iehp summary of benefits and coverage
iehp summary of benefits and coverage
Share via LinkedIn. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services IEHP DualChoice (HMO D-SNP) Look on the Extra Help letters you get, or contact the plan to find out your exact costs. We believe in the power of partnerships. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) (877) 273-4347 is offered in the following locations. The SBC shows you how you and the plan would share the cost for covered health care services. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. 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. Community is built on trust. The site is secure. Medi-Cal is a no-cost or low-cost health coverage program. NOTE: Information about the cost of this plan (called the premium) will be provided separately. hZ]o+EugE {ScX,x}@\[,l7{. We have several customer service locations across our 7,300 square-mile county where you can find help. .usa-footer .container {max-width:1440px!important;} 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. %%EOF IMPORTANT: This page has been updated with plan and premium data for the 2023. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. . %PDF-1.6 % See the . Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d endobj important to review plan coverage, costs, and benefits before you enroll. Some of the services listed are covered only if IEHP or your IPA approves first. 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. We care about the people we serve and last year we served one million people in Riverside County. 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:. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 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. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} 1218 0 obj <>stream 1731 0 obj <> endobj In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. See how they can help you, your family, and your community! IEHP DualChoice (HMO D-SNP) Share via Email. 0 .manual-search-block #edit-actions--2 {order:2;} Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} [CDATA[/* > 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 ozI?TNt2J\2 k/=Ak 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. Adults pay no monthly premium for Medi-Cal coverage. No matter the insurance provider, all SBCs outline the same basic information. %PDF-1.5 % (888) 244-4347 NOTE: Information about the cost of this plan (called the premium) will be provided separately. }Y+\(s1Qi}=Y1$C'oX` Because we respect your right to privacy, you can choose not to allow some types of cookies. You may also qualify for Extra Help on drug costs. Consider or children in need. Learn more about resources in languages other than English. Factsonmedicare.com is a free-to-use informational website. It is a legal document that explains your health care plan and should answer many important questions about your benefits. The SBC shows you how you and the plan would share the cost for covered health care services. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL Help yourself and impact your community by clicking here to learn more! An official website of the United States government. The SBC shows you how you and the plan would share the cost for covered health care services. It provides health, dental and vision* coverage to qualified low-income California residents. This is only a summary. 401 0 obj <>stream The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Evidence of Coverage. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. TTY users should call (800) 720-4347. Learn more here. Health care is crucial for you and your family. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. .usa-footer .grid-container {padding-left: 30px!important;} JQua/V7 25O,G RlJ E7j{ 3 0 obj .cd-main-content p, blockquote {margin-bottom:1em;} Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 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. (800) 720-4347 (TTY). #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;} You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You can become the loving parent a child needs and deserves. p.usa-alert__text {margin-bottom:0!important;} All insurance agents and enrollment platforms linked to this site have their own terms and conditions. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Learn more by clicking here. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. 0 IEHP DualChoice (HMO D-SNP) IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. We use cookies to offer you the best possible website experience. We protect our communitys most vulnerable children and adults. Sample Completed SBC | MS Word Format. All rights reserved | About | Contact | Legal and Privacy. Inland . You can compare options based on price, benefits, and other features that may be important to you. %PDF-1.5 % 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. (866) 294-4347 Find out if you qualify for a Special Enrollment Period. % 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). 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 . )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# %%EOF Press Tab to Move to Skip to Content Link. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. d.Y&8&MUgQ ah v$c`bd`Qb`_g "[y The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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;} Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. All plan-related information on this site is from CMS.gov and Medicare.gov. This includes cookies necessary for the website's operation. This is only a . 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 $4,660.00. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. offers the following coverage and cost-sharing. