The SBC shows you how you and the plan would share the cost for covered health care services. LYK%-dQrqc*D|3-:HAdFfZ! ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL 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. <> /*-->/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 ah v$c`bd`Qb`_g "[y Learn more about resources in languages other than English. IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). You may be able to get the SBC and Uniform Glossary in a language other than English upon request. We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! Before sharing sensitive information, make sure youre on a federal government site. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW We understand that our services and benefits are vital to you. TTY users should call (800) 720-4347. Get help from a licensed Medicare agent. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We do not offer every plan available in your area. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. The SBC shows you how you and the plan would share the cost for covered health care services. 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 Your Part B premium may differ based on factors including late enrollment, income, and disability status. Your cookie preferences will be stored in your browsers local storage. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You can become the loving parent a child needs and deserves. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. We use cookies to offer you the best possible website experience. This is only a summary. See the Part D Premium Reduction section below for more details. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Contact the plan for details. Press Tab to Move to Skip to Content Link. .cd-main-content p, blockquote {margin-bottom:1em;} We only use data released publicly each year. Inland . Any information we provide is limited to those plans we do offer in your area. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 This is only a summary. NOTE: Information about the cost of this plan (called the premium) will be provided separately. wT].b`bd` FI? All Rights Reserved. Trust is built on communication. %PDF-1.7 Click to Call 1-877-354-4611 TTY 711. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. Previous Next ===== TABBED SINGLE CONTENT GENERAL. endstream endobj startxref Consider or children in need. d.Y&8&MUgQ Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. This includes cookies necessary for the website's operation. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. Team Member* benefits include: 2019 Inland Empire Health Plan. We are to help you too! Competitive Salary and Benefits Package 324 0 obj <> endobj .manual-search-block #edit-actions--2 {order:2;} It is a legal document that explains your health care plan and should answer many important questions about your benefits. hbbd``b` + b, DqA@BT$-P/c`% 1457 0 obj <>stream This is only a summary. )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# Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medi-Cal is a no-cost or low-cost health coverage program. Evidence of Coverage. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Yes. #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;} 2023 Inland Empire Health Plan All Rights Reserved. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). The SBC shows you how you and the plan would share the cost for covered healthcare services. 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 would share the cost for covered health care services. %vM:+&Z$RI\\?wNuVS!n} This could be right for you. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Once you reach that amount, you will enter the next coverage phase. The SBC shows you how you and the plan would share the cost for covered health care services. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan. 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. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. endstream endobj startxref offers the following coverage and cost-sharing. Medi-Cal Dental Coverage . ? Contact a plan for a Summary of Benefits. 1175 0 obj <> endobj For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. 711 (TTY), To Enroll with IEHP #block-googletagmanagerheader .field { padding-bottom:0 !important; } 4 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. ! Summary of Benefits and Coverage (SBC) Template | MS Word Format. The .gov means its official. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. The call is free. Youll also find access to services for those in crisis here. 1218 0 obj <>stream also provides the following benefits. 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. View Plan Details How to Get Care Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). }Y+\(s1Qi}=Y1$C'oX` Become a foster or adoptive parent. Plan Overview. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 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. 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 For more information , visit www.iehp.org. 1731 0 obj <> endobj We offer cash and housing assistance, such as access to hotel/motel vouchers. TTY users should call 1-800-718-4347. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. This is meant to help you compare your options and understand your coverage. H8894 001 0 available in Riverside and San Bernardino Counties. 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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 3 0 obj This is only a summary. Contact a plan for a Summary of Benefits. =========== 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. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. <> 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). "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= endobj endstream endobj startxref (877) 273-4347 NOTE: Information about the cost of this plan (called the premium) will be provided separately. We provide access to caregivers who help at-risk adults live safely and independently in their own home. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. 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. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. We want to help. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Please read the Evidence of Coverage for the full list of benefits. 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 also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. important to review plan coverage, costs, and benefits before you enroll. (800) 720-4347 (TTY). 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. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. This is only a summary. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. p.usa-alert__text {margin-bottom:0!important;} ei;N. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). IEHP DualChoice (HMO D-SNP) Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Want to speak to someone face-to-face? This is only a summary. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. Restaurant Meals Program Vendor Information. We believe in helping YOU take care of yourself and your family. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. The SBC shows you how you and the plan would share the cost for covered health care services. %%EOF The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. You may also qualify for Extra Help on drug costs. The SBC shows you how you and the plan would share the cost for covered health care services. %%EOF We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. See how they can help you, your family, and your community! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 0 Were here to help! You may also call Health Care Options at 1-800-430-4263. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} NOTE: Information about the cost of this plan (called the premium) will be provided separately. Podiatry Chiropractic Allergy care 0 F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. We also have partners throughout Riverside County waiting to help you at any time. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. The SBC shows you how you and the plan would share the cost for covered health care services. (888) 244-4347 Here you can find access to Family Resource Centers and crisis prevention services. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. ozI?TNt2J\2 k/=Ak 4 0 obj 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. Share via Email. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ hYioH+ 3"> >Ivg@K, Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. We work with community partners and the courts to bring families together. This is only a summary. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. These cookies are required to use this website and can't be turned off. 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. Advantage Plus benefits and premiums . .agency-blurb-container .agency_blurb.background--light { padding: 0; } 1 0 obj .usa-footer .container {max-width:1440px!important;} You have the right to an easy-to-understand summary about a health plans benefits and coverage. NOTE: Information about the cost of this . IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. No matter the insurance provider, all SBCs outline the same basic information. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. We do not directly sell health insurance or offer professional legal, medical, or financial advice. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } You can connect here with some of the organizations we partner with! %PDF-1.5 % Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. <>/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>> 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. We protect our communitys most vulnerable children and adults. Enroll on the phone or online! %%EOF TTY users should call 1-800-430-7077. .manual-search ul.usa-list li {max-width:100%;} hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. Live help. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Because we respect your right to privacy, you can choose not to allow some types of cookies. It provides health, dental and vision* coverage to qualified low-income California residents. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP DualChoice (HMO D-SNP) Ready to sign up for IEHP DualChoice (HMO D-SNP) All plan-related information on this site is from CMS.gov and Medicare.gov. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. We care about the people we serve and last year we served one million people in Riverside County. This is only a . Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Sample Completed SBC | MS Word Format. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Please, see below for location details, contact numbers, and hours of operation. Our mission is to help our residents find a path to financial independence. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. 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 ? stream We have several customer service locations across our 7,300 square-mile county where you can find help. .manual-search ul.usa-list li {max-width:100%;} 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. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 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. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Click here to learn more. Some of the services listed are covered only if IEHP or your IPA approves first. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . [CDATA[/* >