ei;N. We understand that our services and benefits are vital to you. TTY users should call 1-800-430-7077. Medi-Cal is a no-cost or low-cost health coverage program. Evidence of Coverage. }Y+\(s1Qi}=Y1$C'oX` 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. You can connect here with some of the organizations we partner with! .usa-footer .container {max-width:1440px!important;} This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} 1457 0 obj <>stream Sample Completed SBC | MS Word Format. Learn more about how your agency or business can join our the team that strengthens individuals and communities. 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. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. We also have partners throughout Riverside County waiting to help you at any time. We want to help. The .gov means its official. 401 0 obj <>stream Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Any information we provide is limited to those plans we do offer in your area. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 1 0 obj 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. (866) 294-4347 hb```f``Z pA2,Nh0b 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. 2 0 obj The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Federal government websites often end in .gov or .mil. Copy Page Link. We also have services to protect adults from abuse and neglect. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This includes cookies necessary for the website's operation. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. See how they can help you, your family, and your community! .cd-main-content p, blockquote {margin-bottom:1em;} A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Share via Facebook. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. In fact, its our top priority. 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 only use data released publicly each year. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} 711 (TTY), To Enroll with IEHP It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We believe in helping YOU take care of yourself and your family. Help yourself and impact your community by clicking here to learn more! %vM:+&Z$RI\\?wNuVS!n} IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. p.usa-alert__text {margin-bottom:0!important;} Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. These cookies are required to use this website and can't be turned off. Enroll on the phone or online! Some of the services listed are covered only if IEHP or your IPA approves first. The SBC shows you how you and the plan would share the cost for covered health care services. .manual-search ul.usa-list li {max-width:100%;} You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Youll also find access to services for those in crisis here. Here you can find access to Family Resource Centers and crisis prevention services. 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 #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;} Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. 2023 Inland Empire Health Plan All Rights Reserved. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is only a summary. Learn more here, including how to apply. -l Find out if you qualify for a Special Enrollment Period. 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. You may also call Health Care Options at 1-800-430-4263. ! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We offer cash and housing assistance, such as access to hotel/motel vouchers. Learn more by clicking here. 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. Please read the Evidence of Coverage for the full list of benefits. We provide access to caregivers who help at-risk adults live safely and independently in their own home. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. hb```f``|AX,;Xt3]. .manual-search ul.usa-list li {max-width:100%;} This is only a summary. Your family is your top priority. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Before sharing sensitive information, make sure youre on a federal government site. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We do not directly sell health insurance or offer professional legal, medical, or financial advice. It provides health, dental and vision* coverage to qualified low-income California residents. <> Your HBA, usually located in your agency's personnel office, can also print you a copy . Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. %PDF-1.5 % wT].b`bd` FI? F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. 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 offers the following coverage and cost-sharing. SBC document helps you choose a health plan. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Become a foster or adoptive parent. (800) 718-4347 (TTY), IEHP DualChoice Member Services We partner with agencies and organizations that share our mission to help and protect those most in need. This is only a summary. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. View Plan Details How to Get Care You may also qualify for Extra Help on drug costs. 1175 0 obj <> endobj Press Tab to Move to Skip to Content Link. 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 If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Click to Call 1-877-354-4611 TTY 711. You need a roof over your head. 1731 0 obj <> endobj %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. Please check the plans formulary for specific drugs covered. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. See the . We work with community partners and the courts to bring families together. =========== 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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 0 IMPORTANT: This page has been updated with plan and premium data for the 2023. ozI?TNt2J\2 k/=Ak Because we respect your right to privacy, you can choose not to allow some types of cookies. 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. ah v$c`bd`Qb`_g "[y Community is built on trust. 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 ? This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. You can compare options based on price, benefits, and other features that may be important to you. 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. plan (called the premium) will be provided separately. NOTE: Information about the cost of this plan (called the premium) will be provided separately. See the Part D Premium Reduction section below for more details. 1218 0 obj <>stream B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM 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). Plan Overview. Medi-Cal Dental Coverage . stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. %PDF-1.6 % Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Click here to learn more. 7500 Security Boulevard, Baltimore, MD 21244. 4 Our mission is to help our residents find a path to financial independence. Previous Next ===== TABBED SINGLE CONTENT GENERAL. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } )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# 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 Want to speak to someone face-to-face? (877) 273-4347 Yes. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. LYK%-dQrqc*D|3-:HAdFfZ! We do not offer every plan available in your area. 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. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. %%EOF Your cookie preferences will be stored in your browsers local storage. Contact a plan for a Summary of Benefits. H8894 001 0 available in Riverside and San Bernardino Counties. 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). The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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 IEHP DualChoice (HMO D-SNP)