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. Factsonmedicare.com is a free-to-use informational website. TTY users should call 1-800-430-7077. ol{list-style-type: decimal;} 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. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Some of the services listed are covered only if IEHP or your IPA approves first. Inland . 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. It details the coverage and costs for any Affordable Care Act-compliant health plan. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. See how they can help you, your family, and your community! 324 0 obj
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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 %PDF-1.5
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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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Learn more here, including how to apply. Competitive Salary and Benefits Package rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. 4 NOTE: Information about the cost of this plan (called the premium) will be provided separately. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Health care is crucial for you and your family. hb```f``Z pA2,Nh0b The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. (800) 440-4347 %PDF-1.6
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This is only a summary. d.Y&8&MUgQ 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. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Press Tab to Move to Skip to Content Link. 0
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. .usa-footer .grid-container {padding-left: 30px!important;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. (800) 720-4347 (TTY). This is only a summary. All rights reserved | About | Contact | Legal and Privacy. .paragraph--type--html-table .ts-cell-content {max-width: 100%;}
Team Member* benefits include: 2019 Inland Empire Health Plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. hZ]o+EugE {ScX,x}@\[,l7{. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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). .manual-search ul.usa-list li {max-width:100%;} 340 0 obj
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IMPORTANT: This page has been updated with plan and premium data for the 2023. Summary of Benefits and Coverage (SBC) Template | MS Word Format. 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 $7,400.00. You may also call Health Care Options at 1-800-430-4263. hbbd``b` + b, DqA@BT$-P/c`%
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#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;} /*-->gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA We work with community partners and the courts to bring families together. 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. No matter the insurance provider, all SBCs outline the same basic information. 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. offers the following coverage and cost-sharing. You can connect here with some of the organizations we partner with! <>
@media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Learn more about how your agency or business can join our the team that strengthens individuals and communities. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. (888) 244-4347 Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. H8894 001 0 available in Riverside and San Bernardino Counties. 4 0 obj
. In fact, its our top priority. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. 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). Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Please read the Evidence of Coverage for the full list of benefits. Your HBA, usually located in your agency's personnel office, can also print you a copy . %vM:+&Z$RI\\?wNuVS!n} (800) 718-4347 (TTY), IEHP DualChoice Member Services IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. LYK%-dQrqc*D|3-:HAdFfZ! hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? 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). for details. Want to speak to someone face-to-face? Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. This is meant to help you compare your options and understand your coverage. endstream
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Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. %PDF-1.7
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Your cookie preferences will be stored in your browsers local storage. Your family is your top priority. is offered in the following locations. JQua/V7 25O,G RlJ
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IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered health care services. 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. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. 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. Contact the plan for details. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. You may also qualify for Extra Help on drug costs. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Apply here and learn more about benefits. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered healthcare services. The SBC shows you how you and the plan would share the cost for covered health care services. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Visit bluecrossmn.com or call toll free at 1-855-579 . This could be right for you. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Podiatry Chiropractic Allergy care IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Help yourself and impact your community by clicking here to learn more! We offer cash and housing assistance, such as access to hotel/motel vouchers. %PDF-1.7
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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# 7500 Security Boulevard, Baltimore, MD 21244. ozI?TNt2J\2 k/=Ak Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. The call is free. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. %%EOF
Share via LinkedIn. wT].b`bd` FI? Contact the plan for details. KtV 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;} 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. 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. SBCs also explain health plans' unique features 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. This is only a summary. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. This includes cookies necessary for the website's operation. 1457 0 obj
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All Rights Reserved. We are to help you too! NOTE: Information about the cost of this plan (called the premium) will be provided separately. With our. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
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We care about the people we serve and last year we served one million people in Riverside County. We do not offer every plan available in your area. 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. Copy Page Link. .cd-main-content p, blockquote {margin-bottom:1em;} It is a legal document that explains your health care plan and should answer many important questions about your benefits. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>>
Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Adults pay no monthly premium for Medi-Cal coverage. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. ei;N. Contact a plan for a Summary of Benefits. Trust is built on communication. endstream
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This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more.
TTY users should call (800) 720-4347. Click here to learn more. <>/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>>
We use cookies to offer you the best possible website experience. This is only a summary. We provide access to caregivers who help at-risk adults live safely and independently in their own home. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. 3 0 obj
Learn more by clicking here. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d would share the cost for covered health care services. .h1 {font-family:'Merriweather';font-weight:700;} Please, see below for location details, contact numbers, and hours of operation. This is only a summary. IEHP DualChoice (HMO D-SNP) It provides health, dental and vision* coverage to qualified low-income California residents. }Y+\(s1Qi}=Y1$C'oX` Sample Completed SBC | MS Word Format. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X 0
The .gov means its official. .table thead th {background-color:#f1f1f1;color:#222;} Community is built on trust. 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. .manual-search ul.usa-list li {max-width:100%;} 401 0 obj
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is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. TAhh])f?u Vh7 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. An official website of the United States government. The SBC shows you how you and the plan would share the cost for covered health care services. endobj
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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! 2 0 obj
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Advantage Plus benefits and premiums . 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Medicare has neither approved nor endorsed any information on this site. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7
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We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Consider or children in need. Find out if you qualify for a Special Enrollment Period. 1800 0 obj
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(800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Contact a plan for a Summary of Benefits. 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. Click to Call 1-877-354-4611 TTY 711. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM
We do not directly sell health insurance or offer professional legal, medical, or financial advice. 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! div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Here you can find access to Family Resource Centers and crisis prevention services. 4CI[s10|=C>G>%/K yN&0xk^8Z^q. Once you reach that amount, you will enter the next coverage phase. IEHP DualChoice (HMO D-SNP) We also have partners throughout Riverside County waiting to help you at any time. <>
Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. 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. The SBC shows you how you and the plan would share the cost for covered health care services. 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. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Other languages can be selected below. .manual-search-block #edit-actions--2 {order:2;} This is only a summary. Enroll on the phone or online! L.A. Care Covered Gold 80 HMO Evidence of . .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. This is only a summary. 1175 0 obj
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=========== 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. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. 1750 0 obj
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If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Every child deserves a stable, safe, and supportive family.
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