Every child deserves a stable, safe, and supportive family. IEHP DualChoice (HMO D-SNP) This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. Learn more here. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. stream 711 (TTY), To Enroll with IEHP Some of the services listed are covered only if IEHP or your IPA approves first. We work with community partners and the courts to bring families together. 1800 0 obj <>stream Previous Next ===== TABBED SINGLE CONTENT GENERAL. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. This is only a summary. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy We protect our communitys most vulnerable children and adults. Press Tab to Move to Skip to Content Link. We want to help. We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. NOTE: Information about the cost of this plan (called the premium) will be provided separately. TTY users should call (800) 720-4347. The SBC shows you how you and the plan would share the cost for covered healthcare services. The site is secure. %PDF-1.5 % #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} Contact a plan for a Summary of Benefits. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. .table thead th {background-color:#f1f1f1;color:#222;} hbbd```b`` "A$ri " %f=X$L0i&u@d{:d The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .usa-footer .grid-container {padding-left: 30px!important;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Consider or children in need. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Please check the plans formulary for specific drugs covered. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Trust is built on communication. Copy Page Link. Community is built on trust. We also have partners throughout Riverside County waiting to help you at any time. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. -l 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. . Ready to sign up for IEHP DualChoice (HMO D-SNP) Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. endobj KtV Adults pay no monthly premium for Medi-Cal coverage. IEHP DualChoice (HMO D-SNP) 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 These cookies are required to use this website and can't be turned off. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. plan (called the premium) will be provided separately. 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. 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). hb```f``|AX,;Xt3]. You can become the loving parent a child needs and deserves. (800) 720-4347 (TTY). hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X Health care is crucial for you and your family. Youll also find access to services for those in crisis here. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Help yourself and impact your community by clicking here to learn more! %PDF-1.6 % We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. NOTE: Information about the cost of this plan (called the premium) will be provided separately. <> 1731 0 obj <> endobj Medi-Cal Dental Coverage . We care about the people we serve and last year we served one million people in Riverside County. wT].b`bd` FI? #block-googletagmanagerheader .field { padding-bottom:0 !important; } Enroll on the phone or online! This could be right for you. NOTE: Information about the cost of this plan (called the premium) will be provided separately. %vM:+&Z$RI\\?wNuVS!n} NOTE: Information about the cost of this plan (called the premium) will be provided separately. We do not offer every plan available in your area. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). Please read the Evidence of Coverage for the full list of benefits. Your family is your top priority. 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! (877) 273-4347 .manual-search-block #edit-actions--2 {order:2;} 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 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. 0 The SBC shows you how you and the plan would share the cost for covered health care services. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). IEHP DualChoice (HMO D-SNP) 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. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. /*-->`O"`RLg@d0LRA vO6 In fact, its our top priority. We only use data released publicly each year. Because we respect your right to privacy, you can choose not to allow some types of cookies. No matter the insurance provider, all SBCs outline the same basic information. 1218 0 obj <>stream After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. Visit bluecrossmn.com or call toll free at 1-855-579 . Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. With our. All rights reserved | About | Contact | Legal and Privacy. ah v$c`bd`Qb`_g "[y This is only a summary. Share via Facebook. 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. You can compare options based on price, benefits, and other features that may be important to you. SBCs also explain health plans' unique features Find out if you qualify for a Special Enrollment Period. hYioH+ 3"> >Ivg@K, 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. =========== 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. 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. 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. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW 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 Click to Call 1-877-354-4611 TTY 711. SBC document helps you choose a health plan. 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 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. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 1 0 obj Once you reach that amount, you will enter the next coverage phase. 401 0 obj <>stream Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Contact the plan for details. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. NOTE: Information about the cost of this plan (called the premium) will be provided separately. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. The SBC shows you how you and the plan would share the cost for covered health care services. LYK%-dQrqc*D|3-:HAdFfZ! Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. You can connect here with some of the organizations we partner with! IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. See the . .usa-footer .container {max-width:1440px!important;} .manual-search ul.usa-list li {max-width:100%;} 3 0 obj ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL This is only a summary. for details. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. Were here to help! Learn more by clicking here. also provides the following benefits. Yes. 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. % Your Part B premium may differ based on factors including late enrollment, income, and disability status. Sample Completed SBC | MS Word Format. Competitive Salary and Benefits Package * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. You may also qualify for Extra Help on drug costs. Contact the plan for details. Here you can find access to Family Resource Centers and crisis prevention services. TTY users should call 1-800-718-4347. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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! 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. 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 Plan Overview. Want to speak to someone face-to-face? We understand that our services and benefits are vital to you. IEHP DualChoice (HMO D-SNP) This is only a summary. 4 0 obj 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. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. L.A. Care Covered Gold 80 HMO Evidence of . Advantage Plus benefits and premiums . 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. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> You need a roof over your head. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is meant to help you compare your options and understand your coverage. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. 324 0 obj <> endobj The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Get help from a licensed Medicare agent. 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. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} We are to help you too! Contact a plan for a Summary of Benefits. We do not directly sell health insurance or offer professional legal, medical, or financial advice. You have the right to an easy-to-understand summary about a health plans benefits and coverage. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Team Member* benefits include: 2019 Inland Empire Health Plan. ! IEHP DualChoice (HMO D-SNP) 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. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Learn more about resources in languages other than English. is offered in the following locations. We partner with agencies and organizations that share our mission to help and protect those most in need. 2 0 obj Inland . ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 endobj %PDF-1.7 This includes cookies necessary for the website's operation. .cd-main-content p, blockquote {margin-bottom:1em;} (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Share via Email. Your HBA, usually located in your agency's personnel office, can also print you a copy . The .gov means its official. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. (866) 294-4347 provides the following cost-sharing on drugs. 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. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Learn more here, including how to apply. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Medicare has neither approved nor endorsed any information on this site. 7500 Security Boulevard, Baltimore, MD 21244. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Medi-Cal is a no-cost or low-cost health coverage program. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. Summary of Benefits and Coverage (SBC) Template | MS Word Format. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. It details the coverage and costs for any Affordable Care Act-compliant health plan. 1175 0 obj <> endobj 1457 0 obj <>stream ol{list-style-type: decimal;} 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 . For more information , visit www.iehp.org. All Rights Reserved. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Other languages can be selected below. Become a foster or adoptive parent. .manual-search ul.usa-list li {max-width:100%;} Restaurant Meals Program Vendor Information. Before sharing sensitive information, make sure youre on a federal government site. H8894 001 0 available in Riverside and San Bernardino Counties. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. All plan-related information on this site is from CMS.gov and Medicare.gov. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services (888) 244-4347 The SBC shows you how you and the plan. It is a legal document that explains your health care plan and should answer many important questions about your benefits. 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. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. .h1 {font-family:'Merriweather';font-weight:700;} All insurance agents and enrollment platforms linked to this site have their own terms and conditions. [CDATA[/* >