Contact a plan for a Summary of Benefits. Learn more about how your agency or business can join our the team that strengthens individuals and communities. 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. TTY users should call 1-800-430-7077. Share via Email. Medicare has neither approved nor endorsed any information on this site. Please check the plans formulary for specific drugs covered. endobj At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. The SBC shows you how you and the plan would share the cost for covered health care services. Press Tab to Move to Skip to Content Link. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 3 0 obj Share via LinkedIn. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Were here to help! Contact the plan for details. wT].b`bd` FI? Previous Next ===== TABBED SINGLE CONTENT GENERAL. 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. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Enroll on the phone or online! endstream endobj startxref IEHP DualChoice (HMO D-SNP) Health care is crucial for you and your family. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. See how they can help you, your family, and your community! 0 Our mission is to help our residents find a path to financial independence. 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). In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. hb```f``|AX,;Xt3]. Find out if you qualify for a Special Enrollment Period. Learn more by clicking here. 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 site is secure. -l NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. Learn more about resources in languages other than English. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 7500 Security Boulevard, Baltimore, MD 21244. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! The SBC shows you how you and the plan would share the cost for covered healthcare services. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. .usa-footer .grid-container {padding-left: 30px!important;} 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. important to review plan coverage, costs, and benefits before you enroll. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Team Member* benefits include: 2019 Inland Empire Health Plan. Other languages can be selected below. p.usa-alert__text {margin-bottom:0!important;} %%EOF You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). %PDF-1.6 % Medi-Cal Dental Coverage . The SBC shows you how you and the plan would share the cost for covered health care services. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. We understand that our services and benefits are vital to you. Get help from a licensed Medicare agent. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. This is only a summary. ! 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 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. We want to help. This is meant to help you compare your options and understand your coverage. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} %vM:+&Z$RI\\?wNuVS!n} .manual-search ul.usa-list li {max-width:100%;} SBC document helps you choose a health plan. Restaurant Meals Program Vendor Information. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. This is only a summary. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. These cookies are required to use this website and can't be turned off. It details the coverage and costs for any Affordable Care Act-compliant health plan. SBCs also explain health plans' unique features 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. 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 You can become the loving parent a child needs and deserves. %PDF-1.5 % provides the following cost-sharing on drugs. Podiatry Chiropractic Allergy care Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Want to speak to someone face-to-face? 1800 0 obj <>stream Competitive Salary and Benefits Package ei;N. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} w@!nRKb It is a legal document that explains your health care plan and should answer many important questions about your benefits. Live help. We work with community partners and the courts to bring families together. 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. 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. 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 ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW See the Part D Premium Reduction section below for more details. In fact, its our top priority. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. 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 Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ozI?TNt2J\2 k/=Ak (866) 294-4347 All rights reserved | About | Contact | Legal and Privacy. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. %%EOF LYK%-dQrqc*D|3-:HAdFfZ! Here you can find access to Family Resource Centers and crisis prevention services. You can compare options based on price, benefits, and other features that may be important to you. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. offers the following coverage and cost-sharing. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. 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 Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. No matter the insurance provider, all SBCs outline the same basic information. 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. This is only a summary. %%EOF You need a roof over your head. Advantage Plus benefits and premiums . NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. also provides the following benefits. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Contact a plan for a Summary of Benefits. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> You can connect here with some of the organizations we partner with! IEHP DualChoice (HMO D-SNP) Help yourself and impact your community by clicking here to learn more! TTY users should call 1-800-718-4347. We also have services to protect adults from abuse and neglect. KtV You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 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. It provides health, dental and vision* coverage to qualified low-income California residents. Some of the services listed are covered only if IEHP or your IPA approves first. 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. Trust is built on communication. Any information we provide is limited to those plans we do offer in your area. IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. .manual-search ul.usa-list li {max-width:100%;} .table thead th {background-color:#f1f1f1;color:#222;} .manual-search-block #edit-actions--2 {order:2;} IMPORTANT: This page has been updated with plan and premium data for the 2023. Your family is your top priority. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. (877) 273-4347 1175 0 obj <> endobj This is only a . L.A. Care Covered Gold 80 HMO Evidence of . L.A. Care Covered Platinum 90 HMO Evidence of Coverage. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. stream .usa-footer .container {max-width:1440px!important;} 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. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . endobj }Y+\(s1Qi}=Y1$C'oX` We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. 0 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. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. See the . We partner with agencies and organizations that share our mission to help and protect those most in need. 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. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA We believe in the power of partnerships. Share via Facebook. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! #block-googletagmanagerheader .field { padding-bottom:0 !important; } 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! The SBC shows you how you and the plan would share the cost for covered health care 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. .cd-main-content p, blockquote {margin-bottom:1em;} Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. 4 All plan-related information on this site is from CMS.gov and Medicare.gov. TAhh])f?u Vh7 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! IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL JQua/V7 25O,G RlJ E7j{ [CDATA[/* >