iehp summary of benefits and coverage

Before sharing sensitive information, make sure youre on a federal government site. 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. .usa-footer .grid-container {padding-left: 30px!important;} We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! .paragraph--type--html-table .ts-cell-content {max-width: 100%;} You may also call Health Care Options at 1-800-430-4263. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Contact the plan for details. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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 401 0 obj <>stream While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Our mission is to help our residents find a path to financial independence. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. KtV hb```f``|AX,;Xt3]. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Adults pay no monthly premium for Medi-Cal coverage. 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. 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. You can connect here with some of the organizations we partner with! Contact the plan for details. w@!nRKb NOTE: Information about the cost of this plan (called the premium) will be provided separately. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. 3 0 obj We provide access to caregivers who help at-risk adults live safely and independently in their own home. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. SBCs also explain health plans' unique features The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . The Summary of Benefits and Coverage (SBC) document will help you choose a health 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. 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. Please check the plans formulary for specific drugs covered. 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 . We do not offer every plan available in your area. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Sample Completed SBC | MS Word Format. With our. endstream endobj startxref ol{list-style-type: decimal;} The SBC shows you how you and the plan would share the cost for covered health care services. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! Plan Overview. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. We care about the people we serve and last year we served one million people in Riverside County. Your family is your top priority. Copy Page Link. IEHP DualChoice (HMO D-SNP) Find out if you qualify for a Special Enrollment Period. See the . A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. 4 0 obj 1457 0 obj <>stream @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Advantage Plus benefits and premiums . You can compare options based on price, benefits, and other features that may be important to you. 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). =;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Inland . 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. Get help from a licensed Medicare agent. NOTE: Information about the cost of this plan (called the premium) will be provided separately. No matter the insurance provider, all SBCs outline the same basic information. Medi-Cal Dental Coverage . 0 We are to help you too! hZ]o+EugE {ScX,x}@\[,l7{. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). }Y+\(s1Qi}=Y1$C'oX` L.A. Care Covered Gold 80 HMO Evidence of . Share via Facebook. offers the following coverage and cost-sharing. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. You need a roof over your head. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. Evidence of Coverage. The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. IEHP DualChoice (HMO D-SNP) For more information , visit www.iehp.org. %PDF-1.6 % 1218 0 obj <>stream endstream endobj startxref We want to help. Medi-Cal is a no-cost or low-cost health coverage program. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) .table thead th {background-color:#f1f1f1;color:#222;} Your HBA, usually located in your agency's personnel office, can also print you a copy . The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). #block-googletagmanagerheader .field { padding-bottom:0 !important; } This is only a summary. 4 The SBC shows you how you and the plan would share the cost for covered health care services. We offer cash and housing assistance, such as access to hotel/motel vouchers. This could be right for you. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. Were here to help! 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. TTY users should call (800) 720-4347. NOTE: Information about the cost of this . endobj endobj 1731 0 obj <> endobj ah v$c`bd`Qb`_g "[y Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medicare has neither approved nor endorsed any information on this site. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. This is only a summary. 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 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), $0 copay (limits may apply) (authorization not required) (referral not required). p.usa-alert__text {margin-bottom:0!important;} This is only a summary. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. %%EOF .manual-search ul.usa-list li {max-width:100%;} Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Youll also find access to services for those in crisis here. Share via Email. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW The site is secure. We only use data released publicly each year. Learn more by clicking here. In fact, its our top priority. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X 1175 0 obj <> endobj Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. You may also qualify for Extra Help on drug costs. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. wT].b`bd` FI? (877) 273-4347 B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Learn more about resources in languages other than English. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) .agency-blurb-container .agency_blurb.background--light { padding: 0; } Become a foster or adoptive parent. NOTE: Information about the cost of this plan (called the premium) will be provided separately. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. 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. Learn more here, including how to apply. .usa-footer .container {max-width:1440px!important;} We partner with agencies and organizations that share our mission to help and protect those most in need. All Rights Reserved. We understand that our services and benefits are vital to you. ozI?TNt2J\2 k/=Ak 2 0 obj TTY users should call 1-800-430-7077. Restaurant Meals Program Vendor Information. Competitive Salary and Benefits Package Press Tab to Move to Skip to Content Link. IEHP DualChoice (HMO D-SNP) Share via LinkedIn. <> %PDF-1.5 % provides the following cost-sharing on drugs. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We use cookies to offer you the best possible website experience. Please read the Evidence of Coverage for the full list of benefits. 0 important to review plan coverage, costs, and benefits before you enroll. Please, see below for location details, contact numbers, and hours of operation. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 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. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Learn more here. Factsonmedicare.com is a free-to-use informational website. 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. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services This is only a summary. 2023 Inland Empire Health Plan All Rights Reserved. %PDF-1.7 %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. NOTE: Information about the cost of this plan (called the premium) will be provided separately. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Health care is crucial for you and your family. . TTY users should call 1-800-718-4347. We work with community partners and the courts to bring families together. H8894 001 0 available in Riverside and San Bernardino Counties. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. All plan-related information on this site is from CMS.gov and Medicare.gov. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Federal government websites often end in .gov or .mil. Click to Call 1-877-354-4611 TTY 711. Yes. 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 $7,400.00. This is only a . The call is free. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ The SBC shows you how you and the plan. hYioH+ 3"> >Ivg@K, ! View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. These cookies are required to use this website and can't be turned off. 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 (888) 244-4347 Here you can find access to Family Resource Centers and crisis prevention services. %PDF-1.5 % Because we respect your right to privacy, you can choose not to allow some types of cookies. <> Other languages can be selected below. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. hb```f``Z pA2,Nh0b The SBC shows you how you and the plan would share the cost for covered health care services. ? 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. would share the cost for covered health care services. Live help. Contact a plan for a Summary of Benefits. Community is built on trust. We also have partners throughout Riverside County waiting to help you at any time. Visit bluecrossmn.com or call toll free at 1-855-579 . TAhh])f?u Vh7 %PDF-1.7 % 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. (800) 720-4347 (TTY). Enroll on the phone or online! "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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 d.Y&8&MUgQ View Plan Details How to Get Care Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. %%EOF While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. We protect our communitys most vulnerable children and adults. Learn more by clicking here. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. hbbd``b` + b, DqA@BT$-P/c`% % NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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! It provides health, dental and vision* coverage to qualified low-income California residents. Ready to sign up for IEHP DualChoice (HMO D-SNP) [CDATA[/* >