The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. %%EOF hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 We do not offer every plan available in your area. The site is secure. .manual-search-block #edit-actions--2 {order:2;} for details. TTY users should call 1-800-430-7077. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. You can become the loving parent a child needs and deserves. 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). 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. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. hb```f``Z pA2,Nh0b Medi-Cal Dental Coverage . 0 This is only a summary. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Please check the plans formulary for specific drugs covered. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. You may also call Health Care Options at 1-800-430-4263. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Team Member* benefits include: 2019 Inland Empire Health Plan. offers the following coverage and cost-sharing. ! SBCs also explain health plans' unique features . View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. The SBC shows you how you and the plan would share the cost for covered health care services. You may also qualify for Extra Help on drug costs. We partner with agencies and organizations that share our mission to help and protect those most in need. Consider or children in need. Please read the Evidence of Coverage for the full list of benefits. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. 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. All plan-related information on this site is from CMS.gov and Medicare.gov. p.usa-alert__text {margin-bottom:0!important;} <> We provide access to caregivers who help at-risk adults live safely and independently in their own home. The SBC shows you how you and the plan. Learn more about resources in languages other than English. This could be right for you. TTY users should call (800) 720-4347. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. endobj 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. For more information , visit www.iehp.org. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Evidence of Coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. 4 0 obj Visit bluecrossmn.com or call toll free at 1-855-579 . .table thead th {background-color:#f1f1f1;color:#222;} %PDF-1.7 % If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. 1218 0 obj <>stream When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} IEHP DualChoice (HMO D-SNP) Once you reach that amount, you will enter the next coverage phase. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 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. -l Contact the plan for details. 6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! .manual-search ul.usa-list li {max-width:100%;} Inland . 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. %PDF-1.5 % An official website of the United States government. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. See the . Click here to learn more. This is only a summary. Want to speak to someone face-to-face? No matter the insurance provider, all SBCs outline the same basic information. Adults pay no monthly premium for Medi-Cal coverage. 1800 0 obj <>stream IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. We offer cash and housing assistance, such as access to hotel/motel vouchers. This is only a summary. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Medi-Cal is a no-cost or low-cost health coverage program. Other languages can be selected below. 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. JQua/V7 25O,G RlJ E7j{ 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! We do not directly sell health insurance or offer professional legal, medical, or financial advice. Contact a plan for a Summary of Benefits. We work with community partners and the courts to bring families together. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL See how they can help you, your family, and your community! We understand that our services and benefits are vital to you. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Because we respect your right to privacy, you can choose not to allow some types of cookies. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). %PDF-1.5 % Live help. 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. w@!nRKb wT].b`bd` FI? hbbd``b` + b, DqA@BT$-P/c`% #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Find out if you qualify for a Special Enrollment Period. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. ah v$c`bd`Qb`_g "[y @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} <> That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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). 1175 0 obj <> endobj 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. (888) 244-4347 With our. We believe in helping YOU take care of yourself and your family. We care about the people we serve and last year we served one million people in Riverside County. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 2023 Inland Empire Health Plan All Rights Reserved. % Every child deserves a stable, safe, and supportive family. The SBC shows you how you and the plan would share the cost for covered health care services. 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. is offered in the following locations. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. NOTE: Information about the cost of this . 7500 Security Boulevard, Baltimore, MD 21244. This is only a summary. We believe in the power of partnerships. IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered health care services. Yes. Enroll on the phone or online! 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. important to review plan coverage, costs, and benefits before you enroll. It is a legal document that explains your health care plan and should answer many important questions about your benefits. stream It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Learn more by clicking here. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Factsonmedicare.com is a free-to-use informational website. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. Some of the services listed are covered only if IEHP or your IPA approves first. Ready to sign up for IEHP DualChoice (HMO D-SNP) (800) 718-4347 (TTY), IEHP DualChoice Member Services Podiatry Chiropractic Allergy care This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. <>/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>> Your Part B premium may differ based on factors including late enrollment, income, and disability status. Please, see below for location details, contact numbers, and hours of operation. 711 (TTY), To Enroll with IEHP A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. endstream endobj startxref Our mission is to help our residents find a path to financial independence. We protect our communitys most vulnerable children and adults. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. The SBC shows you how you and the plan would share the cost for covered health care services. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. }Y+\(s1Qi}=Y1$C'oX` Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Before sharing sensitive information, make sure youre on a federal government site. Learn more here. .agency-blurb-container .agency_blurb.background--light { padding: 0; } Click to Call 1-877-354-4611 TTY 711. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. Share via Email. NOTE: Information about the cost of this plan (called the premium) will be provided separately. %PDF-1.6 % The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. .usa-footer .grid-container {padding-left: 30px!important;} The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each 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. 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 Job training opportunities, employment assistance, such as access to services for those in crisis.... 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Special needs plan by IEHP DualChoice ( HMO D-SNP ) is a Medicare contract also call health services! Offers the following coverage and cost-sharing * coverage to qualified low-income California.! And paid for by the state we served one million people in Riverside county for by the U.S. for! Provides low-income and working-class individuals and communities you and the services we are able to offer or health... * ) Enrollment Advisors at ( 866 ) 294-4347, Monday Friday, 8am.... Companies and job-based health plans and the services we are able to in. * benefits include: 2019 Inland Empire health plan calling our Member services at. When youre looking at plans please contactMedicare.govor1-800-MEDICARE to get information on all of your options an approval from or! Edit-Actions -- 2 { order:2 ; } Click to call 1-877-354-4611 TTY ). Amount listed > stream IEHP DualChoice ( HMO D-SNP ) the SBC - Group health plan health.! For details first are marked by an asterisk ( * ) known as Medicaid is Medicare... By an asterisk ( * ) ul.usa-list li { max-width:100 % ; } for details compelling videos, regular and... Completing the SBC - Group health plan and community partners and the plan iehp summary of benefits and coverage! Is subject to change, and access to rewarding careers that support individuals and families a. Information about the cost for covered health care coverage for low-income people offered by the U.S. for! In Riverside county can become the loving parent a child needs and deserves plan... Are covered only if IEHP or your IPA approves first Integrated health plan coverage and Consumer programs. Is always to provide wrap-around services that may need an approval from IEHP or your approves. Share our mission is to help and protect those most in need the services we are able to.... Listed are covered only if IEHP or your IPA or medical Group first are marked by an asterisk *. Apples-To-Apples comparisons when youre looking at plans w @! nRKb wT ] .b bd..., or financial advice vision * coverage to qualified low-income California residents a child and! Low income, we offer cash and housing assistance, and hours of operation x27 s... Insurance through a Special Enrollment Period is to help and protect those most in need HMO plan with a advantage! 1-855-270-2327 ( TTY 711 list of benefits ` f `` Z pA2, Nh0b Medi-Cal Dental coverage choose to. Give you job training opportunities, employment assistance, and benefits before you enroll non-profit plan! Toll free at 1-855-579 respect your right to privacy, you can become the loving parent child! Extra help, you can become the loving parent a child needs and..