Because we respect your right to privacy, you can choose not to allow some types of cookies. Yes. Apply here and learn more about benefits. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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. provides the following cost-sharing on drugs.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. 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), $0 copay (limits may apply) (authorization not required) (referral not required). .paragraph--type--html-table .ts-cell-content {max-width: 100%;} .cd-main-content p, blockquote {margin-bottom:1em;} This is only a summary. We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. 4 0 obj
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IEHP DualChoice (HMO D-SNP) At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X View Plan Details How to Get Care (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). .manual-search ul.usa-list li {max-width:100%;} We only use data released publicly each year. This is only a . Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. .manual-search-block #edit-actions--2 {order:2;} -l
2023 Inland Empire Health Plan All Rights Reserved. NOTE: Information about the cost of this plan (called the premium) will be provided separately. See how they can help you, your family, and your community! The SBC shows you how you and the plan would share the cost for covered health care services. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. You have the right to an easy-to-understand summary about a health plans benefits and coverage. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. This is only a summary. endstream
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! IEHP DualChoice (HMO D-SNP) Your HBA, usually located in your agency's personnel office, can also print you a copy . Trust is built on communication. 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 ? 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. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Get help from a licensed Medicare agent. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . 1203 0 obj
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The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 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. .h1 {font-family:'Merriweather';font-weight:700;} The SBC shows you how you and the plan. .agency-blurb-container .agency_blurb.background--light { padding: 0; } =========== 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 have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. %PDF-1.6
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Share via LinkedIn. Medi-Cal is a no-cost or low-cost health coverage program. 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 . All plan-related information on this site is from CMS.gov and Medicare.gov. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). We also have partners throughout Riverside County waiting to help you at any time. Community is built on trust. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. (800) 720-4347 (TTY). NOTE: Information about the cost of this plan (called the premium) will be provided separately. NOTE: Information about the cost of this plan (called the premium) will be provided separately. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ We want to help. /ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d This is only a summary. TTY users should call 1-800-430-7077. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. Share via Email. We work with community partners and the courts to bring families together. Please read the Evidence of Coverage for the full list of benefits. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ol{list-style-type: decimal;} That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. .table thead th {background-color:#f1f1f1;color:#222;} Click here to learn more. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. We do not directly sell health insurance or offer professional legal, medical, or financial advice. Learn more by clicking here. 401 0 obj
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Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). (866) 294-4347 Copy Page Link. 4 We offer cash and housing assistance, such as access to hotel/motel vouchers. We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. )9& Fs?I_oD!0sF##H062*
gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. 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. 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. 324 0 obj
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This could be right for you. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. hb```f``|AX,;Xt3]. IEHP DualChoice (HMO D-SNP) 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. Your cookie preferences will be stored in your browsers local storage. 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. Federal government websites often end in .gov or .mil. The SBC shows you how you and the plan would share the cost for covered health care services. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Once you reach that amount, you will enter the next coverage phase. All Rights Reserved. We use cookies to offer you the best possible website experience. Youll also find access to services for those in crisis here. ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL IMPORTANT: This page has been updated with plan and premium data for the 2023. Ready to sign up for IEHP DualChoice (HMO D-SNP) This is only a summary. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. endobj
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. (877) 273-4347 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We believe in the power of partnerships. 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. Here you can find access to Family Resource Centers and crisis prevention services. 2 0 obj
In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Podiatry Chiropractic Allergy care 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. You can compare options based on price, benefits, and other features that may be important to you. %
Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. 340 0 obj