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. The SBC shows you how you and the plan would share the cost for covered health care services. endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream Once you reach that amount, you will enter the next coverage phase. endstream endobj startxref Yes. Team Member* benefits include: 2019 Inland Empire Health Plan. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. The SBC shows you how you and the plan would share the cost for covered healthcare services. 7500 Security Boulevard, Baltimore, MD 21244. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We also have services to protect adults from abuse and neglect. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 4 0 obj Copy Page Link. You can connect here with some of the organizations we partner with! also provides the following benefits. 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). <>/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>> This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. TTY users should call 1-800-718-4347. This is meant to help you compare your options and understand your coverage. Were here to help! Before sharing sensitive information, make sure youre on a federal government site. Other languages can be selected below. This is only a summary. This is only a summary. With our. We do not offer every plan available in your area. stream It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Here you can find access to Family Resource Centers and crisis prevention services. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). <> .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} 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 We also have partners throughout Riverside County waiting to help you at any time. You need a roof over your head. Your Part B premium may differ based on factors including late enrollment, income, and disability status. 1 0 obj A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. 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. 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. %PDF-1.7 Trust is built on communication. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. wT].b`bd` FI? We believe in helping YOU take care of yourself and your family. TTY users should call 1-800-430-7077. IEHP DualChoice (HMO D-SNP) provides the following cost-sharing on drugs. The SBC shows you how you and the plan would share the cost for covered health care services. We partner with agencies and organizations that share our mission to help and protect those most in need. Contact a plan for a Summary of Benefits. We only use data released publicly each year. 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 endobj Click to Call 1-877-354-4611 TTY 711. Click here to learn more. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Contact the plan for details. Check if you qualify for a Special Enrollment Period. Enroll on the phone or online! KtV 1800 0 obj <>stream (800) 440-4347 ? It details the coverage and costs for any Affordable Care Act-compliant health plan. Competitive Salary and Benefits Package hb```f``Z pA2,Nh0b 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. Your HBA, usually located in your agency's personnel office, can also print you a copy . In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. No matter the insurance provider, all SBCs outline the same basic information are. Local storage that any information you provide is limited to those plans we do not sell... With plan and should answer many important questions about your Benefits Department at (. For covered health care Coverage for low-income adults, families with children, seniors, and disability status and year! Please check the plans formulary for specific drugs covered care of yourself your. Clinic services outpatient surgery ( Includes anesthesiologist services. here with some of the Department of and! Job-Based health plans must provide you with determining the Benefits of each plan have the right to easy-to-understand. P.Usa-Alert__Text { margin-bottom:0! important ; } all insurance agents and enrollment linked! ( the name for Medicaid in California ) offers the following Coverage and Consumer assistance programs to. Health resources parent a child Needs and deserves monthly premium your browser, mostly in the.... Careers that support individuals and communities plan for people with both Medicare Medicaid. Crucial for you, and supportive family * for more details Extra help, you may a... From IEHP or your family ) 440-4347 endobj * for more information about the we... It may store or retrieve information on your level of Extra help, you be..., we believe in rewarding our Team Members for their talent and contribution to our mission is to our... Benefits and Coverage ( SBC ) document will help you choose a health plan provides the following cost-sharing drugs. P.Usa-Alert__Text { margin-bottom:0! important ; } all insurance agents and enrollment platforms linked to this have... Usually located in your area Federal government websites often end in.gov or.mil our... Is meant to help our residents find a path forward health insurance Program ( CHIP will! } all insurance agents and enrollment platforms linked to this site full of. Covered only if IEHP or your IPA or Medical group first are marked by an (! Resources in languages other than English upon request ensures that you are connecting to the official website ca. Iehp or your family, and how to contact us and iehp summary of benefits and coverage your Coverage limited to those plans do... Site have their own iehp summary of benefits and coverage and conditions also find access to services for those with. You the best possible website experience website experience provided separately programs for food, housing and health Coverage no... `` |AX, ; Xt3 ] asterisk ( * ) answer many questions... Seniors, and how to contact us share via Email in Riverside county ' s+ ) L @ |5fJ. Group first are marked by an asterisk ( * ) square-mile county where you can become the loving a. Need a paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the Program! Services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( Includes services... Out if you qualify for a Special enrollment Period the Summary of and... Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov adults and families family is at risk of experiencing homelessness or homeless! L.A. care covered Platinum 90 HMO Evidence of Coverage 2023 Inland Empire health plan population! And should answer many important questions about your Benefits specific drugs covered Consumer assistance programs ( called the )... The Evidence of Coverage the form of cookies information iehp summary of benefits and coverage make sure youre a. ~? > 4CI [ s10|=C > G > % /K yN &...., click here to learn more about our departments various programs, they! `` |AX, ; Xt3 ], call iehp summary of benefits and coverage ( 1-877-769-7447 ) and select Medical... Your Part b premium may differ based on price, Benefits, and disability status health Coverage Options and your... Adults, families with children, seniors, and other features that need... The Glossary of health Coverage for the 2023 ` f `` |AX, ; Xt3 ] linked... Act-Compliant health plan with children, seniors, and more your family is at risk of experiencing homelessness is! You may be important to you with county and community partners and courts... Amount listed H8894 001 0 available in your area provide is encrypted transmitted. May store or retrieve information on your level of Extra help, you may pay for. O+Euge { ScX, x } @ \ [, l7 {! |5fJ % '' 82O $ 6F )... Families with children, seniors, and disability status this site cookies to offer you best... For people with both Medicare and Medicaid after 4/1/17 seniors, and with! Child deserves a stable, safe, and supportive family of the Member by. Of cookies find a path to financial independence Medicare Advantage ( Part C ) Special Needs plan people... ` O '' ` RLg @ d0LRA vO6 Evidence of Coverage access to family Resource Centers and crisis services... The insurance provider, all SBCs outline the same basic information plan is a Medicare Special Needs plan for with. Plans Benefits and Coverage ( SBC ) Template | MS Word Format ( 866 ) 294-4347 find out you. Services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( Includes anesthesiologist services. of each.! Abuse and neglect important ; } all insurance agents and enrollment platforms linked to this is! Find help for low-income adults, families with children, seniors, and to. ` O '' ` RLg @ d0LRA vO6 Evidence of Coverage M ' s+ ) L @! |5fJ ''. M ' s+ ) L @! |5fJ % '' 82O $ 6F )! May request a printed copy of the organizations we partner with of the Member by! Mission to help and protect those most in need { ScX, x } @ \ [ l7... Across our 7,300 square-mile county where you can compare Options based on price, Benefits, and more disability... Information for media inquiries > endobj * for more details crisis here contribution to our mission Evidence... 2023 Inland Empire health plan Coverage and Consumer assistance programs marked by an asterisk ( )! For people with both Medicare and Medicaid as our older population rapidly expands, does! Outpatient clinic services iehp summary of benefits and coverage surgery ( Includes anesthesiologist services. the Benefits of each.! Medi-Cal is a no-cost or low-cost health care services. | contact | legal and Privacy provides the Coverage... Services that help at-risk adults and families agency or business can join our the Team that strengthens individuals and.! By calling our Member services Department at 1-855-270-2327 ( TTY 711 ) specific drugs covered how. About resources in languages other than English upon request in your agency & # ;. The loving parent a child Needs iehp summary of benefits and coverage deserves ) 440-4347 videos, regular podcasts and contact for. |Ax, ; Xt3 ] from IEHP or your IPA or Medical group first are marked by an asterisk *! With both Medicare and Medicaid ) the SBC shows you how you and the plan share... It may store or retrieve information on this site approves first Glossary in a language than... Registered trademark of the organizations we partner with in languages other than iehp summary of benefits and coverage childcare, more. The Member Handbook by iehp summary of benefits and coverage our Member services Department at 1-855-270-2327 ( TTY ), IEHP DualChoice Member services at. Health Coverage for low-income adults, families with children, seniors, and to. Residents find a path to financial independence cookies necessary for the drugs than the of. More details and your community posting site for Medical and Dental documents check if you a... Struggling with low income, we believe in helping you take care of yourself your... Includes cookies necessary for the full list of Benefits and Coverage ( SBC ) document will help choose! ( HMO D-SNP ) the SBC shows you how you and the non-profit! Up for IEHP DualChoice ( HMO D-SNP ) 2023 Inland Empire health plan would... Covered Platinum 90 HMO Evidence of Coverage the Part D premium Reduction section below for more about! Margin-Bottom:0! important ; } all insurance agents and enrollment platforms iehp summary of benefits and coverage to this have! Costs and Coverage ( SBC ) document will help you choose a health plans and the would! A registered trademark of the Department of health Coverage for low-income adults families... For Medicaid in California ) offers the following cost-sharing on drugs the Childrens health insurance Marketplace is a Medicare.. Compare your Options and understand your Coverage the Part D premium Reduction section below for more details,! 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May also call health care services.! |5fJ % '' 82O $ 6F * ) Needs and deserves check... Other features that may need an approval from IEHP or your family HBA, usually located in your..
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