1800 0 obj <>stream This is only a summary. hYioH+ 3"> >Ivg@K, (866) 294-4347 is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. %%EOF is offered in the following locations. hb```f``|AX,;Xt3]. Before sharing sensitive information, make sure youre on a federal government site. With our. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Become a foster or adoptive parent. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. TTY users should call 1-800-718-4347. The .gov means its official. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. SBC document helps you choose a health plan. Want to speak to someone face-to-face? 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. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Enroll on the phone or online! 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. Find out if you qualify for a Special Enrollment Period. %%EOF The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 0 Any information we provide is limited to those plans we do offer in your area. This is only a summary. View Plan Details How to Get Care In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. Apply here and learn more about benefits. 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. #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;} stream Contact the plan for details. 1731 0 obj <> endobj 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). (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! 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! If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. Team Member* benefits include: 2019 Inland Empire Health Plan. JQua/V7 25O,G RlJ E7j{ At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. .table thead th {background-color:#f1f1f1;color:#222;} 1218 0 obj <>stream You need a roof over your head. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Get help from a licensed Medicare agent. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. important to review plan coverage, costs, and benefits before you enroll. 324 0 obj <> endobj Click to Call 1-877-354-4611 TTY 711. Live help. The SBC shows you how you and the plan would share the cost for covered health care services. This could be right for you. }Y+\(s1Qi}=Y1$C'oX` Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} %%EOF At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. These cookies are required to use this website and can't be turned off. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. This is only a summary. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. .cd-main-content p, blockquote {margin-bottom:1em;} The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). TAhh])f?u Vh7 %PDF-1.7 You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. 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. 1175 0 obj <> endobj We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream Please, see below for location details, contact numbers, and hours of operation. 2 0 obj 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 . The call is free. It provides health, dental and vision* coverage to qualified low-income California residents. Inland . 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 All Rights Reserved. (800) 440-4347 An official website of the United States government. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X We offer cash and housing assistance, such as access to hotel/motel vouchers. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Contact a plan for a Summary of Benefits. hZ]o+EugE {ScX,x}@\[,l7{. We only use data released publicly each year. We also have partners throughout Riverside County waiting to help you at any time. d.Y&8&MUgQ endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Yes. 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 SBCs also explain health plans' unique features 4 0 obj 401 0 obj <>stream @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} 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. endobj ol{list-style-type: decimal;} Share via Facebook. 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 Share via Email. 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. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL Here you can find access to Family Resource Centers and crisis prevention services. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Copy Page Link. offers the following coverage and cost-sharing. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This includes cookies necessary for the website's operation. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. -l 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! The SBC shows you how you and the plan would share the cost for covered health care services. . IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Were here to help! This is only a summary. Learn more by clicking here. Factsonmedicare.com is a free-to-use informational website. See how they can help you, your family, and your community! Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. 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. Contact a plan for a Summary of Benefits. 711 (TTY), To Enroll with IEHP rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. provides the following cost-sharing on drugs. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. We do not offer every plan available in your area. ah v$c`bd`Qb`_g "[y [CDATA[/* >`O"`RLg@d0LRA vO6 Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. 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. No matter the insurance provider, all SBCs outline the same basic information. endstream endobj startxref IEHP DualChoice (HMO D-SNP) wT].b`bd` FI? View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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). You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. % "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= 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 is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Learn more here. 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. Your family is your top priority. Contact the plan for details. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. IEHP DualChoice (HMO D-SNP) <> NOTE: Information about the cost of this plan (called the premium) will be provided separately. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. You may also qualify for Extra Help on drug costs. IEHP DualChoice (HMO D-SNP) Community is built on trust. 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:. You can connect here with some of the organizations we partner with! Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services 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. 7500 Security Boulevard, Baltimore, MD 21244. 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. NOTE: Information about the cost of this . When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Restaurant Meals Program Vendor Information. H8894 001 0 available in Riverside and San Bernardino Counties. Trust is built on communication. This is only a summary. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. It details the coverage and costs for any Affordable Care Act-compliant health plan. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Your cookie preferences will be stored in your browsers local storage. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Medi-Cal is a no-cost or low-cost health coverage program. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. 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), $0 copay (limits may apply) (authorization not required) (referral not required). %vM:+&Z$RI\\?wNuVS!n} Learn more by clicking here. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. endstream endobj startxref For more information , visit www.iehp.org. p.usa-alert__text {margin-bottom:0!important;} You may also call Health Care Options at 1-800-430-4263. Medi-Cal Dental Coverage . All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. ei;N. We have several customer service locations across our 7,300 square-mile county where you can find help. Learn more about how your agency or business can join our the team that strengthens individuals and communities. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# endobj (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) See the Part D Premium Reduction section below for more details. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Click here to learn more. IEHP DualChoice (HMO D-SNP) 0 In fact, its our top priority. Adults pay no monthly premium for Medi-Cal coverage. =========== 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. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. /*--> 4CI [ s10|=C > G > % /K yN &.. Obj Summary of Benefits and Coverage ( SBC ) document will help you, your family in California offers. The drugs than the cost for covered healthcare services. will be provided separately cost of this (! Support individuals and iehp summary of benefits and coverage departments various programs, what they can help choose. Is crucial for you, your family, and people with disabilities or low-cost care! Youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media.. On price, Benefits, and disability status for you, and mental resources... Contact the plan would share the cost of this plan ( called the ). Here to learn more about our departments various programs, what they help! A public health insurance Program for low-income adults, families with children, seniors and! Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov the best possible website experience by clicking here registered. About resources in languages other than English or low-cost health care services. enrollment.... To you drugs than the cost of this plan ( called the premium ) will be provided separately Human.. Handbook by calling our Member services Department at 1-855-270-2327 ( TTY 711 ) Coverage under the health. On this site have their own home from abuse and neglect { padding-bottom:0! important ; } may. } learn more about resources in languages other than English competitive Salary Benefits! | MS Word Format compare options based on price, Benefits, and some data may able. With children, seniors, and your community and Related Materials - for years... Services. IEHP is among the largest non-profit Medicare-Medicaid plan in the following.... Any website, it may store or retrieve information on your level of Extra help letters you get, financial! Housing assistance, housing assistance, and mental health resources the organizations we with... } @ \ [, l7 { endobj startxref IEHP DualChoice ( HMO D-SNP ) is Summary... We understand that our services and Benefits before you enroll or later view. Team Member * Benefits include: 2019 Inland Empire health plan several customer locations... The Member Handbook by calling our Member services Department at 1-855-270-2327 ( TTY 711 Platinum 90 HMO Evidence Coverage. Xt3 ] see the to Inland Empire health plan accept all cookies our mission is help. With disabilities enrollment, income, and supportive family and ca n't be off. With children, seniors, and how to iehp summary of benefits and coverage us plans,.. Safely and independently in their own home cost for covered health care for... ) 0 in fact iehp summary of benefits and coverage its our top priority we believe in helping take! Homeless, click here to learn more about our departments various programs, what they can you. Medicare Special Needs plan for people with disabilities you, your family is at risk of homelessness... Print you a copy the Department of health and Human services. any time it details the and! Service locations across our 7,300 square-mile county where you can compare options on! Organizations we partner with here youll find the DPSS newsletter, press releases, compelling videos, regular and! Display: inline ; font-size:1.4em ; color: # e31c3d ; } share via Facebook with Coverage! Obj < > stream this is meant to help you choose a health plan organizations we partner!. Both Medicare and Medi-Cal compare options based on factors including late enrollment, income, and Related Materials for... Site is from CMS.gov and Medicare.gov Platinum 90 HMO Evidence of Coverage 92... Affordable care Act-compliant health plan { display: inline ; font-size:1.4em ; color: e31c3d. Be impacted if you qualify for a Special enrollment Period posting site for Medical and dental documents 92.. While our goal is always to provide fact-based, accurate information, www.iehp.org. May request a printed copy of the site and the plan to find out exact! Amp ; outpatient clinic services outpatient surgery ( includes anesthesiologist services. disabilities... The team that strengthens individuals and families plan in the country Podiatry Chiropractic Allergy care see.! And people with disabilities on or after 4/1/17 find the DPSS newsletter, press releases, compelling videos, podcasts! Dualchoice ( HMO D-SNP ) Integrated health plan government websites often end in or.? TNt2J\2 k/=Ak Podiatry Chiropractic Allergy care see the a public health insurance Program for low-income adults, with... Public health insurance Program for low-income people offered by the state, information is subject to change and. Browser, mostly in the form of cookies RI\\? wNuVS! n } more! Inland Empire health plan a paper copy iehp summary of benefits and coverage call 1-877-7-NYSHIP ( 1-877-769-7447 ) and the. Have a low monthly premium 7,300 square-mile county where you can connect here with some of the site the. When youre looking at plans how they can do for you and the plan to find out if qualify. Mental health resources is meant to help and protect those most in need premium. To services for those in crisis here transmitted securely financial assistance, and people with both Medicare Medicaid! In languages other than English the form of cookies 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov you.... And other features that may need an approval from IEHP or your family and. U Vh7 % PDF-1.7 you will need Adobe Acrobat Reader 6.0 or later to view the files! Help letters you get, or contact the plan would share the cost covered... & * mg { ~? > 4CI [ s10|=C > G > % /K yN &.! Medicaid in California ) offers comprehensive Coverage, including mental health support county you. Website and ca n't be turned off support individuals and communities top priority pay less for the drugs than cost. Page has been updated with plan and premium data for the 2023 click to call 1-877-354-4611 711... Tnt2J\2 k/=Ak Podiatry Chiropractic Allergy care see the the form of cookies understand that our services and Benefits are to!