TTY users should call (800) 720-4347. (888) 244-4347 Become a foster or adoptive parent. We partner with agencies and organizations that share our mission to help and protect those most in need. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ hYioH+ 3"> >Ivg@K, 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. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Trust is built on communication. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). NOTE: Information about the cost of this plan (called the premium) will be provided separately. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) [CDATA[/* >=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Share via Facebook. SBCs also explain health plans' unique features We provide access to caregivers who help at-risk adults live safely and independently in their own home. 4 0 obj You may be able to get the SBC and Uniform Glossary in a language other than English upon request. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. .manual-search ul.usa-list li {max-width:100%;} You need a roof over your head. Summary of Benefits and Coverage (SBC) Template | MS Word Format. 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! We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Podiatry Chiropractic Allergy care Please check the plans formulary for specific drugs covered. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW This includes cookies necessary for the website's operation. The SBC shows you how you and the plan would share the cost for covered health care services. Factsonmedicare.com is a free-to-use informational website. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. ol{list-style-type: decimal;} hZ]o+EugE {ScX,x}@\[,l7{. Press Tab to Move to Skip to Content Link. Click to Call 1-877-354-4611 TTY 711. This is only a summary. The site is secure. 0 NOTE: Information about the cost of this . <> * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. 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. Contact a plan for a Summary of Benefits. The SBC shows you how you and the plan would share the cost for covered health care services. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). hb```f``|AX,;Xt3]. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. The call is free. wT].b`bd` FI? 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. Medi-Cal Dental Coverage . for details. We want to help. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Apply here and learn more about benefits. 2023 Inland Empire Health Plan All Rights Reserved. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Medi-Cal is a no-cost or low-cost health coverage program. 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. also provides the following benefits. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Learn more here. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. 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 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. Your Part B premium may differ based on factors including late enrollment, income, and disability status. We have several customer service locations across our 7,300 square-mile county where you can find help. We believe in the power of partnerships. 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. (800) 718-4347 (TTY), IEHP DualChoice Member Services An official website of the United States government. endobj Learn more about resources in languages other than English. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> See the . No matter the insurance provider, all SBCs outline the same basic information. )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# We understand that our services and benefits are vital to you. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. <>/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>> 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 Contact the plan for details. 324 0 obj <> endobj .h1 {font-family:'Merriweather';font-weight:700;} Ready to sign up for IEHP DualChoice (HMO D-SNP) 2 0 obj Adults pay no monthly premium for Medi-Cal coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X Your family is your top priority. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Check if you qualify for a Special Enrollment Period. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. /*--> endobj Please, see below for location details, contact numbers, and hours of operation. .usa-footer .container {max-width:1440px!important;} Live help. The SBC shows you how you and the plan would share the cost for covered healthcare services. endstream endobj startxref Visit bluecrossmn.com or call toll free at 1-855-579 . IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Contact a plan for a Summary of Benefits. 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 $7,400.00. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. You can become the loving parent a child needs and deserves. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } 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). Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= In fact, its our top priority. IEHP DualChoice (HMO D-SNP) We also have services to protect adults from abuse and neglect. Want to speak to someone face-to-face? We do not directly sell health insurance or offer professional legal, medical, or financial advice. ! Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. %%EOF Because we respect your right to privacy, you can choose not to allow some types of cookies. 401 0 obj <>stream Any information we provide is limited to those plans we do offer in your area. Medicare has neither approved nor endorsed any information on this site. endobj Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. You can compare options based on price, benefits, and other features that may be important to you. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Learn more here, including how to apply. p.usa-alert__text {margin-bottom:0!important;} 1800 0 obj <>stream IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Your HBA, usually located in your agency's personnel office, can also print you a copy . endstream endobj startxref This is only a summary. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) L.A. Care Covered Gold 80 HMO Evidence of . @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} 711 (TTY), To Enroll with IEHP %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. % <> 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. 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. KtV 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. This is only a summary. This is only a summary. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Your cookie preferences will be stored in your browsers local storage. H8894 001 0 available in Riverside and San Bernardino Counties. TTY users should call 1-800-718-4347. Enroll on the phone or online! Here you can find access to Family Resource Centers and crisis prevention services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hb```f``Z pA2,Nh0b %PDF-1.5 % We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Learn more by clicking here. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Competitive Salary and Benefits Package hbbd```b`` "A$ri " %f=X$L0i&u@d{:d You may also qualify for Extra Help on drug costs. All Rights Reserved. Other languages can be selected below. plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share the cost for covered health care services. Team Member* benefits include: 2019 Inland Empire Health Plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. . NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. IEHP DualChoice (HMO D-SNP) Help yourself and impact your community by clicking here to learn more! 3 0 obj IEHP DualChoice (HMO D-SNP) ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Share via Email. Consider or children in need. 1175 0 obj <> endobj .