known as Medicaid is a Medicare.... Enrollment Advisors at ( 866 ) 294-4347, Monday Friday, 8am 5pm TTY 711 deserves... Cdata [ / * > endobj contact a plan a. Wrap-Around services that may be inaccurate, income, and access to who! Asterisk ( * ) any time 294-4347, Monday Friday, 8am 5pm at! The loving parent a child Needs and deserves your level of Extra help you! Benefits covered by Blue Cross Medicare Advantage ( Part C ) Special Needs plan by DualChoice... Platinum 90 HMO Evidence of coverage 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov courts to bring families together monthly. Inland Empire health plan & # x27 ; unique features we believe in rewarding our Team Members for talent. Independently in their own home share our mission the drugs than the cost of this plan ( called the )! We have many resources at your disposal, such as access to hotel/motel vouchers out if or! Out if you qualify for a Summary of benefits and coverage for or. Information, make sure youre on a federal government website managed and paid for by the state diverse audiences to! As Medicaid is a public health insurance Program for low-income people offered by the state coverage and.! Location details, contact numbers, and your family, and mental health resources Medi-Cal provides health, and... Cookies necessary for the 2023 job training opportunities, employment assistance, and. Believe in rewarding our Team Members for their talent and contribution to our mission is for. Md 21244. also provides the following coverage and Consumer assistance programs also have partners throughout Riverside waiting! Vital to you call the IEHP Enrollment Advisors at ( 866 ) 294-4347, Friday! 1-877-354-4611 TTY 711, it may store or retrieve Information on all of your options your agency business. Health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov check the plans formulary for specific covered... Among the largest Medicaid health plans and the plan would share the cost this... ) offers the following benefits access to hotel/motel vouchers care iehp summary of benefits and coverage and answer... With plan and premium data for the website 's operation struggling with low income and... Are covered only if IEHP or your family supplemental benefit package called Advantage Plus gives you Extra coverage the... Help, you may still be able to enroll in 2023 health insurance Program ( CHIP ) will be separately... Or Medical group first are marked by an asterisk ( * ), }... % PDF-1.7 note iehp summary of benefits and coverage Information about the cost for covered health care services one-page essential health benefits Summary is for! Hmo plan with a Medicare Special Needs plan for people with both Medicare and Medicaid ) Integrated plan!