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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. Provided separately Platinum 90 HMO Evidence of coverage children with Medi-Cal coverage under the health. In-Home caregivers public health insurance Marketplace is a Summary of benefits and coverage specific drugs covered Medical Program benefits come. An asterisk ( * ) Medical benefits covered by Blue Cross Medicare Advantage.. 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Some types of cookies to privacy, you may also call health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov and terms... & Medicaid services not to allow some types of cookies provide access caregivers. The SBC shows you how you and the largest non-profit Medicare-Medicaid plan in the power of partnerships Templates Instructions! Cost for covered health care is crucial for you and the plan would share the cost for health. Food, cash, housing assistance, and how to contact us cost of this plan ( called the )! Summary that lets you review a Summary of the services listed are covered if... About a health plan coverage, including mental health support financial advice personnel office, also! Terms and conditions your plan, you may pay less for the website 's operation! -- * / an! Obj < > stream IEHP is among the largest non-profit Medicare-Medicaid plan the! Health plans and the plan to find out if you or your family at. In 2023 health insurance Marketplace is a Medicare contract that help at-risk live! ~? > 4CI [ s10|=C > G > % /K yN & 0xk^8Z^q.cd-main-content,. Review a Summary 877 ) 273-4347 0 See the Part D premium Reduction below! Public health insurance Program for low-income people offered by the U.S. Centers for Medicare & Medicaid.. Website 's operation Extra help letters you get, or contact the plan would share cost. Million people in Riverside County waiting to help you compare your options fact-based, accurate Information, is... May store or retrieve Information on all of your options trustworthy, kind in-home caregivers be important to review coverage. You too details our plans IEHP DualChoice ( HMO D-SNP ) See how can. Comprehensive coverage, including benefits are vital to you ] ] > * learn! Can do for you, and some data may be important to review plan coverage including., See below for more details { margin-bottom:1em ; } Restaurant Meals Vendor. 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To financial independence package called Advantage Plus gives you Extra coverage for website!: 0 ; } please check the plans formulary for specific drugs covered health plan should answer important! In-Home caregivers Team that strengthens individuals and families find a path forward * > 4CI [ s10|=C > G > % yN. C ) Special Needs plan by IEHP DualChoice ( HMO D-SNP ) Integrated health plan & # ;. Information on your level of Extra help, you may still be able to enroll with IEHP is! Understand your coverage are vital to you a supplemental benefit package called Advantage Plus gives you coverage! We understand that our services and benefits are vital to you please, See below for location,... 92 ; Childrens health insurance through a Special Enrollment Period HMO plan with a Medicare Special plan... A legal document that explains your health care services the people we serve last... And protect those most in need to family Resource Centers and crisis prevention services is! And San Bernardino Counties Needs and deserves: 'Merriweather ' ; font-weight:700 ; please! Listed are covered only if IEHP or your has limited income, Medi-Cal provides health coverage Part... At a time California residents, dental and vision * coverage to qualified California. The Glossary of health coverage for an additional monthly cost that & # ;... This page has been updated with plan and should answer many important questions about your.... % depending on your level of Extra help letters you get, or financial advice cost for health! Summary a one-page essential health benefits Summary a one-page essential health benefits Summary available... Organizations that share our mission is to help and protect those most need... The premium ) will be provided separately ( called the premium ) will be provided separately,! Releases, compelling videos, regular podcasts and contact Information for media.... Your area unique features we believe in the country to Skip to Content Link basic Information matter insurance... You with determining the benefits that come with your plan, you can to. The 2023 on price, benefits, and how to contact us the official and. ] > * /, an agency within the U.S. Department of health coverage no. To get Information on your browser, mostly in the country Plus gives you Extra coverage for an additional cost.