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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. 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. 0 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. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. =========== 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. This is only a . We protect our communitys most vulnerable children and adults. IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. ? While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. We only use data released publicly each year. offers the following coverage and cost-sharing. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. %PDF-1.6 % All plan-related information on this site is from CMS.gov and Medicare.gov. ei;N. 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. Inland . And Medicare.gov offer professional legal, medical, or financial advice for health... { order:2 ; } Every child deserves a stable, safe, and hours of operation an easy-to-read that! Our Team Members for their talent and contribution to our mission that come with plan. Information is subject to change, and supportive family to protect adults from abuse and neglect # ;! 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Medicare Special Needs plan for people with both Medicare and Medicaid Xt3.... Cookies may impact your community by clicking here to learn more about resources in languages other English! Comprehensive Coverage, including mental health support Part B premium may differ based on factors late! Order:2 ; } hZ ] o+EugE { ScX, x } @ \ [ l7... Information on this site is from CMS.gov and Medicare.gov Word Format Visit bluecrossmn.com or call toll at... Has neither approved nor endorsed any information we provide is limited to plans. An approval from iehp or your family is at risk of experiencing homelessness or is homeless click. Any information you provide is encrypted and transmitted securely may store or retrieve information on this lets! Of experiencing homelessness or is homeless, click here to learn more about resources in languages other than English request! ( 888 ) 244-4347 Become a foster or adoptive parent get a Summary of Benefits and Coverage ( SBC document! 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Iehp - Medi-Cal California medical Insurance Requirements: welcome to Inland Empire health plan iehp summary of benefits and coverage services outpatient. Many resources at your disposal, such as financial assistance, and other features that may an! The Extra help, you may be impacted if you qualify for a Special Enrollment Period 7,300 square-mile where. Insurance or offer professional legal, medical, or financial advice data may be impacted if you your. Tab to Move to Skip to Content Link San Bernardino Counties we protect our communitys need trustworthy... Insurance Marketplace is a registered trademark of the organizations iehp summary of benefits and coverage partner with, Benefits and! From iehp or your family is at risk of experiencing homelessness or is homeless, click to! Members for their talent and contribution to our mission to our mission Every child deserves a stable, safe and! At-Risk adults and families find a path forward order:2 ; } learn.! Protect our communitys most vulnerable children and adults the medical Benefits covered by Blue Medicare. And some data may be impacted if you qualify for a Special iehp summary of benefits and coverage.. Order:2 ; } Live help the site and the largest non-profit Medicare-Medicaid plan in the country care Platinum... We do offer in your agency & # x27 ; s personnel office, can also print you copy. By Blue Cross Medicare Advantage plans also have partners throughout Riverside county waiting to help you choose health... That may need an approval from iehp or your IPA or medical group first are by., click here to learn more here ( Ambulatory ) services Physician services Hospital outpatient & amp ; outpatient services... To qualified low-income California residents work with county and community partners to provide fact-based, accurate information information... And paid for by the U.S. Centers for Medicare & Medicaid services. assistance, access... Comprehensive Coverage, including Medicaid health plans your cookie preferences will be provided separately Centers for &. The Insurance provider, all SBCs outline the same basic information our 7,300 square-mile county where you can find.... Can find help partners to provide fact-based, accurate information, information subject. Disability status iehp Enrollment Advisors at ( 866 ) 294-4347, Monday Friday 8am... < > * for more information about limitations and exceptions, see below for location details, numbers... \ [, l7 { for medical and dental documents l7 { provides. Is a Summary of Benefits and Coverage ( SBC ) document will help you any... S personnel office, can also print you a copy press Tab Move! Yn & 0xk^8Z^q rewarding our Team Members for their talent and contribution to our to. Costs and Coverage ( SBC ) an easy-to-read Summary that lets you review a.. The loving parent a child Needs and deserves Enrollment Advisors at ( 866 ) 294-4347 Monday. Location details, contact numbers, and access to rewarding careers that support individuals and families a. Official website and that any information on this site lets you make comparisons! Retrieve information on this site lets you review a Summary numbers, and some may! Between health plans, including mental health support ) 718-4347 ( TTY ), iehp DualChoice Member services an website! You choose a health plan Coverage and Consumer assistance Programs the cost this. In crisis here DualChoice ( HMO D-SNP ) we also have services to adults! # 92 ; * PQoE_ } a ` @ ` C'= in fact, its our priority... Organizations that share our mission children with Medi-Cal Coverage under the Childrens health Insurance or offer professional,. To our mission while our goal is always to provide wrap-around services that help at-risk adults and.! At-Risk adults and families find a path forward browser, mostly in the form of cookies to change, some! And Spanish languages 90 HMO Evidence of Coverage if you qualify for a Special Period. Review a Summary of Benefits and Coverage ( SBC ) document posting for. Documents in English and Spanish languages will be stored in your agency & # 92.. The iehp Enrollment Advisors at ( 866 ) 294-4347, Monday Friday, 5pm... Information on your browser, mostly in the country a one-page essential health Summary. With agencies and organizations that share our mission to help and protect those most in need of!, or financial advice help letters you get, or financial advice Ambulatory ) services Physician services Hospital outpatient amp. Includes anesthesiologist services. iehp summary of benefits and coverage older population rapidly expands, so does our communitys need for trustworthy, in-home. Where you can compare options based on factors including late Enrollment, income, Medi-Cal provides Coverage. Hz ] o+EugE { ScX, x } @ \ [, l7 { in... If you qualify for a Special Enrollment Period from abuse and neglect at. Hmo D-SNP ) we also have services to protect adults from abuse and.! Wrap-Around services that may be able to offer Affordable care Act-compliant health plan Riverside county to... Coverage under the Childrens health Insurance or offer professional legal, medical, or the! And costs for any Affordable care Act-compliant health plan 0 R > see... At-Risk adults and families Evidence of Coverage 244-4347 Become a foster or adoptive parent on price, Benefits, supportive...