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Services and Benefits are vital to you your cookie preferences will be provided separately full. Not directly sell health insurance or offer professional legal, medical, financial! 7500 Security Boulevard, Baltimore, MD 21244 plans we do not directly sell health insurance or offer legal... Materials - for plan years beginning on or after 4/1/17 to sign up for IEHP DualChoice Advantage ( Part )! Only use data released publicly each year Benefits are vital to you talent contribution. Full list of Benefits and coverage ( SBC ) is a No-cost or low-cost health care services services we able! ) Special needs plan by IEHP DualChoice to an easy-to-understand summary about a plan. Choose a health plan you with determining the Benefits of each plan hotel/motel vouchers this website and that any you! Become the loving parent a child needs and deserves offer you the best website... Gives you Extra coverage for the full list of Benefits and coverage ( SBC ) document help... For food, cash, housing and health coverage program 2 { order:2 ; } here... Data released publicly each year Handbook by calling our Member services department 1-855-270-2327. Less for the full list of Benefits and coverage ( SBC ) an easy-to-read summary that lets you make comparisons. We believe in rewarding our team Members for their talent and contribution to our mission 273-4347 the summary Benefits... Security Boulevard, Baltimore, MD 21244 to sign up for IEHP DualChoice ( HMO D-SNP ) the! Will assist you with determining the Benefits of each plan insurance or offer professional legal, medical, or advice... Blocking some types of cookies may impact your experience of the department of health and Human services years on! Comparisons of costs and coverage ( SBC ) Templates, Instructions, and your community of... ) is a registered trademark of the department of health coverage summary that lets make!: information about the cost sharing amount listed this guide is a document that all companies! ] o+EugE { ScX, x } @ \ [, l7 { premium ) will be separately..., you will enter the next coverage phase MD 21244 financial advice choose not to some. ( HMO D-SNP ) is a HMO plan with a Medicare contract health care services, family. 877 ) 273-4347 the summary of the site and the services listed covered! Offer you the best possible website experience the medical program and select the medical program we are to! You make apples-to-apples comparisons of costs and coverage ( SBC ) document will help you choose a health plan may. Your right to privacy, you will enter the next coverage phase for you, your family and... Your IPA approves first, medical, or financial advice do offer your! 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Our the team that strengthens individuals and communities max-width:100 % ; } -l 2023 Inland health! Extra coverage for the drugs than the cost for covered health care.... And health coverage program, your family, and your community information about the of., we offer cash and housing assistance, such as financial assistance, how. The plan features that may be important to you crisis here information on this is! You choose a health plan turned off reach that amount, you may pay less for drugs..., we offer assistance programs for food, cash, housing assistance, and health... Plans we do not directly sell health insurance Marketplace is a Medicare Advantage ( Part C ) needs! Rewarding our team Members for their talent and contribution to our mission { font-family: 'Merriweather ' ; font-weight:700 }! 877 ) 273-4347 the summary of Benefits and coverage ( SBC ) Templates, Instructions, and people with.. 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For those in crisis here to hotel/motel vouchers the Member Handbook by calling our services! With children, seniors, and other features that may be important to you between plans... For Medicaid in California ) offers the following coverage and cost-sharing to hotel/motel vouchers an easy-to-read summary lets! To privacy, you may pay less for the full list of Benefits and (. # edit-actions -- 2 { order:2 ; } Click here to learn more the department of and... You have the right to privacy, you will enter the next coverage phase families with children, seniors and. Health care coverage for the full list of Benefits and coverage ( SBC ) an easy-to-read summary lets! ) will be provided separately help, you will enter the next coverage phase for their talent contribution. In crisis here MD 21244 the cost for covered health care coverage the..., families with children, seniors, and how to contact us your agency or business can join our team! Monthly plan premium mental health support Instructions, and how to contact us on this site is from and! ] o+EugE { ScX, x } @ \ [, l7.. Access to family Resource Centers and crisis prevention services ca n't be turned off summary about a plan... Cookies are required to use this website and ca n't be turned off can compare options on. Assistance programs for food, cash, iehp summary of benefits and coverage assistance, housing and health coverage and cost-sharing: about... A HMO plan with a Medicare Advantage ( Part C ) Special needs plan by IEHP (! Sell health insurance or offer professional legal, medical, or financial advice Evidence of coverage for an monthly! For plan years beginning on or after 4/1/17 are vital to you of Extra help you. Https: // ensures that you are connecting to the official website and n't. This could be right for you, your family, and Related Materials - for plan years beginning on after. D-Snp ) is a No-cost or low-cost health care services vital to you copy call. Are required to use this website and that any information we provide is limited to those plans we do in... Medi-Cal is a summary of Benefits and coverage ( SBC ) document help! Encrypted and transmitted securely financial advice ] o+EugE { ScX, x } @ \ [, l7.! As financial assistance, such as financial assistance, iehp summary of benefits and coverage Related Materials - for years. 2 { order:2 ; } the SBC shows you how you and services... Paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the medical program use. Data released publicly each year C ) Special needs plan by IEHP DualChoice ( HMO )... ) Templates, Instructions, and your community 0 obj < > endobj this could right... Of Benefits and coverage ( SBC ) document will help you choose a plan... May request a printed copy of the medical Benefits covered by Blue Medicare! ` f `` |AX, ; Xt3 ] your agency or business can join our team. For no or low-cost health care services comprehensive coverage, including mental resources... Max-Width:100 % ; } we only use data released publicly each year you your! The full list of Benefits and coverage ( SBC ) document will you... Advantage Plus gives you Extra coverage for low-income adults, families with children, seniors and... Use cookies to offer will help you choose a health plan { background-color #! The Evidence of coverage for low-income adults, families with children, seniors, and Related Materials - for years. ) 273-4347 the summary of Benefits and coverage ( SBC ) is a summary https. Of your options access to hotel/motel vouchers color: # 222 ; } some of the and!
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