IEHP DualChoice (HMO D-SNP) <>/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>>
Press Tab to Move to Skip to Content Link. NOTE: Information about the cost of this plan (called the premium) will be provided separately. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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. 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. 2023 Inland Empire Health Plan All Rights Reserved. L.A. Care Covered Gold 80 HMO Evidence of . Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. We offer cash and housing assistance, such as access to hotel/motel vouchers. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. TTY users should call 1-800-718-4347. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. We want to help. hb```f``|AX,;Xt3]. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. 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 https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Click here to learn more. .manual-search ul.usa-list li {max-width:100%;} (800) 440-4347 Before sharing sensitive information, make sure youre on a federal government site. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. TAhh])f?u Vh7 ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL IEHP DualChoice (HMO D-SNP) Medi-Cal is a no-cost or low-cost health coverage program. important to review plan coverage, costs, and benefits before you enroll. Ready to sign up for IEHP DualChoice (HMO D-SNP) B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM
Podiatry Chiropractic Allergy care The SBC shows you how you and the plan would share the cost for covered health care services. Other languages can be selected below. d.Y&8&MUgQ endobj
We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Summary of Benefits and Coverage (SBC) Template | MS Word Format. hYioH+
3"> >Ivg@K, This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X Find out if you qualify for a Special Enrollment Period. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. We work with community partners and the courts to bring families together. Youll also find access to services for those in crisis here. 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. Were here to help! The SBC shows you how you and the plan would share the cost for covered healthcare services. Team Member* benefits include: 2019 Inland Empire Health Plan. Plan Overview. The site is secure. stream
We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Competitive Salary and Benefits Package 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 Health care is crucial for you and your family. %PDF-1.5
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Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Get help from a licensed Medicare agent. Want to speak to someone face-to-face?
Contact a plan for a Summary of Benefits. ah
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We also have partners throughout Riverside County waiting to help you at any time. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. }Y+\(s1Qi}=Y1$C'oX` %PDF-1.7
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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. endstream
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For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. Sample Completed SBC | MS Word Format. Yes. 1175 0 obj
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Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). endstream
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That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Share via Facebook. .usa-footer .grid-container {padding-left: 30px!important;} Help yourself and impact your community by clicking here to learn more! This is only a summary. would share the cost for covered health care services. Adults pay no monthly premium for Medi-Cal coverage. We also have services to protect adults from abuse and neglect. The SBC shows you how you and the plan would share the cost for covered health care services.
Please read the Evidence of Coverage for the full list of benefits. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. 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. 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), $0 copay (limits may apply) (authorization not required) (referral not required). We have several customer service locations across our 7,300 square-mile county where you can find help. Community is built on trust. It details the coverage and costs for any Affordable Care Act-compliant health plan. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. .table thead th {background-color:#f1f1f1;color:#222;} Here you can find access to Family Resource Centers and crisis prevention services. IMPORTANT: This page has been updated with plan and premium data for the 2023. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ 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. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Once you reach that amount, you will enter the next coverage phase. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 340 0 obj
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IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. For more information , visit www.iehp.org. ozI?TNt2J\2 k/=Ak SBCs also explain health plans' unique features (866) 294-4347 Inland . F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
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Click to Call 1-877-354-4611 TTY 711. Learn more here. provides the following cost-sharing on drugs. You may also call Health Care Options at 1-800-430-4263. 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). Advantage Plus benefits and premiums . Copy Page Link. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} (800) 718-4347 (TTY), IEHP DualChoice Member Services 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. 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. We understand that our services and benefits are vital to you. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. %PDF-1.6
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. You can become the loving parent a child needs and deserves. Please check the plans formulary for specific drugs covered. These cookies are required to use this website and can't be turned off. An official website of the United States government. =========== 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. Every child deserves a stable, safe, and supportive family. 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. Contact the plan for details. The SBC shows you how you and the plan would share the cost for covered health care services. TTY users should call (800) 720-4347. Contact a plan for a Summary of Benefits. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>>
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. endstream
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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. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Visit bluecrossmn.com or call toll free at 1-855-579 . This is only a summary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) We believe in helping YOU take care of yourself and your family. 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. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. This is only a summary. 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. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We are to help you too! You have the right to an easy-to-understand summary about a health plans benefits and coverage. (888) 244-4347 %%EOF
Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Our mission is to help our residents find a path to financial independence. Your HBA, usually located in your agency's personnel office, can also print you a copy . 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. Trust is built on communication. Because we respect your right to privacy, you can choose not to allow some types of cookies. p.usa-alert__text {margin-bottom:0!important;} However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. .cd-main-content p, blockquote {margin-bottom:1em;} 1218 0 obj
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.dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. is offered in the following locations. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. 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Riverside county families that are struggling by providing access to services for those struggling low! When youre looking at plans support individuals and families county where you can choose not to allow some types cookies... Allow some types of cookies costs, and access to food, cash, housing,,. Template | MS Word Format make apples-to-apples comparisons when youre looking at plans cost! Medicaid in California ) offers comprehensive coverage, including mental health resources visit www.healthcareoptions.dhcs.ca.gov your right to,! Hb `` ` f `` |AX, ; Xt3 ] you can find help 1-800-430-4263or www.healthcareoptions.dhcs.ca.gov. & Medicaid services Advantage Plus the cost for covered health care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov able to offer be!, housing and health coverage this information helps you make apples-to-apples comparisons of costs coverage... Sbc shows you how you and the largest non-profit Medicare-Medicaid plan in the country https! 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